Appointment of Treasurer_Ruben Cruz, Jr._9/25/2023 rc�uzS�l �;.��; . C�►�n
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES RECEIVED
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE) SEP 2 5 2023
VILLAGE CLERKS OFFICE
NOTE: This form must be on file with the qualifying officer
before opening the campaign account. OFFICE USE ONLY
1. HECK 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 code)
Z— 7,310 1111LlV - �W_we
4. Telephone 5. Candidate's Voter Registration#: Tqu.8STAJVI,
Wo2-14S5o �
(Not required for Qualifying Purposes)
(Not required for Qualifying Purposes)-Phonetic spelling for audio ballot: Print name phonetically on the line below as you wish it to be pronounced on
the audio ballot as may be used by persons with disabilities(see instructions on page 2 of this form):
6. Office sought(include district, circuit, group number) 7. If a candidate fora nonpartisan office, check if
Ji mc..+ tf l applicable:
❑ My intent is to run as a Write-In candidate.
If a candidate fora Partisan office, check block and fill in name of party as applicable: My intent is to run as a
,J Write-In No Party Affiliation ❑ Parry candidate.
9. 1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer 11. Telephone
e"z ( h 6( ) 348,
12. Mailing Address 13. City 14. State 15. Zip Code
16. 1 have designated the following bank as my Primary Depository ❑ Secondary Depository
17. Name of Bank 18.Address
1 1- 4VSr lb i 0S
19. City 20. County 21. State 22. Zip Code
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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.
23. Date 24. Signature of Candidate
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25. Treasurer's))Acceptance of Appointment(fill in the blank and heck the appropriate block)
1, u t3 e r`( Q.0 Z do hereby accept the appointment
(Please Print or Type Name)
,ignated above as: Campaign Treasurer. ❑ Deputy Treasurer.
7i�-7 b 2'� X i,
Date Signature o a aign Treasurer or Deputy Treasurer
DS-DE 9(Rev.07/23) Rule 1S-2.0001, F.A.C.
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.) RECEIVED
(Please print or type) SEP 2 5 2023-, '
VILLAGE CLERKS OFFICE
1, �-�6ii,r-c �t2,u Z �Q• ,
candidate for the office of U 0I qqe `uu r z t j
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
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Sign a re of Candidate hate
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)
2024 List of Candidate Forms/ Books
TAB#
List of Candidate Forms 1
The following form must be filed with the Clerk prior to opening a campaign account or collecting/accepting
contributions:
DS-DE 9 Appointment of Campaign Treasurer (,E fA'r 2
The following form must be signed and returned to the qualifying officer within 10 days after the appointment of
campaign treasurer(Form DS-DE 9) is filed:
DS-DE 84 Statement of Candidate/ F.S. 106 C 3
The following are to be filed per the dates listed in Tab 2
Campaign Treasurer Reporting Dates 4
DS-DE 12 Campaign Treasurer's Report Summary 5
https://dos.myflorida.com/media/693241/4sdel2.pdf
DS-DE 13 Campaign Treasurer's Report—Itemized Cont. DA ' 0/1k 6
https://dos.myflorida.com/media/693243/dsdel3.pdf —�
en
02
DS-DE 14 Campaign Treasurer's Report—Itemized Expend. f t,� p= 7
https://dos.myflo rid a.com/media/693244/dsdel4.pdf p i 0 2
DS-DE 87 Waiver of Report 8
https://dos.myflorida.com/media/693282/dsde8Z.pdf ,4c rj
DS-DE 73 Campaign Loans Report ��, C4u aI. 9
https://dos.myflorida.com/media/693276/dsde73.pdf
The following forms must be turned in during the qualifying period:
NOON,TUESDAY, NOVEMBER 7, 2023 THROUGH
NOON,TUESDAY, NOVEMBER 21, 2023
FS 99.021(a) Candidate Oath 10
CE Form 1 2022 Statement of Financial Interests >O �, Q{4r�s W twit fi-311
Village Form Nominating Petitions (Clerk will provide these after you have filed the DS-DE 9) 12
Village Form Notice of Candidacy 13
Village Form Notice of Logistics &Accuracy Test* 14
Village Form Residency Affidavit 15
General Information
DS-DE 100 Telephone Solicitation 16
https://dos.mvflorida.com/media/693289/dsdelOO.pdf
DS-DE 125 Designation of Poll Watchers 17
https://dos.myfiorida.com/media/696684/dsdel25.pdf
Council 18
Procedures
Charter https://library.municode.com/fl/teguesta/codes/code of ordinances?nodeld=PTICH 19
Political 20
Signs
Sunshine http://myfloridalegai.com/pages.nsfIMain/DCOB20B7DC22B7418525791B006A54E4 21
Law
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a3n13J32!
ELECTION CODE (State of Florida) 22
It is the responsibility of each candidate to read and understand all the Election Statutes and laws
ttp://www.leg.state.f1.us/Statutes/index cfm?App mode=Display Index&Title Request IX#TitlelX
CANDIDATE HANDBOOK ON CAMPAIGN FINANCING 23
Not available yet
COUNTY ETHICS ORDINANCE 24
https://www.teguesta.org/DocumentCenter/View/10734/Commission on Ethics Ordinance
effective 9-22-15
I acknowledge that I have received all the forms and documents referenced on the "Candidate Forms List" and I
acknowledge that the information contained here is intended as a reference guide only. The Clerk's Office will assist
candidates; however, performs a ministerial function and cannot interpret Florida Statutes or determine whether the
contents of the qualifying papers are accurate.
20 Z
(Candidate Signatur Date
❑ Candidate Declined to sign acknowledging he/she received the forms.
Jerk Signature: Witness: