Nottingham - DSDE 9- Appt. Treasurer- Kevin Nottingham- 8-18-22 APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGNruG
Imrt: D
DEPOSITORY FOR CANDIDATES AUG 1 B 2022
(Section 106.021(1), F.S.)
606//6
(PLEASE PRINT OR TYPE) .. ..- -~---""""---r
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
114 Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository 0 Office ❑ Party
2. Naz e of Candidate (in this order: First, Middle, Last) 3.Address (include post ,office box or street, city, state, zip
e..01r) 7444--
code)
4. Telephone 5. E-mail a dress 2 �/I{/`� 1
i i -1G4L 4 »3, 9 -3227777
(112" ) Z15-539 ic-h• },►,h�.►•, 5sl Q'wv,:l.c
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
owwl LI i.0 hi-- 4-- S (0c ir.?-4-- X312) applic+bllet:
�� t y fly intent is to run as a Write-In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write-In 0 No Party Affiliation El Party candidate.
9. I have appointed the following person to act as my rip
Campaign Treasurer ❑ Deputy Treasurer
10. Nam of Treasur r or Deputy Treasurer
11. Mailing Address 12. Telephone
1,Z(es V G.:n (Tn. ) 215 .413'-lam
A13. City Q 14. County 15. State 16. Zip Code 17. E-mail- addressL �
(A ►c;n T,L _41-. maxi t..A f 1 "32.2..27-7 V--n.- �-i n 9►14 r►.61<2 5n-vi,I LC"ti
18. I have designated the following bank as my Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
F--04,,L -e ..Ay.c.„,.(..LN. “-b V4 4,-31.1 1-4;in If%n ac.a.
21. City 22. County 23. State 24. Zip Code
J -1 ,y..., Ft -32.2. 13
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 andidate
<ji>'(21- X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, 140,6, 11,,.440”14.4. , do hereby accept the appointment
(Please Print or Type Name)
designated above as: lo Campaign Treasurer El Deputy Treasurer.
861.2.L. X
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.