HomeMy WebLinkAboutPrice, Eddie January ACTA 2019 AMENDMENT: APPOINTMENT OFA FORM ACTA
CAMPAIGN TREASURER BYACANDIDATE PG 1
1 CANDIDATE 2 FILER ID # 3 Total pages filed :
NAME Eackie____ R (Dr_ ( ce_
See ACTA Instruction Guide for detailed instructions .
Use this form for changes to existing information only. Do not provide information previously disclosed .
4 CANDIDATE NEW I MS / MRS / MR FIRST MI
NAME OFFICE USE ONLY
Date Received
NICKNAME LAST SUFFIX
li,-/-/06 ( 'I
5 CANDIDATE NEW I ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS Date Hand-delivered or Postmarked
Receipt # Amount $
Date Processed
6 CANDIDATE NEW I AREA CODE PHONE NUMBER EXTENSION
PHONE ( l Date Imaged
7 OFFICE HELD NEW
(if any)
8 OFFICE NEW
SOUGHT
(if known)
9 CAMPAIGN NEW I MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME tik / Mo \c/k
EB � wvvfrDf
10 CAMPAIGN NEW I STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET G� 1 1 i ` n ,� �( z
ADDRESS 3V \ S �4,c ` 0ARV- � - K_95 1— % co ,31
(residence or business) )
11 CAMPAIGN NEW I AREA CODE PHONE NUMBER/ EREXTENSION
TREASURER ( Ski ) — c— V S `7
PHONE
12 CANDIDATE
SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code .
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 c '9 porations bor organizations .
4
/ / 9) 413Y_
Sig ture of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www. ethics . state .tx . us Revised 12/7/2017
AMENDMENT : FORMACTA
CANDIDATE MODIFIED REPORTING DECLARATION PG 2
13 CANDIDATE
NAME
todie PryC6
14 MODIFIED NEW
REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
•
•• 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
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.
TEC Filers may send this form to the TEC electronically at treasaopoint@ethics . state .tx . us or
Fax this form to ( 512 ) 463-8808 or mail to
Texas Ethics Commission
P. O . Box 12070
Austin , TX 78711 -2070
Non -TEC Filers must file this form with the local filing authority
DO NOT SEND TO TEC
For more information about where to file go to :
https ://www.ethics . state. tx . us/whatsnew/NewFilersGettingStarted . html
Forms provided by Texas Ethics Commission www. ethics . state . tx . us Revised 12/7/2017