HomeMy WebLinkAboutKulik - DSDE84 -Statement of Candidate - 4-17-26STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
candidate for the office of
� RECEIVED
APR 17 ^^101116
�`\J
OFFICE USE ONLY
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.
Signature of Candidate
STATE OF FLORIDA
COUNTY OF l )LW 0-
Sworn to (or affirmed) and subscribed before me by means o
online notarization ❑ OR physical presence
7�Y1\ , 20Z�
this c_ ON day of
Personally Known 0 OR Produced Identification
Signature of Officer Administering Oath
Affix Seal Below or, if judge, provide name, title, and
court (s. 92.50, F.S.)
LADAYUANICHOLS
MY COMMISSION # NH 75670
EXPIRES: Feb1my 8.2030
••.EOf i ,�: .
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 (Eff. 04120