Appointment Of A Campaign Treasurer By A General-Purpose Committee {GTA}

Revised //201 Forms provided by Texas Ethics Commission www.ethics.state.tx.us See GTA Instruction Guide for detailed instructions.FORM GTAPG 1 () () Signature of Campaign Treasurer 11APPOINTMENT OF A CAMPAIGN TREASURERBY A GENERAL-PURPOSE COMMITTEE5ACRONYMCOMMITTEEADDRESSREPORTINGTYPECAMPAIGNTREASURERNAMECAMPAIGNTREASURERPHONEPERSONAPPOINTINGTREASURERSIGNATUREASSISTANTCAMPAIGNTREASURERASSISTANTCAMPAIGNTREASURERPHONEADDRESS / PO BOX;APT / SUITE #;CITY;STATE;ZIP CODEMS / MRS / MRFIRSTMINICKNAMELASTSUFFIXSTREET ADDRESS (NO PO BOX PLEASE);APT / SUITE #;CITY;STATE;ZIP CODEADDRESS / PO BOX;APT / SUITE #;CITY;STATE;ZIP CODEAREA CODEPHONE NUMBEREXTENSIONFIRSTMILASTSUFFIXADDRESS / PO BOX;APT / SUITE #;CITY;STATE;ZIP CODEFIRSTMILASTSUFFIXAREA CODEPHONE NUMBEREXTENSION MONTHLY 1Total pages filed:46910121314 3CONTINUE ON PAGE 2This appointment is effective on the date it is filed with the commission. REGULARASSISTANTCAMPAIGNTREASURERADDRESSI understand that I have been appointed as the campaign treasurer for this general-purposecommittee and that I am responsible for filing all required reports and that I may be subject tofines for failure to do so. I am aware of the restrictions in title 15 of the Election Code on contributionsfrom corporations and labor organizations. 2COMMITTEENAMECAMPAIGNTREASURERSTREETADDRESS(residence or business)78CAMPAIGNTREASURERMAILINGADDRESS same as above Filer ID #OFFICE USE ONLYDate Received Date Processed Receipt # Date Imaged Date Hand-Delivered or PostmarkedAmount $ American LegalNet, Inc. www.FormsWorkFlow.com Revised //201 Forms provided by Texas Ethics Commission www.ethics.state.tx.usFORM GTAPG 2GENERAL-PURPOSE COMMITTEE:CONTROLLING ENTITY INFORMATION 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000001516 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 CONTRIBUTIONDECISIONMAKERS EXPENDITUREDECISIONMAKERSATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDED1718FULL NAME OF CONTROLLING ENTITYACRONYMFULL NAME OF CONTROLLING ENTITYACRONYMFULL NAME OF CONTROLLING ENTITYACRONYMFULL NAME OF CONTROLLING ENTITYACRONYMCOMMITTEENAMEFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixFirstMILastSuffixCONTROLLINGENTITYINFORMATION American LegalNet, Inc. www.FormsWorkFlow.com Revised //201 Forms provided by Texas Ethics Commission www.ethics.state.tx.usFORM GTAPG 3GENERAL-PURPOSE COMMITTEE:RECIPIENT COMMITTEES20000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Committee name Committee address;City;State;Zip CodeRECIPIENTGENERALPURPOSECOMMITTEES 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Committee name 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Committee name 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Committee name 19COMMITTEENAMEATTACH ADDITIONAL COPIES OF THIS FORM AS NEEDEDCommittee address;City;State;Zip CodeCommittee address;City;State;Zip CodeCommittee address;City;State;Zip Code Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or mail toTexas Ethics CommissionP.O. Box 12070Austin, TX 78711-2070For more information about where to file go to: 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000Committee name Committee address;City;State;Zip Code American LegalNet, Inc. www.FormsWorkFlow.com