Waters -DS-DE9 - Appt. of Deputy Treasurer- Michael L. Waters - 7-15-20OINiG ENT'O'_ CAil""AIG
\I TREASURER
NI') DESIIGNA 8ON CM= C A, ; PA8R3N
WPOSI` ORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASF PRINT OR TYPE)
NOTE: This form must be on file with the gualifyin
officer before opening the campaign account.
MECEOVE
JUL1 5
JUL 5 2020 2020
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
j4 Initial Filing of Form Re -filing to Change: �
Treasurer/Deputy 171 Depository
Office [ Party
2. Name of Candidate (in this order: First, Middle, Last)
Dr. Michael L. Waters
4. Telephone
(904 ) 504-4656
5 E-mail address
drmikewatersrne.corn
3. Address (include post office box or street, city, state, zip
code)
1849 Boachsido Court
Atlantic Beach, FL 32233-5954
6. Office sought (include district, circuit, group number)
Commissioner, 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 paitisan, office, check block and fill in name of pally as applicable: My intent is to run as a
r! Write -In No Party Affiliation
r�
Party candidate.
-41111111S--
9. I have appointed the following person to act as my [ I Campaign Treasurer Eln< Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Dr. Michael L. Waters
11. Mailing Address
1849 Beachsido Court
13. City
Atlantic Beach
14. County
Duval
15. State
FI
16. Zip Code
32233
12 Telephone
( 904 ) 504=4656
17. E-mail address
drmikewaters@me.com
13. 1 have designated the following bank as my
Primary Depository Secondary Depository
19. Name of Sank
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 TRUE.
25 Date
July 13, 2020
26. Signatur
f Candidate
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
Dr. Michael L. Waters
(Please Print or Type Name)
designated above as:
July 13, 2020
Campaign Treasurer
Date
, do hereby accept the appointment
x Deputy Treasurer.
"7/-44.
Zee
Signature of Campaign Treasurer or Deputy Treasurer
DS -DE 9 (Rev. 10/10)
Wel Sn2.0001, FUA.C■