HomeMy WebLinkAboutAppointment of Treasurer_Kyle Stone_11/5/2018 File before collecting petition
signatures or collecting or
APPOINTMENT OF CAMPAIGN TREASURER expending funds. Take to bank to open
AND DESIGNATION OF CAMPAIGN account after filed with Clerk.
DEPOSITORY FOR CANDIDATES RECEIVED
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE) DEC 0 3 2018 V
NOTE: This form must be on file with the qualifying VILLAGE CLERKS OFFICE
officer before opening the campaign account. OFFICE USE ONLY
1. �-IECK 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) 3. Address (include post office box or
street,city, state,zip
,kyle Xenne�h JIvn� code) 211 Fal;*e ay Easf
4. Telephone 5. E-mail address
(S6/ ) yol-2S9/ 011ch WM �co �/0 2Y 46
Ma M 3 9
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
7epG5fla V//lage 6OU/1013 Self � 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.
I have appointed the following person to act as my 2rCampaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Setasf7u� Lodi�d
11. Mailing Address 12. Telephone
30 8 ?gUL5-1'4 Dow, , Sv i fe, 22 (sb/ )9-?5- 9 S3D
13. City 14. County 15. State 16. Zip Code 17. E-mail address
7 v�ski Palm $eaI A FL 33'f 6 y slog i fir@�icobook�ecPcR. �oM
18. 1 have designated the following bank as my Primary Depository Secondary Depository
19. Name of Bank Address
20. Address
Fi me 250 ie vfs� Doi v�
21. City 22. County 23. State 24.Zip Code
7� �5� PQIM BG,C1G`i F� 33�f 6q
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. Sign toe of Candidat
(z - 3- /g X
27. Treasur is Acceptance of Appointment (fill in the blanks and check the appropriate block)
,G,I I c.�- LA , do hereby accept the appointment
(Please Print or Type Name)
.esignated above as: d Campaign Treasurer De p i reasurer
A,
Date
Date er or Deputy Treasurer
DS-DE 9 (Rev. 10110) Rule 1S-2.0001, F.A.C.
File before collecting petition
signatures or collecting or
APPOINTMENT OF CAMPAIGN TREASURER expending funds. Take to bank to open
AND DESIGNATION OF CAMPAIGN account after filed with Clerk.
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) RECEIVED
(PLEASE PRINT OR TYPE) DEC O 3 201, IY
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. VILLAGE CLERKS OFFICE OFFICE USE ONLY
1. s,HECK APPROPRIATE BOX(ES):
Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy Depository Office Party
2. Name of Candidatet(in this order: First, Middle, Last) 3. Address (include post office box for street, city, state, zip
1� 1
le_ �A" is code) a I( �'A�c-��4Y Gi4ST
4. Telephone 5. E-mail address Te U,6kk 3 341 6 9
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
��ll II I applicable:
VX4& W,1,1a5C l6vA �1 "V * y My intent is to run as a Write-In candidate.
8. If a candidate fora partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write-In No Parry Affiliation ® Party candidate.
9. 1 have appointed the following person to act as my Campaign Treasurer Deputy Treasurer
0. Name of Treasurer or Deputy Treasurer
11. Mailing Address 12. Telephone
(56l ) col -2sg1
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Te v« 4A,1P%. $eel L. 33q b I (< (,Ka.e�56'z �. cwl'
18. 1 have designated the following bank as my Er Primary Depository Secondary Depository
19. Name of Bank 20. Address
T,,7- S � �'SO 1 e Ue5A-0' op.vc
21. City 22. County 23. State 24. Zip Code
al Vc4,ta. 4 4,t � L 33 Y&9
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 Candidate
X L(e_'—D C
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
l �f� � `�- ,do hereby accept the appointment
(Please Print or Type Name)
�signated above as: Campaign Treasurer Ell Deputy Treasurer.
2131 if X <gn-u-
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10110) Rule 1S-2.0001, F.A.C.