Carper- DSDE 9- Changed Depository- 12-5-19 •
DECE D V E
APPOINTMENT OF CAMPAIGN TREASURER DEC 5 2019
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
I/C57J.
(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 X❑ 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:
E] 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 El Party candidate.
9. I have appointed the following person to act as my ❑ Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
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 ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
BB&T Co. 363 Atlantic Blvd, Suite 16
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. Signa - •f Candi to
is" _10
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
Ricky L. Carper , do hereby accept the appointment
(Please Print or Type Name)
designated above as: X❑ Campaign Treasurer fl eputy Treasurer.
I J-/
Date Sign Campaign treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.