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HomeMy WebLinkAboutHanhart, Jared CTA 2019 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 9 Total pages filed: See CTA Instruction Guide for detailed instructions. 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAM E flr,, ,) _Own ' C Filer 10# NICKNAM LAST SUFFIX ivi: .RE:ft 1ilI 14af\-Lc>Lr 1 r D 3 CANDIDATE ADDRESS/PD BOX: APT l SUITE#; CITY; STATE; ZIP CODE l.iI F L8 V 4 2019 MAILING [ (j C' _ I C , 14:s i pP { ' CITY OF EULESS L •ELD 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount PHONE 1.—)) 5 CO % ] I Date Processed 5 OFFICE II Dale Imaged HELD (if any) 6 OFFICE LL n I SOUGHT a.)] -e 5 S a.l �-Q L]Y.C�I e (cti c_e__ (-1 (if known) 7 CAMPAIGN NIS/MRS/MR FIRST . MI NICKNAME LAST SUFFIX TREASURER /Ilk 5. K r1 ' ti-e___ D H a t& (AZ<ti''1---- NAME 8 CAMPAIGN STREET ADDRESS (NO Po BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER r STREET 00 ( LA.) LCA L C7�`� ADDRESS E o e 5 5 ( 1X(J 7 (.401-(b (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER /� PHONE ( EQ) 5 V 130a 10 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 fromorporations and abor organizations. ca/L// 1 Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1217/2017 CANDIDATE MODIFIED FORM CTA REPORTING DECLARATION PG 2 11 CANDIDATE NAME 12 MODIFIED 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. •- 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 ofelection(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 treasappoint@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 whereto file go to: https:llwww.eth ics.state.tx.u slwhats new/NewF ilersGetti n gStarted.htm I Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12!712017