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HomeMy WebLinkAboutHerrold - DSDE9 - Appointment of Campaign Treasurer and Designation of Campaign - Lisa Herrold - Deputy Treasurer 2-24-26APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN ► RECEIVED / DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) FEB 2 4 2026 (PLEASE PRINT OR TYPE) ji �j �1m,j10 NOTE: This form must be on file with the filing officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): DInitial Filing of Form ❑ Re -filing to Change: ❑ 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) 659 Sherry Drive Lisa Herrold Atlantic Beach, Florida 32233 4. Telephone: 5. Candidate's Voter Registration #: 6. Email Address: ( 904 ) 386-3325 lisaherrold@gmaii.com (not required for qualifying purposes) 7. Office Sought (include district, circuit, group, or seat #): 8. 1f a candidate for a nonpartisan office, check the box if applicable: City Commission Seat 4 ❑ I intend to run as a Write -In Candidate. 9. If a candidate for Pisan 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: ❑ Campaign Treasurer ,Deputy Treasurer 11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Address: Lisa Herrold (904 )386-3325 lisaherrold@gmail.com 14. Mailing Address: 15. City: 16. State: 17. Zip Code: 659 Sherry Drive lAtlantic Beach FI 32233 18. 1 have designated the following bank as my (check appropriate box): i] Primary Depository ❑ Secondary Depository 19. Name of Bank: 20. Address: Community_ First Credit Union of Florida 1425AtlanticBoulevard 21. City: 22. County: 23. State: 24. Zip Code: Neptune Beach Duval FI 32266 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR THE APPOINTMENT OF THE CAMPAIGN TREASURER AND DESIGNATION OF THE CAMPAIGN DEPOSITORY AND THAT THE CTS STATED IN IT ARE TRUE. —�' `. 25. Date: February 24, 2026 ItuLeCdidate: X j " L _3 27. Treasurer's Acceptance of Appointment (fill in the b)bnks and check the appropriate bok) 1, Lisa Herrold .do hereby accept the appointment designated above as: (Please Print or Type Name) ❑ Campaign Treasurer. Deputy Treasurer. 29. Sig ure of C mpaign Treas er Deputy Treasurer 28. Date: February 24. 2026 X_ DS -DE 9 (Eff.10/23) R 1S-2.001, F.A.C.