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180622 - Appointment of Campaign Treasurer - Jose R Guerra Jr.Revised 12/7/2017Forms provided by Texas Ethics Commission www.ethics.state.tx.us CANDIDATE MODIFIED REPORTING DECLARATION FORM CTA PG 2 This appointment is effective on the date it is filed with the appropriate filing authority. 11 CANDIDATE NAME Signature of Candidate MODIFIED REPORTING DECLARATION Year of election(s) or election cycle to which declaration applies I do not intend to accept more than $500 in political contributions or make more than $500 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre-election reports and, if necessary, a runoff report. •• This declaration must be filed no later than the 30th day before the first election to which the declaration applies. •• COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING •• The modified reporting option is valid for one election cycle only. •• (An election cycle includes a primary election, a general election, and any related runoffs.) 12 •• Candidates for the office of state chair of a political party may NOT choose modified reporting. •• TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or Fax this form to (512) 463-8808 or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www.ethics.state.tx.us/whatsnew/NewFilersGettingStarted.html