Roden, Gary-CTA 2018-01-17APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total I pages filed:
2 CANDIDATE
NAME
MS/MRS/MR FIRST MI
KiR - A y� b
OFFICE USE ONLY
Filer ID #
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Received
Rc D I"✓ +_ '
JAN 17 2018
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
1
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ivered or Postmarked
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4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
ec pt#
Amount$
PHONE
Q 2 Q A
Date Pi
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5 OFFICE
HELD
(if any)
CITY CNkr-1(, 1>A4(-F
daPPcM.(� CW
Date I rr aged
6 OFFICE
SOUGHT
e► b P PCZL G? T Y COUNCIL, PI A CC It
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREAS
NAME URER
A
"9' StOr m U N ib �U.06 A
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURERSTREET
ADDRESS
S2.1 )&` EO' co W 001b ' 4.a PP C'tLl?'x 7SOI9
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(Z)+ 9 g7.9
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 a ware of the restrictions in title 15 of the Election Code on contributions
froc rporations and labor o a ations.
/"6"
ig ature of Candidate DatA Signed
GO TOPAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017
CANDIDATE MODIFIED
REPORTING DECLARATION
11 CANDIDATE
NAME
FORM CTA
PG 2
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. •-
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
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 tr a a in hi . or
Fax this form to (512) 488-8808 or mail to
Texas Ethics Commission
P.O. Box 12070
Austin, TX 78711-2070
Non-.wir"EC' Fillers must idle this f ir,irn wWi Hie Ioca: filling autllhoirlit
DO I OI' SEV IID "li"'0 1i"IEC
For more information about where to file go to:
hftps://www.ethics.state.tx.us/whatsnew/NewFilersGefingStarted.html
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 12/7/2017