HomeMy Public PortalAboutAppointment of Campaign TreasurerAPPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR 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.
OFFICE USE ONLY
1.
X
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)
Marcus Wendell Robinson
3. Address (include post office box or street, city, state, zip
code)
6336 Buford St. #607
Orlando,FI 32835
4. Telephone
(407 ) 353-4735
5. E-mail address
marcus716@yahoo.com
6. Office sought (include district, circuit, group number)
City commissioner District 6
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
III
Write -In
X
No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my
X
Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Althea Hargrove Robinson
11. Mailing Address
914 St. George St.
12. Telephone
( 407 ) 757-5565
13. City
Orlando
14. County
Orange
15. State
FI
16. Zip Code
32805
17. E-ma'I address
altheahr@bellsouth.net
18.1 have designated the following bank as my
X
Primary Depository ❑ Secondary Depository
19. Name of Bank
Axiom Bank
20. Address
715 S. Goldwyn Ave
21. City
Orlando
22. County
Orange
23. State
FI
24. Zip Code
32805
UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STAT ARE T
25. Date
5/8/2015
26. Signature didate
X ___ _ _
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I Althea Hargrove Robinson , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer ❑ eputy Trees e
5/8/2015 is rl1r,� 4/1
Date Signature of Campai, T surer or Deputy Treasurer
DS -DE 9 (Rev. 10/10)
Rule 1S-2.0001, F.A.C.