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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.