HomeMy WebLinkAbout160601 - Appointment of Campaign Treasurer - Jerome Horace RektorikTexas Ethics Commission P.O.Box 12070 Austin,Texas 78711-2070 512)463-5800 (TDD 1-800-735-2989)
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
1 Total pages filed:
See CTA Instruction Guide for detailed instructions.
2 CANDIDATE MS/MRS/MR FIRST MI
NAME
OFFICE USE ONLY
MRr 1/6R4ce-- Rom6 Acct.#
NICKNAME LAST SUFFIX
Date ReceivedREKToILI ,
3 CANDIDATE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE
MAILING
ADDRESS 44-3 7 C Ai mo, I) I R 1 ,Ip
Cot tit s -a oK', ifx.„ ,figtb
4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Date Hand-doliveredorPostmarked
PHONE
y /
f {
r
o ...
JJJ
q.-/J'\ n Date Processed
1
5 OFFICE
Y
Date Imaged
HELD
if any)
J6OFFICELall'ejto 5ff fic1 li; Dj c D C/1'/IA cei 2.SOUGHT J f
if known)
7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX
TREASURER Mp
NAME t I j;/116 cn ,& ) R,00
8 CAMPAIGN STREET ADDRESS (NO PO OX PLEASE); APT/SUITE#;CITY; STATE; ZIP CODE
TREASURER 0 Z n U n`STREET I 1`- 1
ADDRESS L'
residence or business)C, 11 .e
Ja
e 1 01 'l ; e,x-A-5 F-7 V i1-
9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION
TREASURER
PHONE q ) 2. 2 i
10 CANDIDATE
SIGNATURE lam aware of the Nepotism Law, Chapter 573 of the Texas Government Code.
I am aware of my responsibility to file timely reports as required by title 15 of
the Election Code.
I am aware of the restrictions in title 15 of the Election Code on contributions
from corporations and labor organizations.
1{/Pil Atli--/ te,pfj I-4kt
Il 20/Zo•
5' nature of Candidate Date Signed
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www.ethics.state.tx.us Revised 07/14/2010