Loll, Clyde, amended treasurer appointment, 7-23-18AMENDMENT: APPOINTMENT OFA FORM ACTA
CAMPAIGN TREASURER BYA CANDIDATE PG 1
1 CANDIDATE
NAME /)
&-'2/&-- � LiZ L
2 FILER ID#
3 Total pages
filed:
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 ' MS / MRS / MR FIRST MI
OFFICE USE ONLY
NICKNAME LAST SUFFIX
Date R
ived
9 n
6 CANDIDATE
MAILING
ADDRESS
NEW I ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
/ iO l-, - 2 i, �/�
G ./7F
/ n tyih / / /_ / 17390
73 9 0
Da !i
a %deli eredo oo�s1tmark �
P3
R- -ipt
#
Amount
— '
eased
i1 / a 3 I
.11 CC77
d
v
6 CANDIDATE
PHONE
NEW AREA CODE PHONE NUMBER EXTENSION
c >
Dat:f1 d \
'•1
-7a3 lc(
7 OFFICE HELD
(if any)
NEW I
8 OFFICE
SOUGHT
(if known)
NEW
9 CAMPAIGN
TREASURER
NAME
NEW I MS /®R / MR FIRST MI NICKNAME LAST SUFFIX
571//0/ .J u
10 CAMPAIGN
TREASURER
STREET
ADDRESS.,
(residence or business)
NEW I STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE
iI
Iwo IJicece.51I4 n
�/,
– 0 45- LI/C6-
1318 t7- r �'
j-� / 1 r5v i La- -11 7 73"
11 CAMPAIGN
TREASURER
PHONE
NEW J AREA CODE PHONE NUMBER EXTENSION
�O J ( 9310 \ J Sq i, -Z 13 t
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 restric ' • s in title 15 of the Election Code on contributions
from co - • r- io a �''' organizations.
z)-7Zd l�
Signature of Candidate Date S. ned
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 12/7/2017