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Amendment - Appointment Of A Campaign Treasurer By A Candidate ACTA - Texas

Amendment - Appointment Of A Campaign Treasurer By A Candidate Form. This is a Texas form and can be used in Ethics Commission Statewide .
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Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) AMENDMENT: 1 CANDIDATE NAME APPOINTMENT OF A FORM CAMPAIGN TREASURER BY A CANDIDATE 2 ACCOUNT # 3 Total pages filed: ACTA PG 1 See ACTA Instruction Guide for detailed instructions. Use this form for changes to existing information only. Do not provide information previously disclosed. 4 CANDIDATE NAME NEW MS / MRS / MR FIRST MI OFFICE USE ONLY Date Received NICKNAME LAST SUFFIX 5 CANDIDATE MAILING ADDRESS NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE Date Hand-delivered or Date Postmarked 6 CANDIDATE PHONE NEW AREA CODE PHONE NUMBER EXTENSION Date Processed ( 7 OFFICE HELD (if any) NEW ) Date Imaged 8 OFFICE SOUGHT (if known) NEW 9 CAMPAIGN TREASURER NAME NEW MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX 10 CAMPAIGN TREASURER STREET ADDRESS (residence or business) NEW STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 11 CAMPAIGN TREASURER PHONE 12 CANDIDATE SIGNATURE NEW AREA CODE PHONE NUMBER EXTENSION ( ) 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 Date Signed GO TO PAGE 2 www.ethics.state.tx.us American LegalNet, Inc. www.FormsWorkFlow.com Revised 07/14/2010 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) AMENDMENT: CANDIDATE MODIFIED REPORTING DECLARATION 13 CANDIDATE NAME FORM ACTA PG 2 14 MODIFIED REPORTING DECLARATION NEW COMPLETE THIS SECTION ONLY IF YOU ARE 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 $500 in political contributions or make more than $500 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. Year of election(s) or election cycle to which declaration applies Signature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. www.ethics.state.tx.us American LegalNet, Inc. www.FormsWorkFlow.com Revised 07/14/2010
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