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appointment of a campaign treasurer by a candidate

APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021 (1), F.s.) CANDIDATE . CHECK APPROPRIATE BOX(ES): APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 NICKNAME See CTA Instruction Guide for detailed instructions. NICKNAME LAST SUFFIX. Address 3860 N. Federal Highway 21 . APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021 (1 ), F.S.) for Instructions. 1 Total pages filed: 2 CANDIDATE MS/ MRS/ MR FIRST MI OFFICE USE ONLY NAME P H erll # NICKNAME LAST SUFFI rJ D . City Tallahassee 14. Do not provide information previously disclosed. 9. campaign treasurer phone. Political committees remain on this page until a Dissolution Report is filed. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 See CTA Instruction Guide for detailed instructions. CAMPAIGN TREASURER PHONE. 8. Zip Code 33308 STREET . In an election for an office of the state government that is filled by voters of more than one county, watchers may also be appointed by the candidate's campaign treasurer. Janette Smith Withdrawal Letter. 3 CANDIDATE . ii f NOTE: This form must be on file with the qualifying officer before opening the campaign account. Appointment of Campaign Treasurer. Receipt # Amount $ Date Processed. 17-25-11.2. Requirements for appointment of a treasurer or deputy treasurer Examination and certification of accounts. 03/24/2022 x - Date f ,_ Si_gna(ure of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. area code phone number extension 10 . ii) ACTA Amendment: Appointment Of A Campaign Treasurer By A Candidate iii) C/OH Candidate/Officeholder Campaign Finance Report iv) C/OH-FR C/OH Report: Designation Of Final Report v) C/OH-UC Candidate/Officeholder Report Of Unexpended Contributions vi) STA Appointment Of A Campaign Treasurer By A Specific-Purpose Committee vii) ASTA Amendment . MAILING . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA PG 1 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORMCTA PG1 3 8 9 2 AREA CODE PHONE NUMBER EXTENSION MS / MRS / MR FIRST MIOFFICE USE ONLY 6 5 County Leon Enter your name in the same way on Page 2, Section 13, of this form. CANDIDATE NAME . candidate name campaign treasurer street address campaign treasurer phone candidate signature i am aware of the nepoti sm law, chapter 573 of the texas government code. (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. The Email Address field is required. M6 Treasurer Report June 1 - June 30, 2018. The Email Address field is required. To file a Campaign Finance report you must first complete this form. CANDIDATE . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Gulde for detailed Instructions. (2) in the case of a candidate, has not been elected to an office for which a candidate is required to file a campaign treasurer appointment with the authority who is seeking to terminate the candidate's campaign treasurer appointment; and (3) has not filed: (A) a final report under Section 254.065 or 254.125; or Name of Treasurer or Deputy Treasurer 11. authority upon submission of a campaign treasurer appointment form. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE See CTA Instruction Guide for detailed Instructions. Telephone ( 850 ) 877-1099 16. 17-25-11. Candidates or political committees that already have a current campaign treasurer appointment on file as of September 1, 1997, may subscribe to the code at any time. 10/10) Rule 1S-2.G001, F.A.C. The Name field is required. NICKNAME LAST SUFFIX Date Received ~t-1'\C.,1\-;rr~ 0 0 2021 !, r. L 3 CANDIDATE ADDRESS / PO BOX: APT/ SUITE #; CITY; STATE; ZIP CODE MAILING ADDRESS . I have designated the following bank as my Primary Depository Secondary Depository 19. 1 Total pages filed: 2 CANDIDATE M / MRS/ MR FIRST MI OFFICE USE ONLY NAME Filer ID# NICKNAME LAST SUFFIX Date Received 3 CANDIDATE ADDRESS/ PO BOX; APT/ SUITE#; CITY; STATE; ZIP CODEMAILING l ADDRESS SCTp v/ s T 76Q4o OFFICE USE ONLY 1. I am aware of the restrictions in title 15 of the Election Code on . Party candidate. After completion, choose your type of appointment in the dropdown list below and click 'Next Section' to move to the next page. 2 . TEC Filers may send this form to the TEC electronically at treasappointo( 7,ethics. 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME MR Aaron T Filer ID # NICKNAME LAST SUFFIX Date Received Webman 3 CANDIDATE ADDRESS / PO BOX; APT / SUITE # CITY STATE ZIPCODE OCC RECEIVED AT MAILING 2012 Arpdale Street APT A AUSTIN TX 78704 APR 6'22AME)?58 Before opening a campaign account and before accepting contributions or making expenditures, this form must be filed. INFORMATION REQUEST FORM **Please make sure you fill out all mandatory forms correctly to avoid your application being rejected. STREET . If a candidate for a partisan office, check block and fill in name of party as applicable: . NAME . Date 26. 4 CANDIDATE . Do not provide information previously disclosed. Zip Code 17. Dates for filing of reports by treasurers of candidates or of committees. Box 12070, Austin, Texas 78711 www.ethics.state.tx.us (512) 463- 5800 TDD (800) 735 -2989 Promoting Public Confidence in Government FORM CTA INSTRUCTION GUIDE AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE NEW NEW CANDIDATE NEW PHONE 6 AREA CODE PHONE NUMBER EXTENSION OFFICE USE ONLY Date Received Signature of Candidate I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. appointment of a campaign treasurer by a candidate form cta pg 1 nickname 3 8 9 2 area code phone number extension ms / mrs / mr first mi office use only 6 5 . . 4 CANDIDATE NAME NEWI nMIMlllIEiI nBa MI OFFICE USE ONLY . candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix. Preservation of candidate or committee records. Campaign Treasurer's Reports: (F.S. AREA CODE PHONE NUMBER EXTENSION 10. 2. City Fort Lauderdale 22. Box 12070, Austin, Texas 78711 www.ethics.state.tx.us (512) 463-5800 TDD (800) 735-2989 Promoting Public Confidence in Government FORM CTAINSTRUCTION GUIDE TABLE OF CONTENTS 4 CANDIDATE NAME NEW MS / MRS / MR FIRST MI NICKNAME LAST . Telephone ( 850 ) 877-1099 16. 17-25-11.1. 4bd r/ JAN 2 4 2020 [jD 3 CANDIDATE ADDRESS/ PO BOX; APT/ SUITE#; 17-4 STATE; ZIP cc L MAILING V-C a State FL 24. CANDIDATE PHONE . 25. FL State 13. PHONE . Campaign Treasurer's Acceptance of Appointment I, , do hereby accept the appointment as (Please Print or Type) Campaign Treasurer Deputy Treasurer for the campaign of , who is seeking nomination or election as a candidate to the office of (Party). area code phone number extension 10 . appointment of a campaign treasurer by a candidate form cta pg 1 3 8 9 2 area code phone number extension ms / mrs / mr first mi officeuseonly 6 5 . CANDIDATE NAME. Appointing a treasurer Every political committee must designate a treasurer before it can accept contributions or make expenditures. Use this form for changes to existing information only. AREA CODE : PHONE NUMBER : EXTENSION : Receipt# Date Processed : I; Amount$ 5 ; 6 7 ; OFFICE HELD (if any) OFFICE SOUGHT (if known) CAMPAIGN : 1. Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC RJS CE!VED ; MAY 2 6 2022 ; APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Gulde for detailed instructions. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA--INSTRUCTION GUIDE Revised July 26, 2021 Texas Ethics Commission, P.O. Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates, Division of Elections form DS/DE 9 - this form must be filed with the appropriate qualifying officer before the acceptance of any contribution or the expenditure of any funds by the candidate, including expenses by the candidate from their personal funds . OR Qualifying for office may be done by obtaining 1,501 valid petition signatures. 1 Tolal pages liled 2 CAN D IDATE NAM E MI Michael A N CKNAME Sorcnson OFFICE USE ONLY RECEIVED OcI 01 2021 IONS Ha nd-del vered or Poshalted 3 CANDIDATE MAIL IN G ADDRESS AODRESS / PO BOX APTlSUITE* CITY STATE ZIP COOE 357 Mcreynolds ranch road bumettx78611 I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM ACTA PG 1 1 CANDIDATE NAME 2 FILER ID # 3 Total pages filed: See ACTA Instruction Guide for detailed instructions. DS-DE 7A. E-mail address 15. Treasurers must ensure committee reports and statements are complete, accurate and timely. 8. campaign treasurer street address (residence or business) street address (no po box please); apt / suite #; city; state; zip code. I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. TREASURER . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA PG 1 Texas Ethics Commission P.O. Texas Ethics Commission P.O. HELD (if any) 6 . I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. AMENDMENT: APPOINTMENT OF A FORM ACTA CAMPAIGN TREASURER BY A CANDIDATE PG 1 1 CANDIDATE-"&.q 2 FILERID# 3 Total pages filed / Use this form for changes to existing information only . 2 . Designate your treasurer on your Statement of Organization (Form 1). OFFICE . Statement of Candidate. mdr@southfloridacpa.com 18. SO UGHT (if known) 7 CAMPAIGN . 1 Total f OFFICE USE ONLY SUFFIX ZIP COOE Date Postrn.k.d CANDIDATE NAME CANDIDATE MAILING ADDRESS CANDIDATE PHONE OFFICE HELD ('f any) OFFICE SOUGHT (If known) CAMPAIGN MS MRS MR NICKNAME FIRST LAS r reporting requirement for certain officeholders. NAME . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE pG 1 1 Total pages filed: See CTAInstruction Guidefordetailed instructions. OFFICE . declared write-in candidates in an election for: (1) a public office other than the office of vice-president of the United States; or (2) an office of a political party. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 See CTA Instruction Guide for detailed instructions. MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX. County Leon 9. campaign treasurer phone. candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a 0 Write-In D No Party Affiliation Party candidate. 1. Pacific time (excluding major holidays) Phone: 800-293-2771. . PDF. Fill out the form below to learn how our Forms Workflow solution can streamline your firm. M7 Treasurer Report (July 1 - July 31, 2018) M8 Treasurer Report (August 1 - August 31, 2018) ** POSITIONS OPEN FOR FILING Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) APPOINTMENT OF A CAMPAIGN TREASURER FORMCTA BY A CANDIDATE PG 1 See CTA Instruction Gulde for detailed Instructions. 5 . Appointment of a Campaign Treasurer by a Candidate Author: Charles 'Mike' Adams on 09/09/2021 Subject: Appointment of a Campaign Treasurer by a Candidate Box 12070, Austin, Texas 78711 (512) 463-5800 FAX (512) 463-5777 TDD 1-800-735-2989 Visit us athttp://www.ethics.state.tx.us on the Internet. Invalid format. 9. CAMPAIGN TREASURER STREET ADDRESS (residence or business) STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE. candidate name campaign treasurer street address campaign treasurer phone candidate signature i am aware of the nepotism law, chapter 573 of the texas government code. 8. campaign treasurer street address (residence or business) street address; apt / suite #; city; state; zip code. After completion, choose your type of appointment in the dropdown list below and click 'Next Section' to move to the next page. Subscription to the Code of Fair Campaign Practices is voluntary. 4 candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix 8 campaign treasurer street address (residence or business) street address (no po box please); apt / suite #; city; state; zip code 9 campaign treasurer phone area code phone . 2 CANDIDATE NAME 3 CANDIDATE MAILING ADDRESS 4 CANDIDATE PHONE 5 OFFICE HELD (if any) 6 OFFICE SOUGHT (if known) MS^MRSWVIR FIRST NICKNAME ADDRESS / PO BOX, APT / SUITE : CITY: STATE, ZIP CODE AREA CODE PHONE NUMBER EXTENSION . FORM CTA INSTRUCTION GUIDE TABLE OF CONTENTS Zip Code 17. PDF. QUALIFYING FEE: Payable to Supervisor of Elections with a Candidate's Campaign Account Check. if you are an This is a Texas form and can be use in Ethics Commission Statewide. Name of Bank Truist 20. PHONE . Use the AMENDMENT form (ACTA) for changing information previously reported on Form CTA and for renewing your choice to report under the modified schedule. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 2 3 4 6 7 S.. CTA Instruotlon auld. Signature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. If you plan to run for a City of Houston public office, you must file by mail or hand-delivery an Appointment of a Campaign Treasurer by a Candidate (Form CTA) with the City Secretary, or an Amendment: Appointment of a Campaign Treasurer by a Candidate (Form ACTA), as applicable.The City Secretary's Office is located at 900 Bagby, Ground Level, Houston, Texas 77002. Candidates are nonpartisan. Campaign Finance Appointment of Treasurer Report Page 1 of 1 . APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG1 See CTA lnstruction Guide for detailed instructions. 1. 10/10) Rule 1S-2.0001, F . Invalid format. Fill out the form below to learn how our Forms Workflow solution can streamline your firm. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, Roderick Harvey , do hereby accept the appointment (Please Print or Type Name) designated above as: [ii Campaign Treasu~ uty Treasurer. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. CAMPAIGN TREASURER NAME. APPOINTMENT OF CAMPAIGN TREASURER BY A CANDIDATE AND INSTRUCTIONS (MANDATORY) APPLICATION FOR PLACE ON THE BALLOT (MANDATORY) CODE OF FAIR CAMPAIGN PRACTICES (OPTIONAL) READING MATERIAL . state. Total pages filed: 2. Use this form for changes to existing information only. Party candidate. 8 CAMPAIGN TREASURER STREET ADDRESS (residence or business) 9 CAMPAIGN TREASURER 10 CANDIDATE SIGNATURE PHONE NUMBER AREA CODE (73>) I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. Amendment - Appointment Of A Campaign Treasurer By A Candidate. These instructions are for the APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE ( Form CTA ). 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. ADDRESS . Use Form CTA only for appointing your campaign treasurer. 7 CAMPAIGN MS/MRS/MR FIRST Ml NICKNAME LAST SUFFIX . Do not provide information previously disclosed. 4 CANDIDATE . Appointments of Campaign Treasurers. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE See CTA Instruction Guide for detailed instructions. Signature of Candidate Box 12070 Austin, TX 78711- 2070 Non -TEC Filers must file this form with the local filing . NAME 8 CAMPAIGN TREASURER . Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority Appointment of Treasurer or Candidate Committee Form For Candidate For State Office Governmental Ethics Commission 901 S. Kansas Avenue Topeka, KS 66612 Phone (785) 296-4219 Fax (785) 296-2548 ethics.kansas.gov Date 26. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA--INSTRUCTION GUIDE Revised January 1, 202 Texas Ethics Commission, P.O. If you are reporting a name change, enter your new name under Section 4. 106.07) Each candidate shall appoint a campaign treasurer by filing the Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates (Form DS-DE 9). APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instwatlon Guide for detaIled Instructions. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA INSTRUCTION GUIDE Revised July 14, 2010 Texas Ethics Commission, P.O. DS-DE 9. 9 CAMPAIGN TREASURER PHONE 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code Date Hand-delivered or Postmarked. CHECK APPROPRIATE BOX(ES): TREASURER . Form 1 Janette Smith 2017. HELD (if any) 6 . Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) www.ethics.state.tx.us Revised 07/14/2010 APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORMCTA PG1 NICKNAME LAST SUFFIX 3 8 9 2 TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or mail to Texas Ethics Commission P.O. Statement of Ethical Campaign Practices. QUALIFYING FORMS AND REQUIREMENTS: DS-DE 9 Appointment of Campaign Treasurer F ler 10 # Date RcceiJcd ,-.-.3 = ,.__, -.. ' (/) rr, . OFFICE USE ONLY LAST SUFFIX. Signature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. Invalid format. Sign this form and file with either Torsha McCarty, District Election Administrator, or Tricia Horatio, Associate General Counsel at: FL State 13. The Name field is required. Date Imaged. 4 candidate area code phone number extension receipt# i amount$ phone ( 325 ) 340-0075 date processed 5 office date imaged held nia (if any) 6 office sought tom green county judge (if known) 7 campaign ms/mrs/mr first ml nickname last suffix treasurer name mrs. patricia a. usery 8 campaign street address; apt / suite #; city; state; zip code . Available Monday - Friday 7:00 AM to 6:00 PM. ADDRESS . 8. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. As a duly registered voter in County, Florida, I am qualified to accept this appointment. Mailing Address 12. 3. APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021 (1), F.s.) This appointment is effective on the date it is filed with the appropriate filing authority. Contact Us. 2 CANDIDATE NAME MS / MRS / MR FIRST MI. area code phone . Telephone ( ) Available Monday - Friday 7:00 AM to 6:00 PM. . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. Signature of Candidate 10/10) Rule 1S-2.0001, F . This page identifies Campaign Treasurer Appointment forms filed with the Office of the City Clerk by: Candidates and officeholders remain listed on this page until they file a Final Report with the Office of the City Clerk. . APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG1 1 Total pages iiled 2 CANDIDATE NAN/ E Mrs Sara NICKNAME Luther OFFICE USE ONLY RECEIVED AUG 0 5 2021 at taNFT an Ft FeTloNs 3 CANDIDATE MAILING AD D RESS ADDRESS / PO BOX: APT/SUITE#l 220 Luther Lane Bumet TX 78611 SIATF, 7IP CODE Date handielivered or Postmarked No contributions may be accepted nor any expenditures made prior to filing the Appointment of a Campaign Treasurer by a Candidate form (Form CTA). 25. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block), do hereby accept the appointment (Please Print or Type Name) designated above as: yr Campaign Treasurer Deputy Treasurer. Treasurer's Acceptance of Appointment (fill in the bj^ks and check the api^6priate block), do hereby accept the appointment designated above as; (Please Print or Type Name) Campaign Treasurer ["] Deputy Treasurer x Date Signature of Campaigff Treasurer or D^ijty Treasurer DS-DE9(Rev.10/10) Rule1S-2.0001,F,A,C. AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM ACTA PG 1 1 CANDIDATE NAME 2 FILER ID # 3 Total pages filed: See ACTA Instruction Guide for detailed instructions. appointment of a campaign treasurer by a candidate form cta pg 1 3 8 9 2 area code phone number extension ms / mrs / mr first mi office use only 6 5 . Filer ID # Date Received. OFFICE USE ONLY 1. 1 Total pages filed: -2 CANDIDATE MS / MRSt!' FIRST Ml OFFICE USE ~LY NAME fo,Jti/1, -Filer ID# -----~ c:: NICKNAME ~T SUFFIX Dale Received -1 [ _ " , llrs1ttll + I CANDIDATE SIGNATURE. Total pages filed: OFFICE USE ONLY. FORM C TA 1 Total pages filed OFFICE USE ONLY . 03/24/2022 x - Date f ,_ Si_gna(ure of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 1 Total pages filed: 2 CANDIDATE MS/ MRS/ MR FIRST MI OFFICE USE ONLY NAME P H erll # NICKNAME LAST SUFFI rJ D . MS / MRS / MR FIRST MI. The filing fee is 4% of the annual salary - $1,576 . I have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 10. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, Roderick Harvey , do hereby accept the appointment (Please Print or Type Name) designated above as: [ii Campaign Treasu~ uty Treasurer. 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: 3 CANDIDATE MAILING ADDRESS . Invalid format. NAME 8 CAMPAIGN TREASURER . candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix. Contact Us. Amendment - Appointment Of A Campaign Treasurer By A Candidate Form. If a candidate for a partisan office, check block and fill in name of party as applicable: . E-mail address 15. FORM CFCP COVER SHEET OFFICE USE ONLY Date . County Broward 23. these expenditures may have been made without the . Complete all applicable items on the Appointment of a Campaign Treasurer by a Candidate form (Form CTA). Affiliated Party Committee Independent Expenditure Statement (political parties) 05/2020. TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or mail to Texas Ethics Commission P.O. 4bd r/ JAN 2 4 2020 [jD 3 CANDIDATE ADDRESS/ PO BOX; APT/ SUITE#; 17-4 STATE; ZIP cc L MAILING V-C a 9. campaign treasurer phone. CANDIDATE NAME: Enter your name as it is on your current campaign treasurer appointment. City Tallahassee 14. Signs^e of Candidate 27. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. OFFICE USE ONLY Date Received Date Hand-delivered or Postmarked ii f NOTE: This form must be on file with the qualifying officer before opening the campaign account. 5 . Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates. tx. See ACTA Instruction Guide for detailed instructions. Campaign Treasurer Deputy Treasurer 12. OFFICE . 3 CANDIDATE MAILING ADDRESS . ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE. CANDIDATE MAILING ADDRESS. us or mail to Texas Ethics Commission P.O. I am aware of my responsibility to file timely reports as required by title 1 5 of the Election Code. Independent Expenditure Statement for Rebate of Filing Fees (political parties) 05/2020.

appointment of a campaign treasurer by a candidate