Goodrich - DS-DE9 - Appt. Treasurer- Lisa Goodrich 7-1-20DS=IDE 9 (Rev. 10/10)
Rule 1S-2.0001, P.A.C.
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(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the cam • aign account.
'
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
XI Initial Filing of Form Re -filing to Change: F
I Treasurer/Deputy
I I] Depository
Office FT
Party
2 Name of Candidate (in this order: First, Middle, Last)
Lisa Marie Goodrich
3. Address (include post office box or street, city, state, zip
code)
30 20th Street
4. Telephone
(904 ) 982-5439
5. E-mail address
good3336@icloud.com
Atlantic Beach,
= L 32233
6. Office sought (include district, circuit, group number)
Atlantic Beach Commission Seat 43
7. If a candidate for a ropkwartisan, office, check if
applicable:
My intent is to run as a Write -In candidate.
8. If a candidate for a 'artisan office, check block and fill in name of party as applicable: My intent is to run as a
I 11 Write -In
__ No Party Affiliation
I
Party candidate.
a
9.
I have appointed the following person to act as my
X
Campaign Treasurer
I I
Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Lisa Goodrich
11. Mailing Address
30 20th Street
12. Telephone
( 904 ) 982-5439
13. City
Atlantic Reach
14. County
Duval
15. State
Florida
16 Zip Code
32233
17. E -ma] address
good3336@icloud.com
18.
I have designated the following bank as my CX
Primary Depository f Secondary Depository
19. Name of Bank
Regions Bank
20. Address
115 3rd Street
21. City
Neptune Beach
22. County
Duval
23. State
Florida
24 Zip Code
32266
UNDER PENALTIES OF PERJURY,
DESIGNATION
I DECLARE THAT
OF CAMPAIGN
I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date
July 1, 2020
26. Signa ure
/ a
, -'
of Candidate
,�
a
-,
27. Treasurer's Acceptance of Appointment (fill in the blank -!and check the appropriate block)
I Lisa Goodrich , do hereby accept the appointment
(Please Print or Type Name)
designated above as:
j<
Campaign Treasurer
i Deputy Treasurer.
July 1 2020
X Un!
9
Date Signatu, e'of
Campaign Treasurer or Deputy Treasurer
DS=IDE 9 (Rev. 10/10)
Rule 1S-2.0001, P.A.C.