Little, John S., treasurer appointment, 2-29-16Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711 -,
rrnn 1- 800 - 735-2989)
www.ethics.state.tx. us
Revised 07/14/2010
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total
pages filed:
I
2
CANDIDATE
NAME
MS /MRS /MR FIRST MI
Jo
NICKNAME LAST SUFFIX
L \-r-r- LE
OFFICE USE ONLY
Acct. 5
Date Received
a� I
3
CANDIDATE
MAILING
ADDRESS
ADDRESS / PO BOX; APT / SUITE#; CITY; STATE; ZIP CODE
I T -1,2o
112. IJ���L- o1,�'P�Nt) { 1TSVI�.I,t.
4
CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION (IIj1
(L� �(� 1 �� �j�
I 9 ) 571- o cl�-� _
,
S t ` ' 'eIT r ' orPo.stm ep
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5
OFFICE
HELD
any)
NO►�E9�,
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it
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2 -
6
OFFICE
SOUGHT
(if known)
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f 1 v NI ` V 1U-E I Ti C € & 1-AC1 L AT- L, - c � c -R;51-no/-1
7
CAMPAIGN
TREASURER
NAME
MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
1)� f ` L.-LI E 161 t-L- . �-
Vv )
8
CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
7 ?K ZD
���1)���V SLUE I ���
9
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
q
(O2(_ ) 7.9c S - I (12-3
10
CANDIDATE
SIGNATURE
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 la • • r organizations.
,17,. A 0
ign. ure of Candidate D Signed
GO TO PAGE 2
www.ethics.state.tx. us
Revised 07/14/2010