Appt of CT - Mathew, Biju APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
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1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MRS/MR FIRST MI
OFFICE USE ONLY
NAME
Mr. Biju K Filer ID#
NICKNAME LAST SUFFIX
Date Received
Mathew
3 CANDIDATE ADDRESS /PO BOX: APT/SUITE#: CITY, STATE: ZIP CODE \\V\VL
MAILING 760 Kilbridge Lane Coppell TX 75019 C4)121
ADDRESS
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
( 972 ) 821 8888 Date Processed
5 OFFICE Date Imaged
HELD Coppell City Council,Place 6
(if any)
6 OFFICE
SOUGHT Coppell City Council, Place 6
(if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
Mr Biju Mathew
STREET ADDRESS, APT/SUITE#, CITY, STATE ZIP CODE
8 CAMPAIGN
TREASURER 760 Kilbridge Lane,Coppell,TX 75019
STREET
ADDRESS
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
( 972 ) 821 8888
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
afrom cor orations and labor organizations.
I ///9j2- 11
Signature of Candidate Date Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023