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.