Rodriguez, Rico, treasurer appt., 8-20-18Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 12/7/2017
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed Instructions.
1 Total pages riled;
2
CANDIDATE
NAME
MS/MRS/MR FIRST
J�1r-,,
Mi � V �/? ,
NICKNAME . MLAST+��
MI
SUFFIX
ZIP COLE410•
OFFICE USE ONLY
Filer ID t/
Date Received
( ,
I l b
3
CANDIDATE
MAILING
ADDRESS
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE;
..,..:i del ed or P.
e0
. tmerked
4
CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION
On ) Z `-'11 - 2, Z -on
J•cesse
iar�.
A
• nt
153.,
5
OFFICE
HELD
(if any)
N I
p:t
�� C�
g
6
O
OFFICE
SOUGHT
(if known)
ki. I Ca?. 1 e051)116r.?
7
CAMPAIGN
TREASURER
NAME
MS/MRS/MR FIRST MI NICKNAME
�S. Gri , 0 1.
LAST SUFFIX
-" - +'b\r,,\CA
8
CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
STREET ADDRESS (NO PO BOX PLEASE); APT t SUITE #; CITY;
`\ �
1'-SOv1 10."' SA. s IA\( T X
STATE; ZIP CODE
-1--432o
9
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
(�)7) CI) 83-L1'00C>
10
CANDIDATE
SIGNATURE
I am aware of the Nepotism Law, Chapter 573
am aware of my responsibility to file timely reports
the Election Code.
I am aware oft = re tions in title 15 of the Election
from corporati • n .. = n, Labor organizations.
of the Texas Government Code.
as required by title 15 of
Code on contributions
j
Date Signed
Sig lr: ture of Candidate
GO TO PAGE 2
Forms provided by Texas Ethics Commission
www.ethics.state.tx.us
Revised 12/7/2017