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Allison Heyward Appointment of Campaign TreasurerAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. 1 Total pages filed: i 2 CANDIDATE Ms MRS ,41R FIRST MI OFFICE USE ONLY NAME A[L 15 e?0 r Filer ID # NICKNAME LAST \4e. - - - - - -' SUFFIX Date Received ywcc h-D' �' l 3 CANDIDATE ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE MAILING ADDRESS -7 �`� —u �— IC-1 ( () 1 I Q I �� t 666 Date Hand - delivered or Postmarked Receipt# Amount$ 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION PHONE ` % ^ r Date Processed Date Imaged 5 OFFICE HELD n 1 ulJ C (if any) rte, , IC�CQ V��C -�l IM-e Wl6R 6 OFFICE SOUGHT known) C�f\dj RQ (if (A CK 7 CAMPAIGN MS /MRS /MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME �r 8 CAMPAIGN TREASURER STREETADDRESS; APTISUITE CITY; 2to In-5h STATE; ZIP CODE STREET ADDRESS jj (residence or business) ( 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE O� 3 � -7 r 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. i .nature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 4/212021