Texas Ethics Commission P.O. Box Austin, Texas (512) ACCOUNT # (Ethics Commission filers)

Size: px
Start display at page:

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

Transcription

1 Texas Ethics Commission P.O. Box Austin, Texas (512) GENERAL-PURPOSE 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 # 1/8 3 COMMITTEE NAME OFFICE USE ONLY Texas Pest Control Association PAC Received 4 COMMITTEE ADDRESS Change of Address ADDRESS / PO BO; APT / SUITE #; CITY; STATE; ZIP CODE 100 East Anderson Lane Suite #325 Austin T Hand-delivered or Postmarked 5 CAMPAIGN TREASURER NAME MS / MRS / MR FIRST MI Ken NICKNAME LAST SUFFI Myers Receipt # Processed Imaged Amount 6 CAMPAIGN TREASURER'S STREET ADDRESS (Residence or business) 7 CAMPAIGN TREASURER'S MAILING ADDRESS Change of Address STREET ADDRESS (NO PO BO PLEASE); APT / SUITE #; CITY; STATE; ZIP CODE 100 East Anderson Lane #325 Austin T STREET OR PO BO; APT/SUITE#; CITY; STATE; ZIP CODE 100 East Anderson Lane #325 Austin T CAMPAIGN TREASURER PHONE AREA CODE PHONE NUMBER ETENSION ( 512 ) REPORT TYPE January 15 30th day before election Dissolution (attach PAC-DR) 10 PERIOD COVERED 8th day before election July 15 Runoff 10th day after campaign treasurer termination Month Day Year Month Day Year THROUGH 01/16/ /15/ ELECTION ELECTION DATE ELECTION TYPE Month Day Year Primary Runoff General Special GO TO PAGE 2

2 GENERAL-PURPOSE COMMITTEE REPORT: F ORM GPAC COVER SHEET PG PURPOSE AND TOTALS 2 12 COMMITTEE NAME 13 COMMITTEE ACTIVITY (Attach lists on plain paper to complete this report if necessary.) Texas Pest Control Association PAC 1. Candidates (identify by name or, if applicable, classify by party) 2. Measures (describe by date and location of election and nature of issue) 3. Officeholders Assisted (identify by name or, if applicable, classify by party) A. Supported B. Opposed A. Supported B. Opposed ACCOUNT # 14 CONTRIBUTION TOTALS 1. TOTAL POLITICAL CONTRIBUTIONS OF $50 OR LESS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS), UNLESS ITEMIZED $ EPENDITURE TOTALS 2. TOTAL POLITICAL CONTRIBUTIONS (OTHER THAN PLEDGES, LOANS, OR GUARANTEES OF LOANS) $ 3. TOTAL POLITICAL EPENDITURES OF $50 OR LESS, UNLESS ITEMIZED $ CONTRIBUTION BALANCE OUTSTANDING LOAN TOTALS 4. TOTAL POLITICAL EPENDITURES 5. TOTAL POLITICAL CONTRIBUTIONS MAINTAINED AS OF THE LAST DAY OF THE REPORTING PERIOD $ 6. TOTAL PRINCIPAL AMOUNT OF ALL OUTSTANDING LOANS AS OF THE LAST DAY OF THE REPORTING PERIOD $ $ AFFIDAVIT I swear, or affirm, under penalty of prejury, that the accompanying report is true and correct and includes all information required to be reported by me under Title 15, Election Code. Ken Myers Signature of Campaign Treasurer AFFI 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 Revised 09/01/2003

3 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 3/8 4 01/20/ Mr. Warren Remmey San Antonio T Spider Man Pest Control Mr. Sal Caballero 02/14/ San Antonio T Advanced Pest Control Mr. Ruben Lassman 03/07/ Alice T Alice Pest Control Mr. Gary Gillen 03/22/ Richmond T Gillen Pest Control Mr. Bill Carter El Paso T Carter Pest Control

4 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 4/8 4 5 Mr. Bill Stepan Houston T Branch Manager 10 Orkin Mr. Jim Daw El Paso T Daw Pest Control Mr. Lake Hulings El Paso T Southwestern Pest Control Mr. Bobby Jenkins Austin T ABC Pest Control Mr. Dennis English 04/06/ Dallas T Prime Pest Management Services

5 POLITICAL CONTRIBUTIONS OTHER THAN PLEDGES OR LOANS SCHEDULE A 5/8 4 04/06/ Mr. Raleigh Jenkins Houston T ABC Pest Control Mr. Van Wilson 04/06/ Lubbock T J Bar V Greenlawn

6 Texas Ethics Commission P.O. Box Austin, Texas (512) CORPORATION OR LABOR ORGANIZATION CONTRIBUTIONS FOR ADMINISTRATION/SOLICITATION SCHEDULE C-2 The I NSTRUCTION GUIDE explains how to complete this form. 1 PAGE # 6/8 2 COMMITTEE NAME Texas Pest Control Association PAC 4 03/07/ Corporate / Labor Organization name Greater Houston Pest Control Association 6 Amount ($) /07/2005 Corporate / Labor Organization name Heart of the Hills Pest Control Association Amount ($) /13/2005 Corporate / Labor Organization name Worldwide Pest Control Amount ($)

7 POLITICAL EPENDITURES SCHEDULE F 7/8 4 5 Payee name Friends of Susan Combs 7 Amount ($) 06/29/ Payee address; City; State; Zip Code Purpose of payment (See instructions regarding type of information required.) 9.. Complete if direct expenditure to benefit C/OH.. Candidate / Officeholder name: Expenditure from corporate funds Office sought: Office held:

8 NON-POLITICAL EPENDITURES MADE FROM POLITICAL CONTRIBUTIONS SCHEDULE I 8/8 4 05/09/ Payee name Environmental PR Payee address; City; State; Zip Code 323 West Hopkins 8 Amount ($) San Marcos T Purpose of expenditure (See instructions regarding type of information required.) Expenditure from corporate funds 06/08/2005 Payee name Environmental PR Payee address; City; State; Zip Code 323 West Hopkins San Marcos T Purpose of expenditure (See instructions regarding type of information required.) Amount ($) Expenditure from corporate funds

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

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 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 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 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

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

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

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. 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

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

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

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

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 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- 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 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. 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

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

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 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 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 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. 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 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 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

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

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

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 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 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 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 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

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 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

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

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

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

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

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

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

Texas Veterans Housing Assistance and Home Improvement Programs

Texas Veterans Housing Assistance and Home Improvement Programs Texas Veterans Housing Assistance and Home Improvement Programs Certification of Eligibility Application Jerry Patterson, Chairman For assistance, please contact the Texas Veterans Land Board toll free

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

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

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

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

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

OTHER PERSON S REPORT

OTHER PERSON S REPORT OTHER PERSON S REPORT (filed by a person that makes expenditures or accepts contributions, other than to or from a candidate or political committee in support or opposition of one or more candidates) 1.

More information

TEXAS VETERAN S LAND BOARD LOANS

TEXAS VETERAN S LAND BOARD LOANS TEXAS VETERAN S LAND BOARD LOANS 2001 Lakeside Parkway Flower Mound, TX 75028 866-831-5111 or 972-537-0600 Texas Vet Eligibility Veterans (all of the following must apply) Having served no fewer than 90

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

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

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

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

Dallas/Fort Worth Chapter WTS Undergraduate Leadership. Scholarship. Application Checklist

Dallas/Fort Worth Chapter WTS Undergraduate Leadership. Scholarship. Application Checklist Scholarship Application Checklist Please ensure you have completed and enclosed the following items before submitting your application. Items may come in separate envelopes or emails, but each item must

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

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

Dallas/Fort Worth Chapter WTS Undergraduate Scholarship. Application Checklist

Dallas/Fort Worth Chapter WTS Undergraduate Scholarship. Application Checklist Dallas/Fort Worth Chapter WTS Undergraduate Scholarship Application Checklist Please ensure you have completed and enclosed the following items before submitting your application. Items may come in separate

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

UI Appeal Hearing Opening

UI Appeal Hearing Opening Persons on the telephone in the Appeal Hearing: Williamson Employer Primary Representative, Alice Williamson Brown TWC Hearing Officer Mitchell UI Claimant, Debbie Mitchell Johnson Employer Representative,

More information

TEXAS ETHICS COMMISSION

TEXAS ETHICS COMMISSION IN THE MATTER OF BEFORE THE LANNY MORIARTY, TEXAS ETHICS COMMISSION RESPONDENT ORDER and AGREED RESOLUTION I. Recitals The Texas Ethics Commission (the commission) met on April 16, 2009, to consider sworn

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

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

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

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

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

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

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

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

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

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT Petitioner (Person Filing Petition on behalf of (Protected Person Case No. PR v. PETITION FOR PROTECTION Respondent (Restrained Person FROM FINANCIAL ABUSE

More information

APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT

APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT APPLICATION FOR ATTORNEY BOND ACCOUNT OF SUBMITTED FOR CONSIDERATION BY THE DALLAS COUNTY SHERIFF S DEPARTMENT DALLAS COUNTY SHERIFF S DEPARTMENT ATTORNEY BOND ACCOUNT CHECK OFF LIST TO OPEN AN ATTORNEY

More information

WTS Community College/Technical/Trade School Scholarship. Application Checklist

WTS Community College/Technical/Trade School Scholarship. Application Checklist WTS Scholarship Application Checklist Please ensure you have completed and enclosed the following items before submitting your application. Items may come in separate envelopes or emails, but each item

More information

SAMPLE ARTICLES OF INCORPORATION XYZ BOOSTER CLUB, INC. ARTICLE I. The name of the corporation is XYZ BOOSTER CLUB, INC. ARTICLE II ARTICLE III

SAMPLE ARTICLES OF INCORPORATION XYZ BOOSTER CLUB, INC. ARTICLE I. The name of the corporation is XYZ BOOSTER CLUB, INC. ARTICLE II ARTICLE III SAMPLE ARTICLES OF INCORPORATION XYZ BOOSTER CLUB, INC. ARTICLE I The name of the corporation is XYZ BOOSTER CLUB, INC. The corporation is a non-profit corporation. The period of its duration is perpetual.

More information

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES The following steps must be taken to reinstate your corporation or limited liability company when it has

More information

ORGANIZATION INFORMATION PART 1 - RECEIPTS

ORGANIZATION INFORMATION PART 1 - RECEIPTS Mail To: VDACS Office of Charitable Gaming PO Box 526 Richmond, VA 23218 FORM 101 ANNUAL FINANCIAL REPORT FIVE PAGES VDACS FINANCE CODE: 988-02199 REPORT YEAR COMMONWEALTH OF VIRGINIA DEPARTMENT OF AGRICULTURE

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

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

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

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

40lLoan/Refinance. Application Packet - VP. Accompanying Your Forms. This booklet contains the following form: 401 Loan/Refinance Form

40lLoan/Refinance. Application Packet - VP. Accompanying Your Forms. This booklet contains the following form: 401 Loan/Refinance Form Application Packet - VP 40lLoan/Refinance Accompanying Your Forms This booklet contains the following form: 401 Loan/Refinance Form Your employer has chosen to make loans available from your qualified

More information

Compliance Manual for Continuing Political Committees (CPCs) Legislative Leadership Committees (LLCs) Political Party Committees (PPCs)

Compliance Manual for Continuing Political Committees (CPCs) Legislative Leadership Committees (LLCs) Political Party Committees (PPCs) 2015 Compliance Manual for Continuing Political Committees (CPCs) Legislative Leadership Committees (LLCs) Political Party Committees (PPCs) Summary of Requirements Contribution Limits Chart Registration

More information

Construction Degree Scholarship Application

Construction Degree Scholarship Application Construction Degree Scholarship Application CONTENTS Section I: Section II: Section III: Section IV: Section V: Selection Criteria Applicable Construction Degree Programs Submission Deadline & Candidate

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

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

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS

DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS STATE OF MINNESOTA DEPARTMENT OF COMMERCE DIVISION OF FINANCIAL INSTITUTIONS RE: CONSUMER SMALL LOAN LENDER ACT Application may be made on the attached forms for a Consumer Small Loan Lending license pursuant

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

TEXAS COUNCIL ON PURCHASING FROM PEOPLE WITH DISABILITIES Application for Certification. CRP Information

TEXAS COUNCIL ON PURCHASING FROM PEOPLE WITH DISABILITIES Application for Certification. CRP Information CRP Information CRP Name: Non-Profit Organization: Corporation Charter # Public Private Government Agency: City County State Other Mailing Address: City: State: _Texas_ Zip Code: Physical Address for Main

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

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

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

TO ESTATE ADMINISTRATION

TO ESTATE ADMINISTRATION INFORMAL PROBATE 3 CLAIM AGAINST THE ESTATE And/Or OBJECTION TO ESTATE ADMINISTRATION Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIP3 5274-1211 Forms and Instructions INFORMAL PROBATE

More information

REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee

REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee FEC FORM 3X REPORT OF RECEIPTS AND DISBURSEMENTS For Other Than An Authorized Committee Office Use Only 1. NAME OF COMMITTEE (in full) TYPE OR PRINT Example: If typing, type over the lines. 12FE4M5 ADDRESS

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

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

APPLICATION FOR SPECIAL ADMISSION UNDER RULE 14-804 SPECIAL ADMISSION EXCEPTION FOR MILITARY LAWYERS

APPLICATION FOR SPECIAL ADMISSION UNDER RULE 14-804 SPECIAL ADMISSION EXCEPTION FOR MILITARY LAWYERS APPLICATION FOR SPECIAL ADMISSION UNDER RULE 14-804 SPECIAL ADMISSION EXCEPTION FOR MILITARY LAWYERS To apply for special admission under Rule 14-804, please send a complete application along with an application

More information

Rule 14-79.006, F.A.C. 275-030-071 EQUAL OPPORTUNITY 06/10 Page 1 of 10 STATE OF FLORIDA. Mail Completed Forms To:

Rule 14-79.006, F.A.C. 275-030-071 EQUAL OPPORTUNITY 06/10 Page 1 of 10 STATE OF FLORIDA. Mail Completed Forms To: Page 1 of 10 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION TALLAHASSEE, FLORIDA APPLICATION FOR SMALL BUSINESS CERTIFICATION (SBC) Mail Completed Forms To: FAMU 2035 East Paul Dirac Drive Suite 130, Morgan

More information

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE

JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE JEFFERSON COUNTY BAIL BOND BOARD APPLICATION FOR SURETY LICENSE NOTICE: Pursuant to Occupations Code Chapter 1704.162 Section (2) (b) and the Jefferson County Bail Bond Board local rules, failure to submit

More information