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Anderson, Robert-CTA 2021-02-11 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. 1 TORI pages tiled: 2 CANDIDATE MSrMRS/'An FIRST MI NAME OFFICE USE ONLY Mr. Robert J Filer ID NICKNAME LAST SUFFIX Date Received Rob. Anderson al it 120,2k 3 CANDIDATE ADDRESS/PO BOX, APT/SUITE S: CITY, STATE, ZIP CODE 'o:l5•`•_4 MAILING 624 Inglenook Ct. Coppell TX 75019 ADDRESS Date Hand.delivered or P ed 4 CANDIDATE SEA CODE PHONE NUMBER EXTENSION Receipt Amount S PHONE ( ) ` 972 393_0906 Date Processed 5 OFFICE HELD Date Imaged (it any) 6 OFFICE SOUGHT (it known) Mayor 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME Ms. Amelia G Anderson 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE), APT/SUITES. CITY, STATE: ZIP CODE TREASURER 624 Inglenook Ct. Coppell TX. 75019 STREET ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE / l 972 ) 393-0906 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 cora '. - d labor organizations. /1410 II 41h. b.rj \C) , Sig velure of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2021