HomeMy WebLinkAboutDOI - JOE LONGORIA - 9/30/2009 - DECLARATION OF INTENTION@4
RECEIVED
State Ethics Commission SEP 3 0
ya x' DECLARATION OF INTENTION TO ACCEPT CAMPAIGN CONTRIBUTIONS
Form DOI CrlYCLEPX
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Today's Date:
Candidate
105 �Pl`� ON 01Z /A
(Full Name):
Address: /4,341 6L" (1RCL ez
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k 1 L TON E+ % '3000V
City, State, Zip: 1
Telephone Number (Optional): and/or
Name of Office Sought (include district, post or judicial circuit, if applicable)
Party Affiliation (Optional):
State: G E 0 (Z(4 l A
❑ Democrat
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County: 17M -Li -op
Republican
❑ Non Partisan
Municipal: 1u-ILTDA� �1 L�$UiiCIL
❑ Other
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Incumbent Name:Election
'TIKA QRY�i2�A-
Year:
ZOU9
Complete additional information below ONLY if you have a campaign committee.
This information does not register a campaign committee. (Please use Form RC to do so.)
Campaign Committee A i
Chairperson (Full Name): I V `,+P—y ttEff,4N0 E2
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Address: 400 4,q JE -&-T1 C C6vl:
City, State, Zip: 10j (_ION, ra,A 30064
Treasurer ^
(Full Name): Awti f6 pi e 6)q L L5T1 J-fiNE 1164wrewiq\j
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5 5.146—"tJ 12UM 6 &S % jLC�/VViE�J TERRACE
Address :
l t-7-0Ni9.1 ..3 6004 M l LToN GA ,3 0 00 4
City, State, Zip:
I CERTIFY TI -IAT THIS STATEMENT IS COMPLETE, TRUE, AND ACCURATE.
q-30
Signature of Candidate Date
MAIL TO : THE APPROPRIATE FILING OFFICER