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Amendment-Appointment Of A Campaign Treasurer By A General-Purpose Committee AGTA - Texas

Amendment-Appointment Of A Campaign Treasurer By A General-Purpose Committee 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: APPOINTMENT OF A CAMPAIGN FORM TREASURER BY A GENERAL-PURPOSE COMMITTEE See AGTA Instruction Guide for detailed instructions. 2 4 COMMITTEE NAME COMMITTEE NAME NEW AGTA PG 1 1 Total pages filed: 3 ACCOUNT # OFFICE USE ONLY Date Received 5 ACRONYM NEW 6 COMMITTEE ADDRESS NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE HD / PM Date Processed 7 REPORTING TYPE CAMPAIGN TREASURER NAME CAMPAIGN TREASURER STREET ADDRESS (residence or business) NEW REGULAR MONTHLY Date Imaged 8 NEW MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX 9 NEW STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 10 CAMPAIGN TREASURER MAILING ADDRESS same as above NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 11 CAMPAIGN TREASURER PHONE 12 PERSON APPOINTING TREASURER 13 SIGNATURE NEW AREA CODE PHONE NUMBER EXTENSION ( FIRST ) MI LAST SUFFIX I understand that I have been appointed as the campaign treasurer for this general-purpose committee and that I am responsible for filing all required reports and that I may be subject to fines for failure to do so. I am aware of the restrictions in title 15 of the Election Code on contributions from corporations and labor organizations. Signature of Campaign Treasurer 14 ASSISTANT CAMPAIGN TREASURER 15 ASSISTANT CAMPAIGN TREASURER ADDRESS 16 ASSISTANT CAMPAIGN TREASURER PHONE NEW FIRST MI LAST SUFFIX NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE NEW AREA CODE PHONE NUMBER EXTENSION ( ) CONTINUE ON PAGE 2 This appointment is effective on the date it is filed with the commission. www.ethics.state.tx.us Revised 09/01/2003 American LegalNet, Inc. www.FormsWorkFlow.com Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) AMENDMENT: 17 COMMITTEE NAME GENERAL-PURPOSE COMMITTEE FORM CONTROLLING ENTITY INFORMATION 18 ACCOUNT # AGTA PG 2 19 CONTROLLING ENTITY INFORMATION FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM 20 CONTRIBUTION DECISION MAKERS add delete add delete add delete add delete add delete First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix 21 EXPENDITURE DECISION MAKERS add delete add delete add delete add delete add delete First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED www.ethics.state.tx.us Revised 09/01/2003 American LegalNet, Inc. www.FormsWorkFlow.com add delete add delete add delete add delete Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) AMENDMENT: 22 COMMITTEE NAME GENERAL-PURPOSE COMMITTEE FORM RECIPIENT COMMITTEES 23 ACCOUNT # AGTA PG 3 Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ADD Committee name Committee address; City; State; Zip Code ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED www.ethics.state.tx.us Revised 09/01/2003 American LegalNet, Inc. www.FormsWorkFlow.com 24 RECIPIENT GENERAL PURPOSE COMMITTEES ADD Committee name
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