Carroll, Don-CTA 2021-02-08APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE
PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2
2 CANDIDATE
MS/MRS/MR FIRST
MI
OFFICE USE ONLY
NAME
Mr Don
R
Filer ID #
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NICKNAME LAST
. . . . . .
SUFFIX
Date Recei ed
'2) 1 202- k
Carroll
Jr
3 CANDIDATE
ADDRESS / PO BOX, APT / SUITE #: CITY, STATE:
ZIP CODE
MAILING
ADDRESS
PP
01
75 9
Date Hand -delivered o stmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt#
Amount$
PHONE
(
Date Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
Coppell City Council Place 3
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME
LAST SUFFIX
TREASURER
NAME
Mr Don R
Carroll Jr
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE), APT / SUITE #, CITY,
STATE, ZIP CODE
TREASURER
STREET
924 Hidden Hollow Ct. Coppell
TX 75019
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
( 972) 5o6-7203
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.
Signature of Candidate
2 g 21
Dat& Signed
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017