HomeMy WebLinkAboutKaleb Homan Political TreasurerAPPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER c"1
v Gai t Rev.1/15
o ,r FOR CANDIDATES AND COMMITTEES
' (Please Print or Type)
Pursuant to Section 67-6603(o1), Idaho Code. No contribution shall be received or expenditure made by or on behalf of a
candidate or political committee until he or she appoints a political treasurer and certifies the name and address of the treasurer
to the Secretary of State.
Certification is for (check appropriate box below):
CANDIQATE: Nameof
_ - - _ .._
Home Work Cell '}
Phone: Phone: Phone;—
Ofrice
Sought: (f &I
Candidate
Mailing address: S 0
lidate
it address: 6 06f
❑
COMMITTEE:
' Name of
1 Committee:
Name of Committee
i Chairman:
Miscellaneous; ❑�
Home Work
Phone: Phone:
Measure; ❑
;Committee
(Mailing address:
Candidate/Measure: ❑
--_-__..
Chairman
email address:
CERTIFICATION AND APPOINTMENT
Cell
Phone:
1, L� C Pom I A , do hereby certify and appoint the following individual who is a registered elector of
Name of Candidate or Committee Chairman
the State of Idaho as the political treasurer for the above named candidate or committee:
Name of
Political Treasurer; f t4 Ho 4
Home Work Cell
Phone: Phone: Phone:
--�
Treasurer
Mailing address: j j t,er
Treasurer
Residence address:
Treasurer �� i
Please re /. remit to: � email address: � C �
City CferWs Office
City of Meridian)-�—= --�
33 P. Broadway Ave,
Suite 104 ignature of Candida or Conimittee Chairman
Meridian, ID 83642/) , do hereby (206) 888-4433 I' Name of Political Treasurer Y accept the appointment as political treasurer for
the above named candidate or committee,
Signature of Political Treasurer