HomeMy WebLinkAboutFord - DSDE84 -Statement of Candidate - 4-28-26STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
I
candidate for the office of
have been provided access to read and and
Florida Statutes.
0 RECEIVED f
APR 2 81016
dN
USE ONLY
nd the requirements of Chapter 106,
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.
rre�oif* r -A y
Signatlrandid he
'y �8
ate
STATE OF FLORIDA
COUNTY OF
Si ature of Officer Administering Oath
Affix Seal Below or, if judge, provide name, title, and
court (s. 92.50, F.S.)
Sworn to (or affirmed) and subscribed before me by means
"�•; LADAYIJANICHOLS
online notarization El OR physical presence =. MY COMMISSION # HH 756470
thiszr day of , 202-�%.
+•FQ EXPIRES: February 8, 2030
Personally Known 1 OR Produced Identification ❑ 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 lEff. 04/20261