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Amendment-Appointment Of A Campaign Treasurer By A Specific-Purpose Committee ASTA - Texas
| Amendment-Appointment Of A Campaign Treasurer By A Specific-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 SPECIFIC-PURPOSE COMMITTEE See ASTA Instruction Guide for detailed instructions. 2 COMMITTEE NAME 1 Total pages filed: ASTA PG 1 OFFICE USE ONLY 3 ACCOUNT # Date Received 4 COMMITTEE NAME 5 COMMITTEE ADDRESS NEW NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE Date Hand-delivered or Postmarked Date Processed 6 CAMPAIGN TREASURER NAME NEW MS / MRS / MR FIRST MI Date Imaged NICKNAME LAST SUFFIX 7 CAMPAIGN TREASURER STREET ADDRESS (residence or business) NEW STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; 8 CAMPAIGN TREASURER MAILING ADDRESS same as above NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 9 CAMPAIGN TREASURER PHONE 10 PERSON APPOINTING TREASURER 11 SIGNATURE NEW AREA CODE PHONE NUMBER EXTENSION ( FIRST ) MI LAST SUFFIX I understand that I have been appointed as the campaign treasurer for this specific-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 (see instructions) NEW FIRST MI LAST 13 ASSISTANT CAMPAIGN TREASURER ADDRESS 14 ASSISTANT CAMPAIGN TREASURER PHONE NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE NEW AREA CODE PHONE NUMBER EXTENSION ( ) GO TO PAGE 2 Revised 09/01/2006 American LegalNet, Inc. www.FormsWorkFlow.com www.ethics.state.tx.us ZIP CODE SUFFIX Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512) 463-5800 (TDD 1-800-735-2989) AMENDMENT: SPECIFIC-PURPOSE COMMITTEE PURPOSE AND MODIFIED REPORTING DECLARATION 15 COMMITTEE NAME FORM ASTA PG 2 16 ACCOUNT # 17 COMMITTEE PURPOSE NEW ADD CANDIDATE / OFFICEHOLDER NAME SUPPORT CANDIDATE OPPOSE CANDIDATE ASSIST OFFICEHOLDER OFFICE SOUGHT (candidate) / OFFICE HELD (officeholder) BALLOT IDENTIFICATION OF MEASURE / # NEW ADD Month ELECTION DATE Day Year SUPPORT MEASURE DESCRIPTION OPPOSE MEASURE 18 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 declaration is valid for one election cycle only. ·· (An election cycle includes a primary election, a general election, and any related runoffs.) The committee does 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. The committee understands that if either one of those limits is exceeded, the committee's campaign treasurer 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 Campaign Treasurer ATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED This appointment is effective on the date it is filed with the appropriate filing authority. www.ethics.state.tx.us Revised 09/01/2006 American LegalNet, Inc. www.FormsWorkFlow.com
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