Bole - DSDE 9- Appt. Deputy Treasurer- Bruce Bole - 7-9-20„PPOIIIM NN OF CAM NIGH TR SU
AND DESIGNATE' F cCAMPAUGN
EigsPOSO T * RY FOR CANDIDAMS
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
HIR
NOTE: This form must be on file with the qualifying
of=ficer before opening the campaign account.
R"E
v L�
JUL
JUL q 2020
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
Initial Filing of Form Re -filing to Change:
Treasurer/Deputy Depository
Office Party
2. Name of Candidate (in this order: First, Middle, Last)
rofiu,C,7
4. Telephone
5. E-maili address
( ,U �� ) (r) � =� '0681 i5M42cun rite-ild b'
6. Office sought (include district, circuit, group number)
CoMev
G\t1:5-5
3. Address (include post office box or street, city, state, zip
code) C/,,c
AI /Cfof 1 tie,
8:: 1
S) TL,LU �K,
&Itemr3.aia, 33
7. If a candidate for a nonpartisan office, check if
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 r Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
4/
11. Mailing Address
C
c OKD -
13. City
G��'L9) RA,
14. County
V �&
18. I have designated I have designated the following bank as my
15. State
16. Zip Code
12. Telephone
tlfr arn
17. E-mail address
2/E�3//Q C'6»?.c
Primary Depository Secondary Depository
EV6tuf
5 ME
19. Name of Bank
fiv-40, ')0
21. City
TtIJ/7
i)
Cit y9A
20. Address
/On Illeian
22. County
00A MIL
23. State
24. Zip Code
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
5�
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
designated above as:
ULACAI
Dat.
(Please Print or Type Name)
Campaign Treasurer
, do hereby accept the appointment
Deputy Treasurer.
Sig ature of Campaign Treasurer or Deputy Treasurer
DS -DE 9 (Rev. 10/10)
Rule 1S-2.0001, F.A.C.