Nevels, Kevin-CTA 2021-01-13APPOINTMENT 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/MRS/MR FIRST MI
OFFICE USE ONLY
NAME
Mr. Kevin D
Filer
ID #
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST SUFFIX
Date Received , 00
Nevels
"+Oj�s
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
Coppell, TX 75019
Date Hand -delivered or Postmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt#
Amount$
PHONE
(
Date Processed
5 OFFICE
N/A
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
Coppell City Council Place 4
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME
LAST SUFFIX
TREASURER
NAME
Mrs. Nancy Yingling
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE;
ZIP CODE
TREASURER
STREET
ADDRESS
606 Clifton Court, Coppell, TX 75019
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
(N/A )
10 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
am aware of my responsibility to file timely reports as
required by title 15 of
the Election Code.
am aware of the restrictions in title 15 of the Election Code
on contributions
from corporations and labor organizations.
1/13/2020
Signature of Candidate
Date Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017