Loading...
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. 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) Sunshine L. Grund 3. Address (include post office box or street, city, state, zip Bg I Bradley's Landing St. Orlando, FL 32827 4. Telephone (407 ) 917-1022 5. E-mail address sunshinelgrund@gmail.com 6. Office sought (include district, circuit, group number) City of Orlando District 1 Commissioner 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 ❑ Campaign Treasurer ✓ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Sunshine L. Grund 11. Mailing Address 8577 Bradley's Landing St 12. Telephone ( 407) 917-1022 13. City Orlando 14. County Orange 15. State Florida 16. Zip Code 32827 17. E-mail address sunshinelgrund@gmail.com 18. I have designated the following bank as my ✓ Primary Depository ❑ Secondary Depository 19. Name of Bank Bank of America 20. Address 1041 9 Narcoossee Rd 21. City Orlando 22. County Orange 23. State Florida 24. Zip Code 32832 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 6Sep2017 26. Signature of Candidate X r:Z. 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Sunshine L. Grund I, , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer E Deputy Treasurer. 6Sep 2017 X r Date Signature of Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.