Reeves -DSDE9- Dep Treasurer- Marshall 10-17-16DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.
Received
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
OCT 1 7 2016
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
Office of City Clerk
NOTE: This form must be on file with the qualifying
officer before opening the campaign account.
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X❑ Initial Filing of Form Re -filing to Change: 0 Treasurer/Deputy Depository Office [] Party
2. Name of Candidate (in this order: First, Middle, Last)
3. Address (include post office box or street, city, state, zip
Mitchell "Mitch" E. Reeves
code)
1663 Sea Oats Drive
4. Telephone
5. E-mail address
(904 ) 955-0101
Mitch@MitchReeves.com
Atlantic Beach, FL 32233
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check if
Mayor, Seat #1 (City of Atlantic Beach)
applicable:
E] My intent is to run as a Write -In candidate.
8. If a candidate fora Partisan office, check block and fill in name of parry as applicable: My intent is to run as a
E] Write -In No Party Affiliation Party candidate.
9. 1 have appointed the following person to act as my Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Martha B Marshall
11. Mailing Address
12. Telephone
1663 Sea Oats Drive
( 904 ) 517-7132
13. City
14. County
15. State
16. Zip Code
17. E-mail address
Atlantic Beach
Duval
FL
32233
MaPhall1663@comcast.net
18. 1 have designated the following bank as my Q Primary Depository Secondary Depository
19. Name of Bank
20. Address
Ameris Bank
560 Atlantic Blvd
21. City
22. County
23. State
24. Zip Code
Neptune Beach
Duval
Florida
32266
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date
26. Signature of Candidate
17 October 2016
X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
1, Martha B Marshall
do hereby accept the appointment
(Please Print or Type Name)
designated above as: F] Campaign Treasurer 0 Deputy Treasurer.
17 October 2016 X
�ofCarn�paign �Treasu�reror
Date Signature Deputy Treasurer
DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.