Paul J. KendziorAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions. 7 Total pages file
2 CANDIDATE
MS/ MRS IMR FIRST MI
OFFICE USE ONLY
NAME
Filer ID #
NICKNAME LAST SUFFIX
Date R ceived
3 CANDIDATE
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
MAILING
ADDRESS
Date Hand - delivered or Postmarked
4 CANDIDATE
AREA CODE PHONE NUMBER EXTENSION
Receipt# Amount$
PHONE
0000
Date Processed
5 OFFICE
Date Imaged
HELD
(if any)
6 OFFICE
SOUGHT
r r
SL�cl�Z �i"�r LouaGt�( %!c
known)
7 CAMPAIGN
MS /MRS /MR FIRST MI NICKNAME LAST SUFFIX
TREASURER
NAME
/ /J
-z D
S CAMPAIGN
STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE
TREASURER
STREET
SON0101110 4111M gloom
r
ADDRESS
(residence or business)
9 CAMPAIGN
AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE
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 corpora 'on at�d lab org ations.
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Signature of Candidate Dafe Signed
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022
CANDIDATE MODIFIED
REPORTING DECLARATION
11 CANDIDATE
NAME
12 MODIFIED
REPORTING
DECLARATION
r" I
COMPLETE THIS SECTION ONLY IF YOU ARE
CHOOSING MODIFIED REPORTING
FORM CTA
PG 2
-• This declaration must be filed no later than the 30th day before
the first election to which the declaration applies. ••
C. ..
•• 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. •-
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, I
will be required to file pre - election reports and, if necessary, a
runoff report.
2vzZ
Year of election(s) or election cycle to
which declaration applies
ignature of Candidate
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 treasa up oinVC,-2) ethics. 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/ fiIinginfo /QuickFileAReport.php
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2022