Davidhizar, Paul treasurer appointment, 1-25-16exas Ethics Commission
P.O. Box 12070
Austin, Texas 78711-2070
512) 463 -5800
131-800-735-2989
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed Instructions.
1 Total pages Med:
2
CANDIDATE
NAME
MS/MRS/MR FRRST 1 e
NICKNAME LAST SUFFIX
tAk Tqr
OFFICE USE ONLY
,+ea. 1
Deb Received
, •
la5i/
CP
/
3
CANDIDATE
MAILING
ADDRESS
ADDRESS IvoBOX; APT/SUITEe; CITY; STATE nr• MOE
tag /
(31 G - 6 PI'\e77 J
4 CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION'
(13 (p) 662.-3511
i
' L
UE 1 ► X5
/60
5
OFFICE
HELD
Or WO
'
i 1
WI/ (
I/
6
OFFICE
SOUGHT
/�++ 1` ((��
At6 di de C■+y�-otxnc,it i\ T -La e TO % tors
7
CAMPAIGN
TREASURER
NAME
MSIMRS/UR FIRST MI NK
LAST SUFFIX
Mr, 3 aoteS blv■).,\A-k2eti-
8
(residence
CAMPAIGN
TREASURER
STREET
or business)
ZIP CODE
STREET ADC SS (NO PO BOX PLEASE); APT / SUITE e: OTY; STATE
123 Ck 500+1A1/3a) jr . 0-01\--V541-e_
X -71314o
9
CAMPAIGN
TREASURER
P
AREA CODE PHONE NUMBER EXTENSION
0340 143 (— 1333
10
CANDIDATE
SIGNATURE
1 am aware of the Nepotism Law, Chapter 573 of the Texas Govemment Code.
1 am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
1 a - , ware •" .' a restrict' • - in title 15 of the Election Code on contributions
fr• «• • • o - and la.% • rganizations.
\ Z z)t 0
Signature of Cand • , -
GO TO PAGE 2
www.ethics.state.tx.us
Revised 07/14/2010