HomeMy WebLinkAboutStaats - DSDE84 -Statement of Candidate - 5-15-26STATEMENT OF CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
RECEIVED
MAY 15 2026
1:34 p,M, d
OFFICE USE ONLY
/\•la t') C ri I a b-e'VA S4-4liv---f S
candidate for the office of M r - ism ,,. Ss i orte' . Sea "� 1
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.
Wit 6v7 rC C//5/2,
Signature of C ydi ate Date
STATE OF FLORIDA D nGil�
COUNTY OF n� O(
Signature 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 of
online notarization OR physical presence
this 1544- day of I'(G(.y ,20 24.
DONNA L. BARTLE
MY COMMISSION # HH 643519
EXPIRES: May 14, 2029
Personally Known Pr -OR Produced Identification 0 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. 04/2026)