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Waters -DS-DE9 - Appt. of Deputy Treasurer- Dianne Price Waters - 7-15-201 ONFIGI.r►I - N T OF G &UUW'AIGN TREASURER AND DESIG NIATION OF CAMPAIGN DEPOSITORY F° R CANDIDATES (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. CRta1 ECEOgrEn JUL 1 5 2020 OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): VI Initial Filing of Form Re -filing to Change: [I Treasurer/Deputy fl Depository Office Li Party 2. Name of Candidate (in this order: First, Middle, Last) Dr. Michael L. Waters 4. Telephone (904 ) 5044656 E-mail address d rm i kewate rs m e .corn 6. Office (include district, circuit, group number) Commissioner, Scat 3 District 1307 3. Address (include post office box or street, city, state, zip code) 1849 Beachsido Court Atlantic Beach, FL 32233-5954 7. If a candidate for a nonpartisan office, check if applicable: My intent is to run as a Write -In candidate. ■ 8. Ir 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 u Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer Deputy treasurer 10. Name of Treasurer or Deputy Treasurer Dianne Price Waters 11. Mailing Address 1849 Beachside Court 13. City Atlantic Beach 14. County Duval 15 State FI 16. Zip Code 32233 12. Telephone ( 904 ) 307-.3242 17. E-mail address diannepricewaters@me.com 13. I have designated the following bank as my 0 Primary Depository Secondary Depository 19. Name of Bank Vystar 20. Address 1307 Atlantic Blvd 21. City Neptune Beach 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 TRUE. 25 Date July 13, 2020 2�. I, designated above as: - Deputy/rreOurr July �13, 2020�, Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Dianne Price Waters (Please Print or Type Name) 1 1 Campaign treasurer , do hereby accept the appointment x Date Signature of Campaign Treasurer or Deputy Treasurer DS=DE 9 (Rev. 10/10) Rule/18=2.00011 F.A.C.