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HomeMy Public PortalAboutAppointment of Campaign Treasurer (2)APPOINTMENT 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. y� pp''kc �� }}1,,F,�JJ .- .. . .��_?.. ` YCLE+RK7Y 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) Lawanna Renee Gelzer 3. Address (include post office box or street, city, state, zip code) 7674 Saint Stephens Court Orlando, FL 32835 4. Telephone (407 ) 953-5599 5. E-mail address lawannagelzer@aol.com 6. Office sought (include district, circuit, group number) Orlando 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 'artisan office, check block and fill in name 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 ❑ Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Lawanna Gelzer 11. Mailing Address 7674 Saint Stephens Court 12. Telephone ( 407 ) 953-5599 13. City Orlando 14. County Orange 15. State FL 16. Zip Code 32835 17. E-mail address lawannagelzer@aol.com 18. I have designated the following bank as my X Primary Depository ❑ Secondary Depository 19. Name of Bank Wells Fargo 20. Address 6306 West Colonial Drive 21. City Orlando 22. County Orange 23. State FL 24. Zip Code 32818 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FO FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT TH ACTS S .ED-IN.JT ARE TRUE 25. Date // �� `7` /020/ l 26:7 I -' • Candidate �' _,� �-. ( 27. Treasurer's Acceptanc(of Appoitfrrent ill i • he blanks and check tl' a appropriate block) Lawanna Gelzer , do hereby accept the appointment Print Type Nam= (Please or designated above as: ❑ Campa}gn-T asur- x Deputy Treas er. Date Signature Campaign Tr surer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.