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.
ORL CITY CLERK
FEB6' 1 7 FM 1.:33
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X❑ Initial Filing of Form Re -filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last)
Betty Jean Gelzer
3. Address (include post office box or street, city, state, zip
code)
815 Hills Street
Orlando, FL 32805
4. Telephone
(407 ) 283-3565
5. E-mail address
bettygelzer@yahoo.com
6. Office sought (include district, circuit, group number)
Orlando City Commissioner District 5
7. If a candidate for a non . artisan 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
II
Write -In 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
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
32835
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
2/6/2017
26. Sign ture of Candidate
X
27. Treasurer's Acceptance of Appointment (fill in the blanks and
Lawanna Gelzer
check the appropriate bl ck)
, do hereby accept the appointment
(Please
designated above as:
Print or Type Name)
X Campaign Treasurer puty Treasur r
2/6/2017
X
Date ( igna of Campaign easurer
Treasurer
DS -DE 9 (Rev. 10/10)
Rule 1S-2.0001, F.A.C.