Fletcher, Eliot-CTA 2021-02-08 (PL 3)APPOINTMENT 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
Filer ID #
Dr. Eliot S
.....................................
NICKNAME LAST SUFFIX
Date Receiv d
Fletcher
�f $ �� Z
3 CANDIDATE
ADDRESS / PO BOX, APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
517 Harris St Coppell Texas 75019
3
Date Hand -delivered or Postmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt#
Amount$
PHONE
617 ) 869-6816
Date Processed
5 OFFICE
Date Imaged
HELD
NA
(if any)
6 OFFICE
SOUGHT
City Council Position 3
(if known)
7 CAMPAIGN
MS/MRS/MR FIRST MI NICKNAME
LAST SUFFIX
TREASURER
NAME
Dr. Eliot S. Fletcher
8 CAMPAIGN
STREET ADDRESS (NO PO BOX PLEASE), APT / SUITE #; CITY,
STATE; ZIP CODE
TREASURER
517 Harris St Coppell
Texas 75019
STREET
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
617 ) 869-6816
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.
2-8-2021
Signature of Candidate
Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www. ethics. state. tx.us Revised 1/1/2021