Humphrey, Tish, treasurer appointment amendment, 7-11-18AMENDMENT: APPOINTMENT OFA FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE,,
NAME k
1 isle ucce-
2 FILER ID#
3 Total
pages filed.
See ACTA Instruction Gui
Use this form for changes to existing information only.
e for detailed instructions.
Do not provide information previously disclosed.
4 CANDIDATE
NAME
NEW MS / MRS / MR FIRST ^,.)!
OFFICE USE ONLY
NICKNAME I..AST ..
Dat: Pe. '?(1 ,
.711 I /
1
I
5 CANDIDATE
MAILING
ADDRESS
NEW I ADDRESS / PO E30X. APT / SUITE S. CITY. STATE ZIP CODE
2:t4 d-delive ed or Po tmarK 04
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a!e
, Amount s
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6 CANDIDATE
PHONE
NEW I AREA CODE PHONE NI E/U/ F TF_NE)
( )
7 OFFICE HELD
I If any)
NEW
8 OFFICE
SOUGHT
of known)
NEW I
9 CAMPAIGN
TREASURER
NAME
NEW MS / MRS / MR FIRST Mi NICKNAME LAST SUFFIX
10 CAMPAIGN
STREETRER
ADDRESS
(residence or business)
NEW 1 STREET ADDRESS )NO PO BOX PLE-SE API r 11 TE 5 c),),ST0 E 1 ;ODTREASUE
9 N10� lid �Q
—2
1 \ \ - \\,e —7 3R0
11 CAMPAIGN
TREASURER
PHONE
NEW ^RFO CODE ['HON t- �n slIFR x1Er, :V,,.
( Lq_ a - S38 2,
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12 CANDIDATE
SIGNATURE
I am aware of the Nepotism Law,
I am aware of my responsibility
the Election Code.
I am aware of the restrictions in
from corporations and labor organizations.
o` 'eki.d,
Chapter 573 of the Texas Government Code.
to file timely reports as required by title 15 of
title 15 of the Election Code on contributions
—7 — \ 0-18
Signature of Candidate
Date Signed
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Forms provided by Texas Ethics Commission
www. ethics.stale.tx us
Revised 12/7/2017