STATEMENT DESIGNATING A
COMPLIANCE COORDINATOR
Pursuant to the provisions of ยง 2051.253(2) of the Athlete Agents Act, the below named institution designates the stated individual as the compliance coordinator for the institution.
1.
The name of the institution is
.
2.
The name of the compliance coordinator is
.
3.
The address of the compliance coordinator is:
4.
The telephone number of the compliance coordinator is
.
By:
Printed Name
Title
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The statement should be signed by the athlete director or other appropriate official of the institution. Mail completed statement to: Secretary of State, P O Box 13550, Austin TX 78711-3550.
Form #-2508