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Appt of CT - Hill, Mark APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BYA CANDIDATE PGI 1 Total pages filed: See CTA Instruction Guide for detailed instructions. 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME Mr. Mark Hill Filer ID# NICKNAME LAST SUFFIX Date Received 1 �,,LOZ' 3 CANDIDATE ADDRESS /PO BOX: APT/SUITE#: CITY, STATE, ZIP CODE 1 MAILING 1029 Basilwood Drive Coppell,TX 75019 PM4 ADDRESS Date Hand-delivered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE 972 )679-9517 Date Processed 5 OFFICE Date Imaged HELD City council member, Place 7 (if any) 6 OFFICE SOUGHT City council member, Place 7 (if known) 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME Mr. Lee Simmons 8 CAMPAIGN STREET ADDRESS: APT/SUITE#: CITY STATE. ZIP CODE TREASURER 421 Westlake Court STREET ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 214 ) 724-9887 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 corpora t• s and labor organizations. ,4,‘• IfE(Z" Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023 CANDIDATE MODIFIED FORM CTA REPORTING DECLARATION PG 2 11 CANDIDATE NAME Mark Hill 12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE DECLARATION CHOOSING MODIFIED REPORTING •• This declaration must be filed no later than the 30th day before the first election to which the declaration applies. •• •• The modified reporting option is valid for one election cycle only. •• (An election cycle includes a primary election,a general election,and any related runoffs.) •• Candidates for the office of state chair of a political party may NOT choose modified reporting. •• I do not intend to accept more than $1,010 in political contributions or make more than $1,010 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. 2023 Year of election(s)or election cycle to Signature of Candidate which declaration applies This appointment is effective on the date it is filed with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappointethics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin,TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023