Montgomery, Mari, treasurer appointment, 7-24-18Forms provided by Texas Ethics Commission
www.ethics.sta e.Ix us
Revised 12/7/2017
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed 1
1
2
CANDIDATE
NAME
MS/MRS/MR FIRST MI
Q
(U1 s A, tr ( 2-
NICKNAME LAST SUFFIX
Moomerj
OFFICE USE ONLY
Filer ID #
Date
`�
Recerved
`� •Li IN
3
CANDIDATE
MAILING
ADDRESS
ADDRESS / PO BOX APT / SU1
IFF/
d ^sa E L kens L
` r`
u,-�s„
CITY STATE ZIP CODE
k t
�J�..-
;1 T) .
. -., . nd-de 1 -red or •ostrn k 0
� 8
4
CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION
J1)1w\/ G
ON 1 l q 41+6
et #
Amount
.`11 oces• d....? 94 1
5
OFFICEAll
(HELD
if any)
1°-'
�, dW -1 (9ti 1 li
6
OFFICE
SOUGHT
(if known)����
CI � kis-E
Pds < <-ak - UutrOt-C,
7
CAMPAIGN
TREASURER NAME
MS/MRS/MR I FIRST
�A5Ckrf ' V,
MI NICKNAME LAST SU FIX
8
CAMPAIGN
ST
STREETREET
ADDRESS
(residence or business)
STREET ADDRESS INO PO BOX PLEASE) APT
3 ( £1I -,S
LIU AA -5\/
/ SUITE # CITY STATE
`f„j3
ZIP CODE
/_
Tq-- ^,rJ[ 4 v
i k • IL.
9
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
(081) 43 Gi - Sto -q-
10
CANDIDATE
SIGNATURE
I am aware
I am aware
the Election
I am aware
from .
of the Nepotism
of my responsibility
Code.
oft e restric ..,
rp. ati.' s a... abor
Law, Chapter 573 of the Texas
to file timely reports as
s in title 15 . the Election Code
Government Code.
required by title 15 of
on contributions
. ._ ..z'-..
ignature of C.nd Bate ate Sig ed
G•
TOPAGE 2
Forms provided by Texas Ethics Commission
www.ethics.sta e.Ix us
Revised 12/7/2017