Olson, Keith D., Amended Treasurer Appointment, 7-22-14Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711 -2070
512)463 -5800
DD 1- 800 - 735 -2989
AMENDMENT: APPOINTMENT OF A FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDAT
NAME . 0 (cy...1‘._
2 ACCOUNT ti
�—
3 Total pages filed:
1
See ACTA Instruction Guide for detailed instructions.
Use this form for changes to existing information only. Do not provide information previously disclosed.
4 CANDIDATE
NAME
NEW I MSlMRS FIRST MI
OFFICE USE ONLY
NICKNAME'
/4L.
-
of
LAST SUFFIX
1
Date Received
" 7 aa I li
5 CANDIDATE
MAILING
ADDRESS
NEW ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
I
I ate and .. iveredor • ostma ed
�� ' ,L
5, 1
6 CANDIDATE
PHONE
NEW AREA CODE PHONE NUMBER EXTENSION
4:IVP
117f ed
&a
)4
7 OFFICE HELD
(if any)
NEW
8 OFFICE
SOUGHT
(if known)
NEW
9 CAMPAIGN
TREASURER
NAME
NEW MS / MRS / MR FIRST MI NICKNAME LAST SUFFIX
10 CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
NEW STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
_%�
(S1 1 Ce� 1SULl `t l rLl-
I2 ` �4 �
11 CAMPAIGN
TREASURER
PHONE
NEW J AREA CODE PHONE NUMBER EXTENSION
)
12 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 trictions in title 15 of the Election Code on contributions
f .I cor.or-. or i labo.rganizations.
ZZ z0 r
Signature of Candidate Date Si • ned
GO TO PAGE 2
www.ethics.state.tx.us
Revised 07/14/2010