HomeMy WebLinkAboutAppointment of Treasurer_Abby Brennan_10/16/2018 APPOINTMENT OF CAMPAIGN TREASURER RECEIVED
AND DESIGNATION OF CAMPAIGN NOV _ � 2018
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) VILLAGE CLERKS OFFICE �\
(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):
0 Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
Abby Brennan code)
523 N Dover Rd
4. Telephone 5. E-mail address Tequesta, FL 33469L
(561 ) 339-0740 abby@abbybrennan.net
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
Village of Tequesta Council - Seat 2 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. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Abby Brennan
11. Mailing Address 12. Telephone
523 N Dover Rd ( 561 ) 339-0740
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Tequesta Palm Beach FL 33469 abby@abbybrennan.net
18. 1 have designated the following bank as my Q Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
First Citizens Bank 250 Tequesta Dr
21. City 22. County 23. State 24. Zip Code
Tequesta Palm Beach FL 33469
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 26. Signature of Candida
November 7, 2018
27. Treasurer's Acceptance of Appointment (fill in the blan and check the appropriate block)
Abby Brennan do hereby
accept p the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer Deputy Treasurer.
November 7, 2018 /,� 70w,/z
Date S14A t re of tampaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.