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Appointment Of A Campaign Treasurer By A General-Purpose Committee GTA - Texas

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) APPOINTMENT OF A CAMPAIGN TREASURER BY A GENERAL-PURPOSE COMMITTEE 1 See GTA Instruction Guide for detailed instructions. 2 COMMITTEE NAME Acct. # FORM GTA PG 1 Total pages filed: OFFICE USE ONLY 3 ACRONYM Date Received 4 COMMITTEE ADDRESS ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE HD/PM Amount 5 REPORTING TYPE CAMPAIGN TREASURER NAME CAMPAIGN TREASURER STREET ADDRESS (residence or business) Date Processed REGULAR MONTHLY 6 MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX 7 STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 8 CAMPAIGN TREASURER MAILING ADDRESS same as above ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 9 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION ( FIRST ) MI LAST SUFFIX 10 PERSON APPOINTING TREASURER 11 SIGNATURE 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 12 ASSISTANT CAMPAIGN TREASURER 13 ASSISTANT CAMPAIGN TREASURER ADDRESS 14 ASSISTANT CAMPAIGN TREASURER PHONE FIRST MI LAST SUFFIX ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 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) GENERAL-PURPOSE COMMITTEE: CONTROLLING ENTITY INFORMATION 15 COMMITTEE NAME 16 CONTROLLING ENTITY INFORMATION FORM GTA PG 2 FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM FULL NAME OF CONTROLLING ENTITY ACRONYM 17 CONTRIBUTION DECISION MAKERS First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix First MI Last Suffix 18 EXPENDITURE DECISION MAKERS 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 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) GENERAL-PURPOSE COMMITTEE: RECIPIENT COMMITTEES 19 COMMITTEE NAME 20 RECIPIENT GENERAL PURPOSE COMMITTEES Committee name FORM GTA PG 3 Committee address; City; State; Zip Code Committee name Committee address; City; State; Zip Code Committee name Committee address; City; State; Zip Code Committee name Committee address; City; State; Zip Code Committee name Committee address; City; State; Zip Code Committee name Committee address; City; State; Zip Code 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
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