HomeMy WebLinkAboutSymonds, Stephen CTA 2007 Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)463--,8W 1-800,325-8506
APPOINTMENT OFACAMPAIGN FORM CTA
TREASURER BY A CANDIDATE PG 1
i Total pages filed:
See CTA Instruction Guide for detailed instructions.
MS/MR IMR FIRST MI OFFICE USE ONLY
CANDIDATE
NAME Acct #
NICKNAME LAST (� SUFFIX Date Received
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Mo dl. 311a107 --
3 ADDRESS/PO BOX, APT/SUITE#; CITY; STATE; ZIP CODE
MAILINGCANDID
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ADDRESS
4 AREA CODE PHONE NUMBER EXTENSION HD/PM
CANDIDATE /[" q
PHONE
l J Date Processed
5 Date Imaged
OFFICE HELD
(If any)
OFFICE SOUGHT
l
(if known)
7 M RS/MR FIRST MI NICKNAME LAST SUFFIX
CAMPAIGN
TREASURER
NAME U
8STREET ADDRESS(NO PO BOX PLEASE), APT I SUITE#; CITY; STATE; ZIP CODE
CAMPAIGN
TREASURER
STREET
ER �� �� ( D/
ADDRESS
(Residence or business)
9 AREA CODE PHONE NUMBER EXTENSION
CAMPAIGN
TREASURER D Q
PHONE
101
CANDIDATE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
SIGNATURE
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
Sign re of Ca -.T.-- Date Signed
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'Ve Printed on recycled paper (Revised01/142004)
Texas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 (512)460-5800 1-800 25-8506
CANDIDATE MODIFIED FORM CTA
REPORTING DECLARATION PG 2
11
CANDIDATE NAME
�z
MODIFIED COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED
REPORTING REPORTING.
DECLARATION
-• This declaration must be filed no later than the 30th day before the
first election to which the declaration applies. --
The modified reporting option is valid for one election cycle only. --
(An election cycle includes a primary election,a general election,and any related runoffs.)
•• Candidates for the office of state chair of a political party and candidates for
county chair of a political party may NOT choose modified reporting. --
I do not intend to accept more than $500 in political contributions or
make more than $500 in political expenditures(excluding filing fees)
in connection with any future election within the election cycle.
I understand that if either one of those limits is exceeded, I will be
required to file pre-election reports and, if necessary, a runoff
report.
Year of election(s)or election cycle to Signature of Candidate
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
O Printed on recycled paper
�d (ReNsed 01/14!2004)