Long, Cliff-CTA 2020-01-15 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions. /
2 CANDIDATE MS/M' FIRST MI OFFICE USE ONLY
NAME /lFAI it eJ �,
(( Filer ID#
C
L/Fig L.O'.J4 Date Received
NICKNAME LAST SUFFIX ce,JA kjar'`'nyt 5,2020
3 CANDIDATE ADDRESS /PO BOX; APT/SUITE#; CITY; STATE; ZIP CODEMAILING
ADDRESS 171.5-4171.5-4 it/Dal r,../-I� e_O/P,-t Te 7�,Q
/
Date Hand-delivered or Postmarked
400
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
C?134 3 43 _ /9 4 0
Date Processed
O ► It5 /2o2v
5 OFFICE 'L
eDate Imaged
HELD n �� C�T`l et,awe.' �F
(if any) oPPg e.(, t Iu e t
6 OFFICE �L
SOUGHT //// j'Z,� n / , -FF
(if known) Live' L T)e 0/r / `L)GtA✓4L After '
7 CAMPAIGN MS/MR a , FIRST MI NICKNAME LAST SUFFIX
TREASURER /,� �`
Z. A"' V4�. L�
NAME �/ /
8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE
STREET
140 4 .5*Aipft L.i ed,A-LL TSC 7 ./7
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE (24 ) 7/2 -5'067
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 organ' ations.
_ o/ /al Le Z.v
Sig :ture of Candidate Bate Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/6/2019