HomeMy WebLinkAboutCandidate Packet_Abby Brennan_10/16/2018 OFFICE USE ONLY
STATEMENT OF
CANDIDATE RECEIVED
(Section 106.023, F.S.) NOV _ 8 201 ; N`
(Please print or type)
VILLAGE CLERKS CFFICE
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candidate for the office of
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
Signature f Candidate Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1 ,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84(05111)