County and Metro Township Candidates & Office Holders Statement of Organization

Candidate Information

First Rosa

Middle M

Last Rivera

Suffix

Work Phone (xxx) xxx-xxxx

Cell Phone (xxx) xxx-xxxx

Home Phone (xxx) xxx-xxxx

Office Sheriff

District #/County Salt Lake County

Party Democratic

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000

Date Created 4/2/2018

Personal Campaign Committee Secretary

Name of Secretary

First Rosa

Middle M

Last Rivera

Suffix

Work Phone (xxx) xxx-xxxx

Work Phone (xxx) xxx-xxxx

Work Phone (xxx) xxx-xxxx

Street Address XXXXXXXXXX

Suite/PO Box XXXXXXXXXX

City XXXXXXXXXX

State XX

Zip 000000