HomeMy WebLinkAboutVaughn, Blake Campaign Treasurer Appointment 2022 APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY
NAME Mr Blake J
Filer ID#
NICKNAME LAST SUFFIX
Vaughn
3 CANDIDATE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE AUG 25 2022
MAILING 8109 Belmont Ct.North Richland Hills,TX 76182 \ -
ADDRESS CITY SECRETARY
Date Hand-delivered or Postmarked
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$
PHONE
( 469 )337-6152 Date Processed
5 OFFICE Date 7aged
HELD $
(If any) XS ?ba-X.
6 OFFICE
SOUGHT City Council Place 5
(If known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER Mr. Jeffrey -- L Lott
NAME
8 CAMPAIGN STREET ADDRESS; - APT/SUITE#; CITY; STATE; ZIP CODE
TREASURER 1709 Signet Dr.Euless,TX 76040
STREET
ADDRESS _. "
(residence or business)
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION.
TREASURER
PHONE ( 469 ) 236-9785
10 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 restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations. -
2 / G02 2
ignature of Candidate Date Signed
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Forms provided by Texas Ethics Commission Revised 1/1/2022
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CANDIDATE MODIFIED FORM CTA
REPORTING DECLARATION PG 2
11 CANDIDATE
NAME
12 MODIFIED REPORTING COMPLETE THIS SECTION ONLY IF YOU ARE
DECLARATION CHOOSING MODIFIED REPORTING
•• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
•• The modified reporting option is valid for one election cycle only. ••
(An election cycle includes a primary election,a general election,and any related runoffs.)
•• Candidates for the office of state chair of a political party
may NOT choose modified reporting. ••
I do not intend to accept more than $940 in political contributions
or make more than $940 in political expenditures (excluding filing
fees) in connection with any future election within the election
cycle. I understand that if either one of those limits is exceeded,
will be required to file pre-election-reports and, if necessary, a
runoff report.
Year of election(s)or election cycle to Signature of Candidate•.i
which declaration applies
This appointment is effective on the date it is filed with the appropriate filing authority.
TEC Filers may send this form to the TEC electronically at treasappointCcaethics.state.tx.us
""or'mail to
Texas Ethics Commission
P.O. 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:
https://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022