Spirko, Robert Tfi;s. APPOINTMENT OF POLITICAL TREASURER
CRIC.E For State and Local Candidates and
y;yGe . Single-Candidate Committees
Tennessee Bureau of Ethics and Campaign Finance
WRS Tennessee Tower,26th Floor
312 Rosa L.Parks Avenue
Nashville,TN 37243
(615)741-7959
Registry.lnfo@tn.qov
The Appointment of Political Treasurer statement must be used to appoint a political treasurer as required by the Campaign Financial Disclosure
Act(T.C.A.§2-10-105)for state and local candidates and single-candidate political campaign committees.A state candidate may not receive or
expend funds for an election until a political treasurer has been appointed for that election.A candidate may appoint himself or herself as political
treasurer.A new form must be filed if the treasurer is changed.Some local candidates may be exempt from completing this form.Local candidates
should check with the county election commission for more information.
Candidates for state public office must file their original Appointment of Political Treasurer statement ONLY with the Registry of Election Finance
at the address above.
Candidates for local public office must file their original Appointment of Political Treasurer statement ONLY with their county election commission.
1.Date: /A)- y
2.Name of Candidate or Committee: P-ob vi- YCO 3.Email: r S,i J'-PW4e‘ccnit-r
4.Campaign Address::" 2'/0.2 D// 1ark4 1/' 4
City: 41,47Vvite State: TA./ Zip Code: 3 03
Phone: -7f
5.Home Address: (check here if same as above
City: State: Zip Code:
Phone:
6.Office Information:
Title of Office Sought: 5 Aoo( 30a /Rpal ae d '/
District Number, Municipality,or County Where Office is Located:
Party Affiliation: oc,—zr ` Election Year: 2029'
7.Treasurer Name: /cGb vJ 21Y49 8.Treasurer Email: /10 Yho 7gi %cam
9.Treasurer Address: 2 a 33 oX
City: loot State: %X/ Zip Code: 3 7
Phone: 71-i9'
10.Campaign Fund.Identify the banking institution where campaign funds are deposited. Include the last 4 digits of
the bank account number.DO NOT include the complete account number.
c,A wuj g Pk, r �o,,fr - (9 5 s S
RECEIVED
JAN 12 2024
Blount Co Elections
SS-1120(Rev.07/231
11.Candidate and Treasurer Signature: (BOTH signatures must be witnessed.A treasurer cannot witness candidate's
signature.)
I certify under the penalty of perjury that the information given on this form is true and accurate.In addition,I
understand that the Registry of Election Finance/County Election Commission must be notified of any change in
this information.
///, (2
Signature of Candi to Signature of Treasur --L.---
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Signature of Witness Signature of Wi
SS-1120(Rev.07/231