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Reeves- Appt. of Campaign Treasurer- Marshall 5-12-15 Received APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN MAY 1 2 2015 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) Office of City Clerk (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1.CHECK APPROPRIATE BOX(ES): © Initial Filing of Form Re-filing to Change: El Treasurer/Deputy El Depository D Office El 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 Atlantic Beach, Florida 32233 (904 ) 626.4318 mereeves1663 @comcast.nd 6.Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Mayor-Seat 1 applicable: 0 My 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 El Write-In El No Party Affiliation ® Party candidate. 9. I have appointed the following person to act as my © Campaign Treasurer 1=1 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 marshall1663 @comcast.net 18. I have designated the following bank as my © Primary Depository Secondary Depository 19. Name of Bank 20. Address The Jacksonville Bank 560 Atlantic Boulevard 21. City 22. County 23. State 24. Zip Code Atlantic 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 6/1 27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block) Martha B. Marshall , do hereby accept the appointment (Please Print or Type Name) designated above as: © Campaign Treasurer ❑ Deputy Treasurer. JI�Z l5 X G2! ate Signature of Campai reasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.