Jun, John-CTA 2018-01-26APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2 CANDIDATE
MS/MRS/MR FIRST MI
OFFICE USE ONLY
NAME
K^ \ /
j� y � ��� �— C��
Filer ID #
. .CCC.
NICKNAME LAST SUFFIX .
Date Received
2018
3 CANDIDATE
ADDRESS/PO BOX; APT /SUITE #; CITY; ZIP CODE
MAILING
ADDRESS
�?I'STATE,
(�
,SAN $6
(Welivelor P st rked
YecJipt tmounts
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
PHONE
,
Date Processed
5 OFFICE
Date Ima jeld
HELD
(if any)
6 OFFICE
SOUow HT
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1. (} V 1 Ww �l1. 0Uys.c �PLAcv—
V
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
j�.�,,Q
1 11� . bAVI �
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
( �j Q a
j �` -Z7 �4�1� > �l \ l
ADDRESS
1 •/�'
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
��1 �r
�` 1
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
from corporations and labor organizations.
Signa re of C fc14'a Date Signe
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017