NAME . 8 CAMPAIGN TREASURER STREET ADDRESS (residence or business) 9 CAMPAIGN TREASURER 10 CANDIDATE SIGNATURE PHONE NUMBER AREA CODE (73>) I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. Invalid format. candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix. declared write-in candidates in an election for: (1) a public office other than the office of vice-president of the United States; or (2) an office of a political party. M6 Treasurer Report June 1 - June 30, 2018. OFFICE USE ONLY 1. The filing fee is 4% of the annual salary - $1,576 . APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. NAME 8 CAMPAIGN TREASURER . Date ur^f Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. ADDRESS . Sign this form and file with either Torsha McCarty, District Election Administrator, or Tricia Horatio, Associate General Counsel at: PDF. area code phone number extension 10 . 8. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX. 3 CANDIDATE MAILING ADDRESS . OFFICE USE ONLY 1. Box 12070 Austin, TX 78711- 2070 Non -TEC Filers must file this form with the local filing . FL State 13. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. City Tallahassee 14. Political committees remain on this page until a Dissolution Report is filed. 10/10) Rule 1S-2.0001, F . appointment of a campaign treasurer by a candidate form cta pg 1 3 8 9 2 area code phone number extension ms / mrs / mr first mi officeuseonly 6 5 . 1 Total f OFFICE USE ONLY SUFFIX ZIP COOE Date Postrn.k.d CANDIDATE NAME CANDIDATE MAILING ADDRESS CANDIDATE PHONE OFFICE HELD ('f any) OFFICE SOUGHT (If known) CAMPAIGN MS MRS MR NICKNAME FIRST LAS r The Name field is required. Texas Ethics Commission P.O. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE See CTA Instruction Guide for detailed instructions. 3 CANDIDATE MAILING ADDRESS . area code phone number extension 10 . ii f NOTE: This form must be on file with the qualifying officer before opening the campaign account. Filer ID # Date Received. Janette Smith Withdrawal Letter. candidate / officeholder form c/oh campaign finance report cover sheet pg 2 14 c/oh name dvl c,, o u i.s fie) 4 sc h a w 15 filer id ( ethics commission filers) 16 notice from this box is for notice of political contributions accepted or political expenditures made by political committees to political support the candidate/ officeholder. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 2 3 4 6 7 S.. CTA Instruotlon auld. State FL 24. Contact Us. If a candidate for a partisan office, check block and fill in name of party as applicable: . 10/10) Rule 1S-2.G001, F.A.C. Statement of Candidate. Appointment of a Campaign Treasurer by a Candidate Author: Charles 'Mike' Adams on 09/09/2021 Subject: Appointment of a Campaign Treasurer by a Candidate PHONE . Name of Bank Truist 20. APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021 (1), F.s.) AMENDMENT: APPOINTMENT OF A FORM ACTA CAMPAIGN TREASURER BY A CANDIDATE PG 1 1 CANDIDATE-"&.q 2 FILERID# 3 Total pages filed / Use this form for changes to existing information only . Candidates are nonpartisan. box 12070 austin, tx 78711-2070 non-tec filers must file this form with the local filing authority do not send to tec for more information about where to file go to: CHECK APPROPRIATE BOX(ES): 1 Total pages filed: 2 CANDIDATE MS/ MRS/ MR FIRST MI OFFICE USE ONLY NAME P H erll # NICKNAME LAST SUFFI rJ D . QUALIFYING FEE: Payable to Supervisor of Elections with a Candidate's Campaign Account Check. candidate name campaign treasurer street address campaign treasurer phone candidate signature i am aware of the nepotism law, chapter 573 of the texas government code. Campaign Treasurer Deputy Treasurer 12. FL State 13. ADDRESS . Complete all applicable items on the Appointment of a Campaign Treasurer by a Candidate form (Form CTA). Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form. TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or mail to Texas Ethics Commission P.O. Invalid format. Treasurers must ensure committee reports and statements are complete, accurate and timely. RJS CE!VED ; MAY 2 6 2022 ; County Leon Zip Code 17. 9. these expenditures may have been made without the . AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM ACTA PG 1 1 CANDIDATE NAME 2 FILER ID # 3 Total pages filed: See ACTA Instruction Guide for detailed instructions. Do not provide information previously disclosed. 1 Total pages Bed: 2 CANDIDATE NAME hIS / MRS / MR ron NlaQIAMk FRsr HI &.q,),A LASr OFFICE USE ONLY a FIIer ID + suFF& Date HE 3 CANDIDATE MAILING ADDRESS ADDREa /POBOX AFr/surrE CRY; grATe ZIPGODE JAN 1 4 2022 lcEYQ . APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 See CTA Instruction Guide for detailed instructions. reporting requirement for certain officeholders. Form 1 Janette Smith 2017. This is a Texas form and can be use in Ethics Commission Statewide. In an election for an office of the state government that is filled by voters of more than one county, watchers may also be appointed by the candidate's campaign treasurer. OFFICE . I am aware of my responsibility to file timely reports as required by title 1 5 of the Election Code. City Fort Lauderdale 22. TREASURER . STREET . CANDIDATE SIGNATURE. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA--INSTRUCTION GUIDE Revised July 26, 2021 Texas Ethics Commission, P.O. Zip Code 33308 CANDIDATE . 1 Total pages filed: 2 CANDIDATE M / MRS/ MR FIRST MI OFFICE USE ONLY NAME Filer ID# NICKNAME LAST SUFFIX Date Received 3 CANDIDATE ADDRESS/ PO BOX; APT/ SUITE#; CITY; STATE; ZIP CODEMAILING l ADDRESS SCTp v/ s T 76Q4o FORM CFCP COVER SHEET OFFICE USE ONLY Date . (2) in the case of a candidate, has not been elected to an office for which a candidate is required to file a campaign treasurer appointment with the authority who is seeking to terminate the candidate's campaign treasurer appointment; and (3) has not filed: (A) a final report under Section 254.065 or 254.125; or us or mail to Texas Ethics Commission P.O. Signature of Candidate This appointment is effective on the date it is filed with the appropriate filing authority. 2 . Contact Us. AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM ACTA PG 1 1 CANDIDATE NAME 2 FILER ID # 3 Total pages filed: See ACTA Instruction Guide for detailed instructions. Invalid format. Name of Treasurer or Deputy Treasurer 11. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG1 See CTA lnstruction Guide for detailed instructions. If a candidate for a partisan office, check block and fill in name of party as applicable: . tec filers may send this form to the tec electronically at treasappoint@ethics.state.tx.us or fax this form to (512) 463-8808 or mail to texas ethics commission p.o. Signature of Candidate Available Monday - Friday 7:00 AM to 6:00 PM. 1. Total pages filed: 2. 7 CAMPAIGN MS/MRS/MR FIRST Ml NICKNAME LAST SUFFIX . 17-25-11.1. tx. state. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. . Pacific time (excluding major holidays) Phone: 800-293-2771. 9. campaign treasurer phone. Signs^e of Candidate 27. Campaign Finance Appointment of Treasurer Report Page 1 of 1 . ii) ACTA Amendment: Appointment Of A Campaign Treasurer By A Candidate iii) C/OH Candidate/Officeholder Campaign Finance Report iv) C/OH-FR C/OH Report: Designation Of Final Report v) C/OH-UC Candidate/Officeholder Report Of Unexpended Contributions vi) STA Appointment Of A Campaign Treasurer By A Specific-Purpose Committee vii) ASTA Amendment . authority upon submission of a campaign treasurer appointment form. Date 26. Appointments of Campaign Treasurers. I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. AMENDMENT: APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE NEW NEW CANDIDATE NEW PHONE 6 AREA CODE PHONE NUMBER EXTENSION OFFICE USE ONLY Date Received Signature of Candidate I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. Campaign Treasurer's Reports: (F.S. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA PG 1 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2020 APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORMCTA PG1 3 8 9 2 AREA CODE PHONE NUMBER EXTENSION MS / MRS / MR FIRST MIOFFICE USE ONLY 6 5 Date Imaged. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, Roderick Harvey , do hereby accept the appointment (Please Print or Type Name) designated above as: [ii Campaign Treasu~ uty Treasurer. 1 Total pages filed: -2 CANDIDATE MS / MRSt!' FIRST Ml OFFICE USE ~LY NAME fo,Jti/1, -Filer ID# -----~ c:: NICKNAME ~T SUFFIX Dale Received -1 [ _ " , llrs1ttll + I CHECK APPROPRIATE BOX(ES): mdr@southfloridacpa.com 18. appointment of a campaign treasurer by a candidate form cta pg 1 3 8 9 2 area code phone number extension ms / mrs / mr first mi office use only 6 5 . CAMPAIGN TREASURER NAME. PHONE . CANDIDATE NAME. The Email Address field is required. Campaign Treasurer's Acceptance of Appointment I, , do hereby accept the appointment as (Please Print or Type) Campaign Treasurer Deputy Treasurer for the campaign of , who is seeking nomination or election as a candidate to the office of (Party). Dates for filing of reports by treasurers of candidates or of committees. Box 12070, Austin, Texas 78711 www.ethics.state.tx.us (512) 463-5800 TDD (800) 735-2989 Promoting Public Confidence in Government FORM CTAINSTRUCTION GUIDE TABLE OF CONTENTS 8. campaign treasurer street address (residence or business) street address; apt / suite #; city; state; zip code. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a 0 Write-In D No Party Affiliation Party candidate. ** POSITIONS OPEN FOR FILING APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 See CTA Instruction Guide for detailed instructions. CAMPAIGN TREASURER STREET ADDRESS (residence or business) STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE. SO UGHT (if known) 7 CAMPAIGN . Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC Pacific time (excluding major holidays) Phone: 800-293-2771. Amendment - Appointment Of A Campaign Treasurer By A Candidate. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Gulde for detailed instructions. M7 Treasurer Report (July 1 - July 31, 2018) M8 Treasurer Report (August 1 - August 31, 2018) area code phone . INFORMATION REQUEST FORM **Please make sure you fill out all mandatory forms correctly to avoid your application being rejected. candidate phone area code phone number extension 5 office held (if any) 6 office sought (if known) 7 campaign treasurer name ms/mrs/mr first mi nickname last suffix. ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE. Available Monday - Friday 7:00 AM to 6:00 PM. APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE pG 1 1 Total pages filed: See CTAInstruction Guidefordetailed instructions. ii f NOTE: This form must be on file with the qualifying officer before opening the campaign account. Box 12070 Austin, Texas 78711-2070 (512)463-5800 (TDD 1-800-735-2989) APPOINTMENT OF A CAMPAIGN TREASURER FORMCTA BY A CANDIDATE PG 1 See CTA Instruction Gulde for detailed Instructions. 1 Tolal pages liled 2 CAN D IDATE NAM E MI Michael A N CKNAME Sorcnson OFFICE USE ONLY RECEIVED OcI 01 2021 IONS Ha nd-del vered or Poshalted 3 CANDIDATE MAIL IN G ADDRESS AODRESS / PO BOX APTlSUITE* CITY STATE ZIP COOE 357 Mcreynolds ranch road bumettx78611 2 . Telephone ( 850 ) 877-1099 16. NAME 8 CAMPAIGN TREASURER . CAMPAIGN TREASURER PHONE. CANDIDATE MAILING ADDRESS. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG1 1 Total pages iiled 2 CANDIDATE NAN/ E Mrs Sara NICKNAME Luther OFFICE USE ONLY RECEIVED AUG 0 5 2021 at taNFT an Ft FeTloNs 3 CANDIDATE MAILING AD D RESS ADDRESS / PO BOX: APT/SUITE#l 220 Luther Lane Bumet TX 78611 SIATF, 7IP CODE Date handielivered or Postmarked See ACTA Instruction Guide for detailed instructions. Box 12070, Austin, Texas 78711 (512) 463-5800 FAX (512) 463-5777 TDD 1-800-735-2989 Visit us athttp://www.ethics.state.tx.us on the Internet. Candidates or political committees that already have a current campaign treasurer appointment on file as of September 1, 1997, may subscribe to the code at any time. APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021 (1 ), F.S.) Amendment - Appointment Of A Campaign Treasurer By A Candidate Form. APPOINTMENT OF CAMPAIGN TREASURER BY A CANDIDATE AND INSTRUCTIONS (MANDATORY) APPLICATION FOR PLACE ON THE BALLOT (MANDATORY) CODE OF FAIR CAMPAIGN PRACTICES (OPTIONAL) READING MATERIAL . If you plan to run for a City of Houston public office, you must file by mail or hand-delivery an Appointment of a Campaign Treasurer by a Candidate (Form CTA) with the City Secretary, or an Amendment: Appointment of a Campaign Treasurer by a Candidate (Form ACTA), as applicable.The City Secretary's Office is located at 900 Bagby, Ground Level, Houston, Texas 77002. Use Form CTA only for appointing your campaign treasurer. PDF. Requirements for appointment of a treasurer or deputy treasurer Examination and certification of accounts. SO UGHT (if known) 7 CAMPAIGN . Designate your treasurer on your Statement of Organization (Form 1). OR Qualifying for office may be done by obtaining 1,501 valid petition signatures. Do not provide information previously disclosed. Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates, Division of Elections form DS/DE 9 - this form must be filed with the appropriate qualifying officer before the acceptance of any contribution or the expenditure of any funds by the candidate, including expenses by the candidate from their personal funds . CANDIDATE . 03/24/2022 x - Date f ,_ Si_gna(ure of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. appointment of a campaign treasurer by a candidate (form alta) to report the change. This appointment is effective on the date it is filed with the appropriate filing authority. 17-25-11.2. 1. CANDIDATE NAME . Box 12070, Austin, Texas 78711 www.ethics.state.tx.us (512) 463- 5800 TDD (800) 735 -2989 Promoting Public Confidence in Government FORM CTA INSTRUCTION GUIDE HELD (if any) 6 . I have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 10. 4 candidate area code phone number extension receipt# i amount$ phone ( 325 ) 340-0075 date processed 5 office date imaged held nia (if any) 6 office sought tom green county judge (if known) 7 campaign ms/mrs/mr first ml nickname last suffix treasurer name mrs. patricia a. usery 8 campaign street address; apt / suite #; city; state; zip code . for Instructions. AREA CODE PHONE NUMBER EXTENSION 10. 9. Appointing a treasurer Every political committee must designate a treasurer before it can accept contributions or make expenditures. 4 CANDIDATE . After completion, choose your type of appointment in the dropdown list below and click 'Next Section' to move to the next page. if you are an OFFICE USE ONLY LAST SUFFIX. If you are reporting a name change, enter your new name under Section 4. 1. Use the AMENDMENT form (ACTA) for changing information previously reported on Form CTA and for renewing your choice to report under the modified schedule. Receipt # Amount $ Date Processed. Subscription to the Code of Fair Campaign Practices is voluntary. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, Roderick Harvey , do hereby accept the appointment (Please Print or Type Name) designated above as: [ii Campaign Treasu~ uty Treasurer. 25. Total pages filed: OFFICE USE ONLY. 9 CAMPAIGN TREASURER PHONE 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code CANDIDATE PHONE . OFFICE . County Leon Treasurer's Acceptance of Appointment (fill in the bj^ks and check the api^6priate block), do hereby accept the appointment designated above as; (Please Print or Type Name) Campaign Treasurer ["] Deputy Treasurer x Date Signature of Campaigff Treasurer or D^ijty Treasurer DS-DE9(Rev.10/10) Rule1S-2.0001,F,A,C. Signature of Candidate APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA PG 1 Texas Ethics Commission P.O. County Broward 23. Statement of Ethical Campaign Practices. APPOINTMENT OF A CAMPAIGN TREASURER BY A CANDIDATE FORM CTA PG 1 NICKNAME See CTA Instruction Guide for detailed instructions. candidate name campaign treasurer street address campaign treasurer phone candidate signature i am aware of the nepoti sm law, chapter 573 of the texas government code. Invalid format. Telephone ( ) Appointment of Campaign Treasurer and Designation of Campaign Depository for Candidates. Before opening a campaign account and before accepting contributions or making expenditures, this form must be filed. . TREASURER . 4bd r/ JAN 2 4 2020 [jD 3 CANDIDATE ADDRESS/ PO BOX; APT/ SUITE#; 17-4 STATE; ZIP cc L MAILING V-C a 9. campaign treasurer phone. CANDIDATE NAME: Enter your name as it is on your current campaign treasurer appointment. 10/10) Rule 1S-2.0001, F . FORM CTA INSTRUCTION GUIDE TABLE OF CONTENTS