Rodriquez, Joe, Treasurer's Appt. , 7-29-15Texas Ethics Commission
P.O. Box 12070
Austin, Texas 78711 -2070
512) 46
www.ethics.state.tx.us
Revised 07/14/2010
APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA
BY A CANDIDATE PG 1
See CTA Instruction Guide for detailed instructions.
1 Total pages filed:
2
CANDIDATE
NAME
MS /MRS MR FIRST MI
L e
NICKNAME LAST SUFFIX
650 e_ ) k Cil r R v e 7
OFFICE USE ONLY
Acct. #
Date eceived
—7
tom./
3
CANDIDATE
MAILING
ADDRESS
ADDRESS / PO BOX; APT / SUITE #; CITY; STATE; ZIP CODE
Q / / 1, J% II 77 3f Y 0�
!6� (_ / /INS �li/ , n�a7s ✓rile/ /�
4
CANDIDATE
PHONE
AREA CODE PHONE NUMBER EXTENSION
( /-36) `1-3 c— 2 ill
Ai
'ate and -d - -red or Po marked
"') 9
l
PPoCe
�' 6
s
5
OFFICE
HELD
(if any)
I CO ,,L —
C r t � C-- v A. C / 1 �Q t/ Gl /
I'. /i/;f' age'
'�
�' l 5
6
OFFICE
SOUGHT
(if known)
6 1 T >i ( C 1 ) WC( r
/
7
CAMPAIGN
TREASURER
NAME
MS AFMR FIRST MI NICKNAME LAST SUFFIX
/ /�
ROdi h: 6-, /\ D!J(r L/
r � eZ
8
CAMPAIGN
TREASURER
STREET
ADDRESS
(residence or business)
STREET ADDRESS (NO PO BOX PLEASE); APT / SUITE #, CITY; STATE; ZIP CODE
9�3 � JaJc Dv, / ✓/✓7S�jl rle �� 773 9- D
Cfses \i cle,,Jce
9
CAMPAIGN
TREASURER
PHONE
AREA CODE PHONE NUMBER EXTENSION
(53 / ) ' L 3 - J 2 4
I
10
CANDIDATE
SIGNATURE
I am 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.
7- z`1 — -2o/
Signature of andid Date Signed
GO TO PAGE 2
www.ethics.state.tx.us
Revised 07/14/2010