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Waters -DS-DE9 - Appt. of Treasurer- Nancy Whittington - 7-13-20
1 AP (ANITA = N T OF GAPAII CRIHAS U LR E U AND DLSOGRIATOok OF CAMPAHGN � P SOTORY NOR CANDID/All S (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before opening the campaign account. JUL I s 2020 OFFICE USE ONLY 1. CHECK APPROPRIATE L-30X(IS): L>_,<=1 Initial Filing of Form Re -filing to Change: [ 11 Treasurer/Deputy [n Depository LJ Office I I Party 2. Name of Candidate (in this order: First, Middle, Last) Dr. Michael L. Waters 4. Telephone . . ��-6 (904 r24n0225 3. Address (include post office box or street, city, state, zip code) 1849 Beachside Court Atlantic Beach, FL 32233-5954 6. Office sought (include district, circuit, group number) Commission Seat #3, District 1307 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 nnarne 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 X Campaign Treasurer Deputy Treasurer 10. Narne of Treasurer or Deputy Treasurer Nancy Whittington 11. Mailing Address 1861 Beachside Court 13. City Atlantic Beach 14. County Duval 15 State FL 16 Zip Code 32233 12. Telephone ( 904 ) 242-0170 17. E-mail address nvn202@juno.com 18. I have designated the following bank as nniy Primary Depository Secondary Depository 19. Name of Bank Vystar 21. City Neptune Beach 20. Address 1307 Atlantic Blvd. 22 County Duval 23. State FL 24. Zip Code 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 TRIJE. 25 Date 26. Signatur of Candidate '7 27. 1, designated above as: July 9, 2020 Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Nancy Whittington (Please Print or Type Narne) 1>1 Campaign Treasurer t_l Date do hereby accept the appointment Deputy Treasurer. Signature of Campaign Treasurer or Deputy Treasurer DS.DE 9 (Rev. 10/10) Rude 1 02.0©0`i, F.A.G.