Lagner - DSDE84 - Statement of Candidate - 6-7-22 OFFICE USE ONLY
STATEMENT OF
CANDIDATE f .m 13
(Section 106.023, F.S.) JUN - ' 2022
(Please print or type)
BY: 04.11/6
f 4e:1-- t.cpabt__.,
candidate for the office of 011 C Yl CI)J Lek-tic 'a-Q=1- 4 ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X � /i l a/;01Z
�Signatu 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)