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Grant - DSDE9 - Appointment of Campaign Treasurer and Designation of Campaign - Thomas Grant - Treasurer 5-13-24APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES / RECEIVED / (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) MAY 1 31014 NOTE: This form must be on file with the filing officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form ❑ Re -filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last): 3. Address (include PO Box or Street, City, State, Zip Code): (Please Print or Type Name) cc 19 oq e �Ve_, CWk_ 14C, lb V_. q�(WWA-5 C--ff,-,VCV /4-4 ?--> t� d,-, F 3 2 z— 3 1 1�t VIA �- , I 4. Telephone: 5. Candidate's Voter Registration #: 6. Email Address: 4,15C, -,53©ko`F���(•Cowl M1 )(�((.e-�`�5� �J J (not required for qualifying purposes) 7. Office Sought (include district, circuit, group, or seat #): 8. If a candidate for a nonpartisan office, check the box c� Cc, AA v� 55; o,v er Jr�� if applicable: ❑ I intend to run as a Write -In Candidate. 9. If a candidate for min office, check the box and fill in the name of the party as applicable: I intend to run as a ❑ Write -In Candidate. ❑ No Party Affiliation Candidate. ❑ Party candidate. 10. 1 have appointed the following person to act as my: OCampaign Treasurer ❑ Deputy Treasurer 11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Address: /Iv�vtUt S C C-��� (901 ) 616-4 3S� vw53®k1,Cal�l 14.. Maaiilin A dresys,:� " l 0 \ Se�V� t � y i �t �t �Y 15. City Q � flei kki