Appointment of Political Treasurer - PAC-, Conservation Voters for Idaho Action Fun - 10/2/2019RECEIVED & FILED
CIFEC;LE
OCT 0 2 2019
File:
Route to:
APPOINTMENT AND CERTIFICATION OF DOLITICAL TREASU SER
=0 CA \I J )ATESANJ COMMI ITEES
(Please Print or Type)
Pursuant to Section 6766O3(c1), 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.
Rev. 1/15
Certification is for (check appropriate box below);
Name of
CANDIDATE; Candidate:
V COMMITTEE:
Miscellaneous:
Measure:
Candidate/Measure:
Home
Phone.
Office
Sought:
Candidate
Maiting address:
Candidate
email address:
Work
Phone:
r►
Name of Conservation Voters for Idaho Action Fund
Committee:
Name of Committee
Chairman:
� Home
Phone:
Courtney Washburn
'e:(208) 342-1264
P
Committee PO Box 2802 Boise, ID 83701
Mailing address:
Chairman courtney@cvidaho.orgemail address:
Cell
Phone:
Cell
Phone:
CERTIFICATION AND APPOINTMENT
1 Courtney Washburn , 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:
Submit to:
Eagle City Clerk
660 E. Civic Ln.
EagIeJD 83616
208-939-6813
e-mail:
cfr@cityofeagle.org
Name of
Political Treasurer. Courtney Washburn
Home
Phone:
Treasurer
Mailing address: PD Box 2802 Boise, ID 83701
1.1►r•w•..rr..
work (208) 342-1264
Phone:
�- r+7r'^_ .� A ►�••I�v.. �'wv1�..r •�.
•••• ••••••••r yr
Treasurer 414 N Hillview Dr Boise, ID 83712
Residence address:
•.•w� �•rrr•rr.•v_ �a� •...r ter. _ _.._ �. �-.. +..�� _.. _ �.......�.- ..- .
Treasurer
email address: courtney@cvidaho.org
•w
1, Courtney Washburn , do hereby
Name of Political Treasurer
the above named candidate or committee,
Cell
Phone:
w.w•.� rr r v r•w••�•u
n•rv�w�•.w.a
�r.�.vr.�.�.r�•rrr•r.._-v ��rr�.��.••r� •rte-•n►�+.w.�-•nn•.��._.
ature of Candidate or Committee Chairman
cept the appointment as political treasurer for
Signature of Political Treasurer