Davidson, Karl, Campaign Treasurer Appointment, 7-21-14Texas Ethics Commission
P.O. Box 12070 Austin, Texas 78711 -2070
(512)463 -5800
(TDD 1- 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 filed:
2 CANDIDATE
NAME
MS MR FIRST MI
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NICKNAME LAST SUFFIX
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OFFICE USE ONLY
Acct. #
Date Recei
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ed
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3 CANDIDATE
MAILING
A D D R E S S
ADDRESS ! PO BOX; APT / SUITE it; CITY; STATE; ZIP CODE
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4 CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION
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6 OFFICE
SOUGHT
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7 CAMPAIGN
TREASURER
NAME
M R FIRST NICKNAME LAST SUFFIX
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8 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
STREET ADDRESS (NO PO BOX PLEASE): APT i SUITES; CITY; STATE; ZIP CODE
01736 !�. 5o7
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9 CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION ,
77
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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
fro torpor ions and la or anizations. '
0 /1///
Signature of Candidate Date Si ed
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www.ethics.state.tx.us
Revised 07/14/2010