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Reeves- Appt. of Deputy Treasurer- Reeves 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: ❑ Treasurer/Deputy ❑ Depository ❑ Office Ej 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: ❑ 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 ❑ Write-In ❑ No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my ❑ Campaign Treasurer © Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Mitchell E. Reeves 11. Mailing Address 12. Telephone 1663 Sea Oats Drive ( 904 ) 626.4318 13. City 14. County 15. State 16. Zip Code 17. E-mail address Atlantic Beach Duval FL 32233 mereeves1663 @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 C 26. Signature of Candidate 27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block) Mitchell E. Reeves , do hereby accept the appointment (Please Print or Type Name) designated above as: 0 Campaign Treasurer © Deputy Treasurer. ‘511R/ Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.