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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. ✓ 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 80 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 Joseph 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 grundjoseph@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 6 Sep 2017 26. Signature of Candidate 4 X 3wth4_ 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Joseph M. Grund I, , do hereby accept the appointment (Please Print or Type Name) designated above as: Iga Campaign Treasurer Deputy Treasurer. 6 Sep 2017 X Date ign f Campaign Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/101 Rule 1S-2.0001, F.A.C.