Carper- DSDE 9- Appt. Treasurer- Rick Carper 11-22-19 IVED
REC
APPOINTMENT OF CAMPAIGN TREASURER '
AND DESIGNATION OF CAMPAIGN NOV 2 2 2019
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) SIX: ,7die
(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):
XD Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
Ricky Lowell Carper `? code)
1810 Selva Grande Drive
4. Telephone 5. E-mail address Atlantic Beach, Fl. 32233
(904 ) 545-3125 rickeng54@yahoo.com
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 myCampaign Treasurer ED Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer ``°°TT
Ricky L. Carper
11. Mailing Address 12. Telephone
1810 Selva Grande Dr. ( 904 ) 545-3125
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Atlantic Beach Duval Fl. 32233 rickeng54@yahoo.com
18. I have designated the following bank as my 0 Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
Navy Federal Credit Union 961 Atlantic Blvd
21. City 22. County 23. State 24. Zip Code
Atlantic Beach Duval Florida 32233
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. Signat -- '-f Candidate -
/02 A01
� X -"
27. Treasurer's Acceptance of Appointment(fill in the bla rand check the appropriate h
P PP � block)
Ricky L. Carper , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer ❑ Deputy Treasurer.
/ /4e/
i n f main T asurer or De u Treasurer
Date S g atu a p g � p ty
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.