Bole - DSDE 9- Appt. Treasurer- Valerie E. Wilson - 7-9-20APPOINTMENT OF CAMPAIGN d REAS. JRFR
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDA T =S
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file With the qualifying
officer before opening the campaign account.
IIECEOVE
JuL 9 2020
OFFICE USI€ ONLY
1. CHECK APPROPRIATE BOX(ES):
2 Initial Filing of Form Re -filing to Change:
Treasurer/Deputy ■ Depository
Office Party
2. Name of Candidate (in this order: First, Middle, Last)
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4. Telephone
11/
6q) C0,4 °don
5. E -mal address
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3. Address (include post office box or street, city, state, zip
code) fr&tLL SVoc-36nc
i�-tel
Linitd
/A'3' 11 '0 0/ 6'4 ce>
6. Office sought (include district, circuit, group number)
ta5 Ldr
(Pcs)
7. If a candidate for a nonpartisan office, check if
applicable:
My intent is to run as a Write -In candidate.
8. If a candidate for a par=tisan, office, check block and fill in name of party as applicable: My intent is to run as a
Write -In No Party Affiliation
Party candidate.
9. I have appointed the following person to act as my rirCampaign Treasurer
Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
11
ALEATE E kAgt-SON
11. Mailing Address
101 s triLt
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13 City
Yogi L VE4 ga etE,0
County
qefle'ANS
15�tate
18. I have designated the following bank as my
19. Name of Bank
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21. City
ta
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22. County
G% klifl'L
16. Zip Code
‘9 be.3/
12. Telephone
(LI ) Li3o CMS
7 . E-mail address
AL • S.KasciticRE e CJmTLthm
Primary Depository Secondary Depository
20. Address
3 4,-<0 7
9
23. State
24. Zip Code
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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
0 ,a
26. Signat of Candidate
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
)4) V A Lbt•-it% E V4\ -s ors)
.
designated above as:
7)819--D
Date
DS -DE 9 (Rev. 10/10)
(Please Print or Type Name)
Campaign Treas
.6
, do hereby accept the appointment
Deputy Treasurer.
Signature of Campaign Treasurer or Deputy Treasurer
Rule 1S-2.0001, F.A.C.