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Stinson- Statement of Candidate- 1-21-15 OFFICE USE ONLY STATEMENT OF CANDIDATE Received (Section 106.023, F.S.) JAN 2 1 2015 (Please print or type) Office of City Clerk John M. Stinson candidate for the office of City Commissioner, PfeeiFtet.404348 S • have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. )S4/Vt/H---- W .Wiri 20 Jan 2015 Signature of Candidate Date 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(05/11)