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Michael R. CarpenterAPPOINTMENT 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 Filer ID # Mr. Michael R. Carpenter ...... ............................... NICKNAME LAST SUFFIX Date Received 3 CANDIDATE MAILING ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE ADDRESS 3613 Calvert Street Schertz, Texas 78154 Date Hand - delivered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE 210 ) 452 -8003 Date Processed 5 OFFICE Date Imaged HELD Mayor, City of Schertz (if any) 6 OFFICE SOUGHT Mayor, City of Schertz (2019) (if known) 7 CAMPAIGN MS /MRS /MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME Mr. John D. Ellis 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE TREASURER 3318 Edge View STREET San Antonio, Texas 78259 ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 210 ) 473 -2737 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 therestrictions in title 15 of the Election Code on contributions from corporations'and labor organizations. "�;1 g Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/13/2017