Glasser - DSDE84 -Statement of Candidate - 2-1-24OFFICE USE ONLY
STATEMENT OF v
CANDIDATE
(Section 106.023, F.S.) F E 2024
(Please print or type)
7
candidate for the office of
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X K11 cc cam. _
Signature of Candidate
—'Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).