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190319 - Appointment of Campaign Treasurer - Jerome Rektorik APPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 1 Total pages filed: See CTA Instruction Guide for detailed instructions. 1 2 CANDIDATE MS/MRS/MR FIRST MI OFFICE USE ONLY NAME Mr. Horace Jerome Filer ID# NICKNAME LAST SUFFIX Date RecRE Rektorik ny 3 CANDIDATE ADDRESS/PO BOX; APT/SUITE#; CITY; STATE; ZIP CODE MAR 1 9 2019 MAILING 437 Chimney Hill Drive ADDRESS College Station, Texas 77840 BY: Date Hand-delivered or Postmarked 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE 979 )846-2727 Date Processed 5 OFFICE Date Imaged HELD College Station City Council, Place 2 (if any) 6 OFFICE SOUGHT College Station City Council, Place 2 (if known) 7 CAMPAIGN MS/MRS/MR FIRST MI NICKNAME LAST SUFFIX TREASURER NAME Mr. James (Jim) Ross 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE); APT/SUITE#; CITY; STATE; ZIP CODE TREASURER 702 Putter Court STREET College Station, Texas 77845 ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE ( 979 ) 224-4475 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 rations an or or niza 'ons. sif Signature o andidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/13/2017