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Appointment of Campaign Treasurer
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 offi er before opening the campaign account. OFFICE USE ONLY 1 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) Latasha M. Wright 3. Address (include post office box or street, city, state, zip code) PO.BOX 618194 Orlando,FL. 32861 4. Telephone (407 ) 223-2762 5. E-mail address Iatasha.wright806@gmail.cor 6. Office sought (include district, circuit, group number) City Commissioner District 5 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 ❑ 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 Yvonne M. Wright 11. Mailing Address 4630 S. Kirkman Road # 239 12. Telephone ( 404 ) 798-9675 13. City Orlando 14. County Orange 15. State Fl 16. Zip Code 32811 17. E-mail address wrightym112248@gmail.com 18. I have designated the following bank as my X Primary Depository ❑ Secondary Depository 19. Name of Bank TD Bank 20. Address 4675 S. Kirkman Road 21. City Orlando 22. County Orange 23. State Florida 24. Zip Code .122°// 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 02/09/2017 26. Sig tur of ndida f. 0,44_, , 27. Treasurer's Acceptance of Appointment (fill in th blanks and check he appropriate block) Yvonne M.Wright , do hereby accept the appointment (Please designated above as: 02/09/2017 Print or Type Name) © Campaign Treas rer ❑ DecpuuttyTreasur , X 7/ � � lr U Date Signature of Campaign Trea rer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.