Texas Ethics Commission P.O. Box Austin, Texas (512) TDD

Size: px
Start display at page:

Download "Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989"

Transcription

1 Texas Ethics Commission P.O. Box Austin, Texas (512) TDD GENERAL- COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains how to complete this form. 1 ACCOUNT # (Ethics Commission filers) 2 PAGE # 1 of 6 3 COMMITTEE NAME FICE USE ONLY Family Lawyers for Good Judges Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE 1309 W. Parkwood, Ste. 103 Friendswood, TX Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ms. Maisie NICKNAME LAST SUFFIX Barringer Receipt # Processed Imaged Amount 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE Two Greenway Plaza, Ste. 600 Houston, TX CAMPAIGN TREASURER'S MAILING ADDRESS STREET OR PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE Two Greenway Plaza, Ste. 600 Houston, TX Change of Address 8 CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER EXTENSION (713) REPORT TYPE X January 15 30th day before election Dissolution (attach PAC-DR) July 15 8th day before election Runoff 10th day after campaign treasurer termination 10 PERIOD COVERED Month Day Year Month Day Year THROUGH 10/28/ /10/ ELECTION ELECTION DATE ELECTION TYPE Month Day Year 11/04/2014 Primary Runoff General Special X GO TO PAGE 2

2 GENERAL- COMMITTEE REPORT: F ORM GPAC COVER SHEET PG AND TOTALS 2 12 COMMITTEE NAME 13 COMMITTEE ACTIVITY (Attach lists on plain paper to complete this report if necessary.) Family Lawyers for Good Judges 1. Candidates (identify by name or, if applicable, classify by party) 2. Measures (describe by date and location of election and nature of issue) A. Supported B. Opposed A. Supported B. Opposed ACCOUNT # 14 CONTRIBUTION TOTALS TOTALS 3. Officeholders Assisted (identify by name or, if applicable, classify by party) 1. TOTAL POLITICAL CONTRIBUTIONS $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS), UNLESS ITEMIZED (OR $100 OR LESS IF QUALIFIED FOR HIGHER THRESHOLD) Check here if this report qualifies for the higher itemization threshold. 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES LOANS) $ 3. TOTAL POLITICAL S $100 OR LESS, UNLESS ITEMIZED $ $ CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 4. TOTAL POLITICAL S 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS THE LAST DAY THE REPORTING PERIOD $ 6. TOTAL PRINCIPAL AMOUNT ALL OUTSTANDING LOANS AS THE LAST DAY THE REPORTING PERIOD $ $ 3,30 9, AFFIDAVIT I swear, or affirm, under penalty of perjury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Maisie A Barringer Signature of Campaign Treasurer AFFIX NOTARY STAMP / SEAL ABOVE Sworn to and subscribed before me, by the said, this the day of,20, to certify which, witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath

3 POLITICAL S SCHEDULE F Advertising Expense Consulting Expense Event Expense Fees CATEGORIES Gifts/Awards/Memorial Expense Salaries/Wages/Contract Labor Legal Services Solicitation/Fundraising Expense Food/Beverage Expense Travel In District Polling Expense Travel Out Of District Printing Expense Office Overhead/Rental Expense The INSTRUCTION GUIDE explains how to complete this form. Loan Repayment/Reimbursement Transportation Equipment & Related Expense Contributions/Donations Made By Candidate/Officeholder/Political Committee OTHER (enter a category not listed above) Schedule: 1/1 Report: 3/6 Family Lawyers for Good Judges /22/2014 Darring, Anne (Ms.) $1, th Ave North Expenditure from Texas City, TX (a) (b) Description (If travel outside of Texas, complete Schedule T) Contributions/Donations Made By Campaign contribution Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense 9 Complete ONLY if Candidate / Officeholder name Office sought: Office held: direct expenditure to benefit C/OH 12/22/2014 Jack Ewing for Judge Campaign $1, Meadowbrook Drive Expenditure from League City, TX Complete ONLY if direct expenditure to benefit C/OH Description (If travel outside of Texas, complete Schedule T) Contributions/Donations Made By Campaign contribution Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought: Office held: 12/22/2014 John Schmude for Judge Campaign $1,10 PO Box Expenditure from Spring, TX Complete ONLY if direct expenditure to benefit C/OH Description (If travel outside of Texas, complete Schedule T) Contributions/Donations Made By campaign contribution Candidate/Officeholder/Political Committee Check if Austin, TX, officeholder living expense Candidate / Officeholder name Office sought: Office held:

4 NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. Schedule: 1/1 Report: 4/6 Family Lawyers for Good Judges /22/2014 Atchley & Associates $2, Austin Center Blvd Expenditure from Austin, TX (a) (b) CPA expense 11/03/2014 First Data $ Coral Ridge Drive Expenditure from Coral Springs, FL Credit Card Machine Rental 12/01/2014 First Data $ Coral Ridge Drive Expenditure from Coral Springs, FL Credit card machine rental 12/16/2014 Goldsberry, Shari (Ms.) $ Marina Bay Drive Expenditure from League City, TX Event Expense walkie talkie for CLE

5 NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. Schedule: 2/1 Report: 5/6 Family Lawyers for Good Judges /22/2014 Hale, Frank (Mr.) $1, Burke Road Expenditure from Pasadena, TX (a) (b) Advertising Expense Research marketing 11/24/2014 Quintanilla, Donnie $10 PO Box 2472 Expenditure from League City, TX OTHER - Refund of CLE payment from political candidate Refund of CLE payment from political candidate 12/22/2014 Scroggins, Jesse (Mr.) $50 TX Expenditure from Advertising Expense Marketing and Advertising 11/14/2014 Wells Fargo Bank $92.06 PO Box 6600 Expenditure from Hagerstown, MD credit card fees

6 NON-POLITICAL S MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I The Instruction Guide explains how to complete this form. Schedule: 3/1 Report: 6/6 Family Lawyers for Good Judges /14/2014 Wells Fargo Bank $50.75 PO Box 6600 Expenditure from Hagerstown, MD (a) (b) Credit Card Fees 12/11/2014 Wells Fargo Bank $45.00 PO Box 6600 Expenditure from Hagerstown, MD credit card fees

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE Texas Ethics Commission P.O. Box 1200 Austin, Texas 811-200 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE MONTHLY FILING GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM MPAC COVER SHEET PG 1 The MPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE 1 ACCOUNT # (Ethics Commission filers)

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016225

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016225 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Election capture Requirements and Procedure - Texas

Election capture Requirements and Procedure - Texas Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE MONTHLY FILING GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM MPAC COVER SHEET PG 1 The MPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE NAME Texas Apartment Association

More information

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM SPAC C OVER SHEET PG 1 The SPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE NAME Texas Association of Reverse Mortgage Lenders

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 GENERAL- CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains how to form.

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Andy

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Andy JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. A. Supported. B. Opposed. A. Supported. B.

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. A. Supported. B. Opposed. A. Supported. B. Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL- COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains how

More information

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE MONTHLY FILING GENERAL- COMMITTEE CAMPAIGN FINANCE REPORT F ORM MPAC COVER SHEET PG 1 The MPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE NAME Northwest Democrats of Bexar County

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00015670

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00015670 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016096

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016096 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016096

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016096 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. 2 PAGE # 1 of 13 3 COMMITTEE NAME OFFICE USE ONLY

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. 2 PAGE # 1 of 13 3 COMMITTEE NAME OFFICE USE ONLY Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-28 GENERAL- COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE Texas Ethics Commission P.O. Box 1200 Austin, Texas 811-200 (512)463-5800 1-800-325-8506 COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT CEC FORM COVER SHEET PG 1 The CEC INSTRUCTION GUIDE explains

More information

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE

Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 ADDRESS / PO BOX; APT/SUITE #; CITY; STATE ZIP CODE MONTHLY FILING GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM MPAC COVER SHEET PG 1 The MPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE 1 ACCOUNT # (Ethics Commission filers)

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. MS / MRS / MR FIRST MI Maria T.

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. MS / MRS / MR FIRST MI Maria T. JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / FICEHOLDER NAME 1 ACCOUNT # (Ethics Commission

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 MS / MRS / MR FIRST MI

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989 MS / MRS / MR FIRST MI JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / FICEHOLDER NAME 1 ACCOUNT # (Ethics Commission

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. MS / MRS / MR FIRST MI Michael D.

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 TDD 1-800-735-2989. MS / MRS / MR FIRST MI Michael D. JUDICIAL CANDIDATE / FICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / FICEHOLDER NAME 1 ACCOUNT # (Ethics Commission

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Noll

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Noll JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

CORRECTION AFFIDAVIT FOR POLITICAL COMMITTEE

CORRECTION AFFIDAVIT FOR POLITICAL COMMITTEE CORRECTION AFFIDAVIT FOR POLITICAL COMMITTEE FORM COR-PAC 1 ACCOUNT # 2 PAGE # 1 of 10 3 COMMITTEE NAME 4 TREASURER NAME Texas Pest Control Association FIRST MI LAST Myers, Ken (Mr.) Date Received OFFICE

More information

LEGISLATIVE CAUCUS REPORT OF CONTRIBUTIONS & EXPENDITURES

LEGISLATIVE CAUCUS REPORT OF CONTRIBUTIONS & EXPENDITURES LEGISLATIVE CAUCUS REPORT OF CONTRIBUTIONS & EXPENDITURES FORM LEG COVER PAGE The Form LEG I NSTRUCTION GUIDE explains how to complete this form. 3 CAUCUS NAME House Democratic Caucus 1 2 PAGE # 1 of 10

More information

JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM JSPAC C OVER SHEET PG 1 The JSPAC INSTRUCTION GUIDE explains how to complete this form. 3 COMMITTEE NAME JUDICIAL ROUNDUP PAC 1 ACCOUNT

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. MS / MRS / MR FIRST MI Maria Teresa

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. MS / MRS / MR FIRST MI Maria Teresa JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Peden

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Peden JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Harris

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Harris JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 COMMITTEE CAMPAIGN TREASURER ADDRESS

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 COMMITTEE CAMPAIGN TREASURER ADDRESS JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. MS / MRS / MR FIRST MI Leora T.

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. MS / MRS / MR FIRST MI Leora T. JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT

SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT SPECIFIC-PURPOSE COMMITTEE SPECIAL SESSION REPORT F ORM SPAC-SS C OVER SHEET PG 1 1 ACCOUNT # (Ethics Commission filers) 2 PAGE # 1/12 3 COMMITTEE NAME Texans for Rick Perry Received OFFICE USE ONLY 4

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Hecht

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Hecht Texas Ethics Commission P.O. Box 1200 Austin, Texas 811-200 (512)463-5800 1-800-325-8506 JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE

More information

Estate Planning - How to File a Service Spending

Estate Planning - How to File a Service Spending CANATE FCEHOLER CAMPAGN FNANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH nstruction Guide explains how to complete this form. 1 Filer 2 Total pages filed: 6 3 CANATE FCEHOLER NAME MS/MRS/MR Mr. FRST Julian

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Brister

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 MS / MRS / MR FIRST MI. ... NICKNAME LAST SUFFIX Brister Texas Ethics Commission P.O. Box 1200 Austin, Texas 811-200 (512)463-5800 1-800-325-8506 JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 TITLE FIRST MI. Lori... NICKNAME LAST SUFFIX.

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 TITLE FIRST MI. Lori... NICKNAME LAST SUFFIX. JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT JC/OH FORM COVER SHEET PG 1 The JC/OH INSTRUCTION GUIDE explains how to complete this form. 3 CANDIDATE / OFFICEHOLDER NAME 1 ACCOUNT # (Ethics

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION CANDIDATE/OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH INSTRUCTION GUIDE Revised April 29, 2015 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800 FAX

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION CAMPAIGN FINANCE GUIDE FOR POLITICAL COMMITTEES Revised September 15, 2015 Texas Ethics Commission, P.O. Box 12070, Austin, Texas 78711 (512) 463-5800 FAX (512) 463-5777 TDD 1-800-735-2989

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION CAMPAIGN FINANCE GUIDE FOR CANDIDATES AND OFFICEHOLDERS WHO FILE WITH LOCAL FILING AUTHORITIES This guide is for candidates for and officeholders in the following positions: county

More information

{jt):'.? :]... D Change of Address Houston, TX 77046. D January 15 D 30th day before election D Runoff D

{jt):'.? :]... D Change of Address Houston, TX 77046. D January 15 D 30th day before election D Runoff D CANDIDATE I FICEHOLDER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 FORM C/OH The C/OH Instruction Guide explains how to complete this form. 1 Filer ID 2 Total pages filed: 37 3 CANDIDATE/ MS/MRS/MR FIRST

More information

JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT Texas Ethics Commission P.O.Box 070 Austin, Texas 78711-2070 (5)43-5800 1-800-325-850 JUDICIAL SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT F ORM JSPAC C OVER SHEET PG 1 The JSPAC INSTRUCTION complete

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION IN THE MATTER OF BEFORE THE ELAINE H. PALMER, TEXAS ETHICS COMMISSION RESPONDENT ORDER and AGREED RESOLUTION I. Recitals The Texas Ethics Commission (the commission) met on March 27, 2013, to consider

More information

Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.)

Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) PAGE 1 Commonwealth of Pennsylvania Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number : 9700012 Report

More information

Form 309 General Information (Application for Registration of an Out-of-State Financial Institution) Commentary

Form 309 General Information (Application for Registration of an Out-of-State Financial Institution) Commentary Form 309 General Information (Application for Registration of an Out-of-State Financial Institution) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant

More information

CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.]

CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.] Space Below For Office Use Only Municipal Candidates file with the Municipal Clerk CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.] This affidavit shall certify that I,, am a candidate

More information

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER. 12 Total pages filed: OFFICE USE ONLY. t(~(\e1t\. D D WC ELECTIONS TYPE

CORRECTION/AMENDMENT AFFIDAVIT FOR CANDIDATE/OFFICEHOLDER. 12 Total pages filed: OFFICE USE ONLY. t(~(\e1t\. D D WC ELECTIONS TYPE Texas Ethics Commission PO Box 12070 Austin Texas 78711-2070 (512) 463-5800 (TOO 1-800-735-2989) FORM COR-C/OH CORRECTON/AMENMENT AFFAVT FOR CANATE/FCEHOLER 1 ACCOUNT# 12 Total pages filed: FCE USE ONLY

More information

DEBT SETTLEMENT PLAN (Only Committees that are terminating are eligible to file this form.) (See reverse side for instructions)

DEBT SETTLEMENT PLAN (Only Committees that are terminating are eligible to file this form.) (See reverse side for instructions) FOR OCF USE ONLY GOVERNMENT OF DISTRICT OF COLUMBIA OFFICE OF CAMPAIGN FINANCE WASHINGTON, D.C. 20009 ID# NAME OF DEBT SETTLEMENT PLAN (Only Committees that are terminating are eligible to file this form.)

More information

INSTRUCTIONS FOR COMPLETING DBPR ABT 6021 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR PASSENGER VESSEL PERMIT

INSTRUCTIONS FOR COMPLETING DBPR ABT 6021 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR PASSENGER VESSEL PERMIT INSTRUCTIONS FOR COMPLETING DBPR ABT 6021 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR PASSENGER VESSEL PERMIT If you have any questions or need assistance in completing this application,

More information

Application for Paralegal Certification Exam on October 10, 2015

Application for Paralegal Certification Exam on October 10, 2015 G. Gray Wilson, Chair Wilson & Coffey 110 Oakwood Drive Suite 400 Winston-Salem, NC 27103 (336) 631-8866 Lisa M. Robinson, Vice-Chair Central Carolina Community College 1105 Kelly Drive Sanford, NC 27330

More information

State of Maine Office of the Secretary of State

State of Maine Office of the Secretary of State State of Maine Office of the Secretary of State Application for a Notary Public Commission This section is for office use only. Notary Public #: Commission issued: for a Maine Resident Please read these

More information

SEAL. Acknowledgment. Sample Acknowledgment Form: State of Maine County of. The foregoing instrument was acknowledged before me this day of

SEAL. Acknowledgment. Sample Acknowledgment Form: State of Maine County of. The foregoing instrument was acknowledged before me this day of Acknowledgment An acknowledgment is a formal admission made in person before a proper official by someone who has executed an instrument. The signer must personally appear before the Notary Public, the

More information

STATEMENT OF FINANCIAL INTEREST

STATEMENT OF FINANCIAL INTEREST STATEMENT OF FINANCIAL INTEREST For assistance in completing State/District officials file with: Calendar year covered this form contact: Mark Martin, Secretary of State (Note: Filing covers the previous

More information

2. Present residence address no. street town state zip code. Mailing address, only if mail delivery is not available to residence address

2. Present residence address no. street town state zip code. Mailing address, only if mail delivery is not available to residence address Form # A-1 (Rev. 11/12/09) Notary Public Unit Office of the Secretary of the State State of Connecticut PO Box 150470 Hartford, CT 06115-0470 FOR OFFICE USE ONLY Trans. # Acct. # Date of Appt. APPLICATION

More information

STATE OF NEVADA OFFICE OF THE SECRETARY OF STATE

STATE OF NEVADA OFFICE OF THE SECRETARY OF STATE STATE OF NEVADA ROSS MILLER SCOTT W. ANDERSON Deputy Secretary for Commercial Recordings Commercial Recordings Division 202 N. Carson Street Carson City, NV 89701-4069 Telephone (775) 684-5708 Fax (775)

More information

2015-2016 FINANCIAL AID STUDENT INFORMATION SHEET

2015-2016 FINANCIAL AID STUDENT INFORMATION SHEET 2015-2016 FINANCIAL AID STUDENT INFORMATION SHEET Group 5 Packet Phone: (662) 720-7205 Fax: (662) 720-7232 Please answer all questions carefully. Do not leave any blank. PERSONAL INFORMATION Name Last

More information

Certificate of Employment for Health Care Risk Managers

Certificate of Employment for Health Care Risk Managers Certificate of Employment for Health Care Risk Managers PART I (1) or (2): TO BE COMPLETED BY THE APPLICANT FOR HEALTH CARE RISK MANAGER LICENSURE, IF USING EXPERIENCE TO QUALIFY. (1) I hereby certify

More information

APPLICATION FOR INDIGENT REPRESENTATION

APPLICATION FOR INDIGENT REPRESENTATION APPLICATION FOR INDIGENT REPRESENTATION AFFIDAVIT OF LICENSED ATTORNEY RESIDING OR PRACTICING LAW IN BRAZORIA COUNTY, TEXAS THE STATE OF TEXAS COUNTY OF BRAZORIA I,, (PRINT name of attorney completing

More information

Form 312 General Information (Application for Registration of a Foreign Business Trust, Real Estate Investment Trust or Other Foreign Filing Entity)

Form 312 General Information (Application for Registration of a Foreign Business Trust, Real Estate Investment Trust or Other Foreign Filing Entity) Form 312 General Information (Application for Registration of a Foreign Business Trust, Real Estate Investment Trust or Other Foreign Filing Entity) The attached form is drafted to meet minimal statutory

More information

REPORT OF CONTRIBUTIONS AND EXPENDITURES

REPORT OF CONTRIBUTIONS AND EXPENDITURES FORM R-1 REPORT OF CONTRIBUTIONS AND EXPENDITURES NEW JERSEY ELECTION LAW ENFORCEMENT COMMISSION P.O. Box 185, Trenton, NJ 08625-0185 (609) 292-8700 or Toll Free Within NJ 1-888-313-ELEC (3532) www.elec.state.nj.us

More information

HOW TO OBTAIN A NEW CONTRACTOR LICENSE

HOW TO OBTAIN A NEW CONTRACTOR LICENSE HOW TO OBTAIN A NEW CONTRACTOR LICENSE These instructions apply to new licenses only. If you wish to add a classification or a qualifying party to an existing license, please see HOW TO ADD A CLASSIFICATION

More information

New Application for Business Occupational Tax Certificate

New Application for Business Occupational Tax Certificate New Application for Business Occupational Tax Certificate YEAR Business Name: Business Telephone Number: Fax Number: Business Address (physical location): Suite or Apt No.: City, State, Zip: E-mail: Type

More information

Form 201 General Information (Certificate of Formation For-Profit Corporation) Commentary

Form 201 General Information (Certificate of Formation For-Profit Corporation) Commentary Form 201 General Information (Certificate of Formation For-Profit Corporation) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This

More information

PART A. I,, in my capacity as Corporate Secretary or LLC Manager Name of Corporate Secretary or LLC Manager

PART A. I,, in my capacity as Corporate Secretary or LLC Manager Name of Corporate Secretary or LLC Manager COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT DIVISION OF WORKERS COMPENSATION REJECTION OF COVERAGE BY CORPORATE OFFICERS OR MEMBERS OF A LIMITED LIABILITY COMPANY (LLC) PART A 1. Type of Entity Corporation

More information

Form 304 General Information (Application for Registration of a Foreign Limited Liability Company) Commentary

Form 304 General Information (Application for Registration of a Foreign Limited Liability Company) Commentary Form 304 General Information (Application for Registration of a Foreign Limited Liability Company) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code

More information

DRAFT. When & Where to File the Form 460. A. General Information

DRAFT. When & Where to File the Form 460. A. General Information When & Where to File the Form 460 This chapter reviews when and where committees file the Recipient Committee Campaign Statement (Form 460). All reports and statements filed under the Political Reform

More information

FAMILY COURT SERVICES 501 WEST ADAMS STREET, ROOM 2150 JACKSONVILLE, FL 32202 (904) 255-1060 MAIN CHECKLIST FOR: MOTION TO LIFT BANK LEVY

FAMILY COURT SERVICES 501 WEST ADAMS STREET, ROOM 2150 JACKSONVILLE, FL 32202 (904) 255-1060 MAIN CHECKLIST FOR: MOTION TO LIFT BANK LEVY FAMILY COURT SERVICES 501 WEST ADAMS STREET ROOM 2150 JACKSONVILLE FL 32202 (904) 255-1060 MAIN CHECKLIST FOR: MOTION TO LIFT BANK LEVY Use this form if your bank accounts have been frozen by the Department

More information

3. Required Questions (for each debtor), write your answer to each question. Did you meet with your attorney in person before you signed the form?

3. Required Questions (for each debtor), write your answer to each question. Did you meet with your attorney in person before you signed the form? 341 Meeting of Case Number Date 1. Introductory Statement My name is, I represent the Chapter 13 Trustee assigned to your case. Today you will be answering questions about your bankruptcy petition under

More information

NOMINATION PAPER OF A CANDIDATE AT A FEDERAL GENERAL ELECTION OR BY-ELECTION. (As required under section 66 of the Canada Elections Act)

NOMINATION PAPER OF A CANDIDATE AT A FEDERAL GENERAL ELECTION OR BY-ELECTION. (As required under section 66 of the Canada Elections Act) EC 20010 (06/2015) PROTECTED WHEN COMPLETED NOMINATION PAPER A CANDIDATE AT A FEDERAL GENERAL ELECTION OR BY-ELECTION (As required under section 66 of the Canada Elections Act) TO BE FILED AFTER THE ISSUE

More information

AUSTIN CPA CHAPTER/CPE FOUNDATION Becker Review Course Scholarship GUIDELINES AND INSTRUCTIONS

AUSTIN CPA CHAPTER/CPE FOUNDATION Becker Review Course Scholarship GUIDELINES AND INSTRUCTIONS AUSTIN CPA CHAPTER/CPE FOUNDATION Becker Review Course Scholarship GUIDELINES AND INSTRUCTIONS The Becker Review Course Scholarship offered by the Austin CPA Chapter/CPE Foundation covers 2 sections of

More information

POLITICAL ACTION COMMITTEE (PAC) QUARTERLY REPORTING FORM

POLITICAL ACTION COMMITTEE (PAC) QUARTERLY REPORTING FORM POLITICAL ACTION COMMITTEE (PAC) QUARTERLY REPORTING FORM For assistance in completing To be filed with: Calendar year 2014 this form contact: Mark Martin, Secretary of State Arkansas Ethics Commission

More information

Mississippi State Board of Nursing Home Administrators 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms.

Mississippi State Board of Nursing Home Administrators 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms. 1755 Lelia Drive, Ste. 305, Jackson, MS 39216 (601) 362-6914 www.msnha.ms.gov Application Information Sheet Administrator-in-Training Program (AIT) It is reasonable for you to expect a time frame of nine

More information

MassHealth Commonwealth of Massachusetts EOHHS www.mass.gov/masshealth. MassHealth Buy-In for people who are eligible for Medicare

MassHealth Commonwealth of Massachusetts EOHHS www.mass.gov/masshealth. MassHealth Buy-In for people who are eligible for Medicare MassHealth Commonwealth of Massachusetts EOHHS www.mass.gov/masshealth MassHealth Buy-In for people who are eligible for Medicare IF your monthly income before taxes and deductions is below AND your assets

More information

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016482

Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506. 1 ACCOUNT # (Ethics Commission filers) 00016482 Texas Ethics Commission P.O. Box 12070 Austin, Texas 78711-2070 (512)463-5800 1-800-325-8506 GENERAL-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT GPAC FORM COVER SHEET PG 1 The GPAC INSTRUCTION GUIDE explains

More information

How To File A Civil Suit In Texas

How To File A Civil Suit In Texas Effective 09/01/2013 JUDGE ERIN H. GARCIA JUSTICE OF THE PEACE 2-2 974 E HARRISON ST BROWNSVILLE, TEXAS 78520 (956) 544-0858 / FAX: (956) 550-1467 INFORMATION ON CIVIL SUITS The Rules of Judicial Ethics

More information

An affidavit is a document containing a statement that the deponent swears to be true to the best of their knowledge.

An affidavit is a document containing a statement that the deponent swears to be true to the best of their knowledge. Affidavit An affidavit is a document containing a statement that the deponent swears to be true to the best of their knowledge. The commissioner then signs as confirmation that the oath or affirmation

More information

EV SSL CERTIFICATE DOCUMENTATION INSTRUCTIONS FOR PERSONAL IDENTIFICATION PART 1

EV SSL CERTIFICATE DOCUMENTATION INSTRUCTIONS FOR PERSONAL IDENTIFICATION PART 1 EV SSL CERTIFICATE DOCUMENTATION INSTRUCTIONS FOR PERSONAL IDENTIFICATION PART 1 Instructions to Applicant Step 1: Please print this entire four-part document, read it, and follow steps 2, 3 and 4 below.

More information

TRANSFER OF HOSTING ACCOUNT AND/OR DOMAIN NAME RE: UNAVAILABILITY OF CURRENT REGISTRANT

TRANSFER OF HOSTING ACCOUNT AND/OR DOMAIN NAME RE: UNAVAILABILITY OF CURRENT REGISTRANT TRANSFER OF HOSTING ACCOUNT AND/OR DOMAIN NAME RE: UNAVAILABILITY OF CURRENT REGISTRANT If the Current Registrant refuses to sign the REGISTRANT/CUSTOMER TRANSFER AGREEMENT then your Domain Name or Hosting

More information

Proper Procedures to Make Business Permit Changes

Proper Procedures to Make Business Permit Changes Proper Procedures to Make Business Permit Changes Board approval to make changes to a business permit depends upon: A properly completed Application to Make Business Permit Changes accompanied by the appropriate

More information

Instructions Application for a Business License

Instructions Application for a Business License New Jersey Office of the Attorney General Division of Consumer Affairs Fire Alarm, Burglar Alarm and Locksmith Advisory Committee 124 Halsey Street, 6th Floor, Newark, NJ 07102 http://www.njconsumeraffairs.gov/fbl/

More information

WASHINGTON CONSUMER LOAN COMPANY LICENSE

WASHINGTON CONSUMER LOAN COMPANY LICENSE WA Surrender Checklist Jurisdiction-Specific Requirements WASHINGTON CONSUMER LOAN COMPANY LICENSE Instructions 1. Surrender request must be filed in NMLS within 20 days of the event. 2. Confirm the Records

More information

REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee Office Use Only

REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee Office Use Only Image# 28931061877 FEC FORM 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee Office Use Only 04/07/2008 10 : 37 1. NAME OF USE FEC MAILING LABEL COMMITTEE (in full) OR TYPE

More information

CERTIFICATE OF CONSOLIDATION 134-CONS Filing Fee: $125

CERTIFICATE OF CONSOLIDATION 134-CONS Filing Fee: $125 Form 550 Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) Expedite this form: (select one) Mail form to one of the following: Expedite PO Box

More information

Small Business Enterprises (SBE) Certification Application

Small Business Enterprises (SBE) Certification Application Small Business Enterprises (SBE) SBE Certification Program Information and Application Mission Statement: The Office of Business Opportunity is committed to creating a competitive and diverse Business

More information

Facade Grant Program APPLICATION

Facade Grant Program APPLICATION C I T Y O F E A S T C H I C A G O North Harbor Facade Grant Program APPLICATION The City of East Chicago will fund up to 80% of the cost for facade improvements for properties in designated areas within

More information

When should this form be used?

When should this form be used? INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(j), MOTION FOR MODIFICATION OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE, REPEAT VIOLENCE, DATING VIOLENCE, OR SEXUAL VIOLENCE

More information

Last (Surname) First (Given) Middle Initial. Street Address

Last (Surname) First (Given) Middle Initial. Street Address 1 ESSEX COUNTY COLLEGE APPLICATION FOR A CERTIFICATE OF ELIGIBILITY FOR NONIMMIGRANT (F-1) STUDENT STATUS (FORM I-20) MAIN CAMPUS VISIT OUR WEBSITE WEST ESSEX CAMPUS OFFICE OF RECRUITMENT AND MARKETING

More information

EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES

EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES PLEASE PRINT OR TYPE. INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE CONSIDERED Last Name:

More information

Licensure as a Pharmacy Technician

Licensure as a Pharmacy Technician *** Submit this page with application *** ***FOR OFFICE USE ONLY*** Receipt # ID # Issue Date License # State of Rhode Island Board of Pharmacy Room 205 3 Capitol Hill Providence, RI 02908-5097 Instructions

More information

APPLICATION FOR SUPPLEMENTAL INCOME BENEFITS (DWC Form-052)

APPLICATION FOR SUPPLEMENTAL INCOME BENEFITS (DWC Form-052) Texas Department Of Insurance Division of Workers Compensation 7551 Metro Center Dr. Ste.100 MS-603 Austin, TX 78744-1609 (800) 252-7031 (512) 804-4378 fax www.tdi.texas.gov Please complete, if known:

More information

Wisconsin Election Campaign Fund

Wisconsin Election Campaign Fund Wisconsin Election Campaign Fund (WECF) Manual May, 2010 Wisconsin Government Accountability Board 212 E. Washington Ave, 3 rd Floor P.O. Box 7984 Madison, WI 53707-7984 Phone: 608-266-8005 Fax: 608-267-0500

More information

Professional Land Surveyor Application

Professional Land Surveyor Application Attach a clear, full-face passportstyle photograph (2 x 2 ) of your head and shoulders, taken within the past six months. A photo is required with each application. Do not use a paper clip to attach the

More information

HARRIS COUNTY SHERIFF'S DEPARTMENT ATTORNEY'S BAIL BOND APPLICATION 1. NAME OF APPLICANT: BAR CARD # DATE OF BIRTH: DL#

HARRIS COUNTY SHERIFF'S DEPARTMENT ATTORNEY'S BAIL BOND APPLICATION 1. NAME OF APPLICANT: BAR CARD # DATE OF BIRTH: DL# DATE APPLICATION PREPARED: HARRIS COUNTY SHERIFF'S DEPARTMENT ATTORNEY'S BAIL BOND APPLICATION 1. NAME OF APPLICANT: BAR CARD # DATE OF BIRTH: DL# 2. BUSINESS ADDRESS: PHONE # ( ) CITY: ZIP: EMAIL: HOME

More information

Application Checklist of Requirements for Interior Design Certification (N.J.S.A. 45:3-38)

Application Checklist of Requirements for Interior Design Certification (N.J.S.A. 45:3-38) New Jersey Office of the Attorney General Division of Consumer Affairs New Jersey State Board of Architects Interior Design Examination and Evaluation Committee 124 Halsey Street, 3rd Floor, P.O. Box 45001

More information

Campaign Finance Report

Campaign Finance Report GE 1 Commonwealth of Pennsylvania Campaign Finance Report (NOTE: This report must be clear and legible. It may be typed or printed in blue or black ink.) Filer Identification Number : 7900257 Name of Filing

More information

NOTE: List only Minnesota activity on the following pages:

NOTE: List only Minnesota activity on the following pages: STATE OF MINNESOTA ANNUAL REPORT OF CONSUMER FINANCE COMPANIES REGULATED LOAN COMPANY TO THE COMMISSIONER OF COMMERCE AS OF DECEMBER 31, NOTE: List only Minnesota activity on the following pages: Licensee:

More information

When should this form be used?

When should this form be used? INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(i), MOTION FOR EXTENSION OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE, REPEAT VIOLENCE, DATING VIOLENCE, OR SEXUAL VIOLENCE

More information

Form 203 General Information (Certificate of Formation Professional Corporation) Commentary

Form 203 General Information (Certificate of Formation Professional Corporation) Commentary Form 203 General Information (Certificate of Formation Professional Corporation) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION TEXAS ETHICS COMMISSION CHAPTER 159, LOCAL GOVERNMENT CODE FINANCIAL DISCLOSURE BY COUNTY OFFICERS AND EMPLOYEES Effective September 1, 2013 (Revised 09/01/2015) Texas Ethics Commission, P.O. Box 12070,

More information

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT

CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT CITY OF JACKSON, MISSISSIPPI MINORITY/WOMEN BUSINESS ENTERPRISE DISCLOSURE AFFIDAVIT In order to evaluate the legitimacy of each MBE/FBE applicant, certain relevant information must be provided initially,

More information

RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540

RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540 APPLICATION, CHANGE IN LOCATION OF ABC PERMITTED BUSINESS RETURN TO ALCOHOLIC BEVERAGE CONTROL PERMIT DEPARTMENT P.O. BOX 540 MADISON, MS 39130-0540 APPLICATION INSTRUCTIONS Please read these instructions

More information