HomeMy WebLinkAboutRing - DSDE84 -Statement of Candidate - 4-14-26STATEMENT OF CANDIDATE 1 ►RECEIVED /
(Section 106.023, F.S.) I APR 14 1016
(Please print or type)
OFFICE USE ONLY
candidate for the office of C%�, S eo A 5
have been provided access to read and understand the requirements of Chapter 106,
Florida Statutes.
I swear or affirm that I meet, or will meet at the time of election for the office sought or at
the time of assuming the office, as applicable, all statutory and constitutional
qualifications for the office sought.
Signat6ro of Candidate
STATE OF FLORIDA
COUNTY OF -bVISI 0.1
Sworn to (or affirmed) and subscribed before me by means of
online notarization ❑ OR physical presence V
this 1 q4 '4 day of 812r 1 l , 20 S4.
Personally Known u OR Produced Identification
LA
Date
Signature of Officer Administering Oath
Affix Seal Below or, if judge, provide name, title, and
court (s. 92.50, F.S.)
DONNA L.BARTLE
MY COMMISSION M HH 643519
EXPIRES: May 14, 2029
Type of Identification Produced:
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).
DS -DE 84