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Robert M. Westbrook (2)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed O,e See CTA Instruction Guide for detailed instructions. 2 CANDIDATE MS I MRS / MR FIRST MI OFFICE USE ONLY NAME Filer ID # NICKNAME LAST SUFFIX Date Received rqjzj 3 CANDIDATE ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE MAILING ADDRESS G� "73 912wk 14d11oLLf SCN6A7� r l' �J G l Y 7�1 Date Hand -delivered or Postmarke 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt # Amount $ PHONE � ( 2 j� / —7r Date Processed 5 OFFICE (- L 4 Date Imaged HELD (if any) 6 OFFICE SOUGHT (if known) I r 7 CAMPAIGN MS/MRS/MR /�FIfR��ST 1 MI NICKNAME CLAST SUFFIX TREANAME SURER It) A Cr}P,ISj °P 2 L_u'0.rJS 8 CAMPAIGN STREET ADDRESS; APT / SUITE #; CITY; STATE; ZIP CODE TREASURER STREET ,Vd 76 Rook t �©( tow, b K, SGn(?P- �. � � �� ( S 1 ADDRESS e or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION PHONEURER ©� (ate) a 0 «d 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 ora ons and labor organizations. ignature of Candidate Date Si ned GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023 CANDIDATE MODIFIED REPORTING DECLARATION 11 CANDIDATE NAME 12 MODIFIED REPORTING DECLARATION 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. •- •• 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 $1,010 in political contributions or make more than $1,010 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. 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. M () e�miq tf- 20 Z_ Year of election(s) or election cycle to 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 treasappoint aaethics.state.tx.us or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 For more information about where to file go to: hfps://www.ethics.state.tx.us/filinginfo/QuickFileAReport.php Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 1/1/2023