HomeMy WebLinkAboutAppointment of Treasurer_Bruce Prince_10/5/2021 PPOINTMENT OF CAMPAIGN TREASURER Cw
AND DESIGNATION OF CAMPAIGN 0 J J' w
DEPOSITORY FOR CANDIDATES I �Oopwl
(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(this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
Jce � rIlne,e- code) 70 �CA«JIcI�J � .
4. Telephone 5. E-mail address TC� /��' 3 j46
( �� )ag7-Y r j 0 1-f'kic• 1m 1(, co >V
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
I applicable:
✓�// �B�q�'�/ SCE My intent is to run as a Write-In candidate.
II t
8. If a can (date fora 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.
have appointed the following person to act as my ampaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Degguty�Treasurer
,� �e ,
11. Mailing Address 12. Telephone
70
13. City / 1 oun 15. State 16. Zip Code 17. E-mail addreDsII .00 ✓h
18. I Kave designated the following bank as my Primary Depository Secondary Depository
19. Name of Bank T 20. Address
21. City 2 C�jm
unty 23. State 24. Zip Code
7e �s/Ja %( .9ea I,::--/. 3 3 4l 6
UNDER ANALTIES 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 an idat
27. Treasurer's Accepts ce of Appointment (fill in the blanks and check the appropriate block)
I, , do hereby accept the appointment
(Please Print or Type Name)
1 signated above as: Campaign Treasurer Deputy Treasurer.
X
Date Signature of Campaign Treasurer or Deputy Treasurer
II DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.
n OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
1
candidate for the office of 1ji)104fe �U JI c'&`( Serf'
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x
l
Signature of Candidate bate
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)
ELECTION LAWS (State of Florida) (Chapter 99, 101, 104& 106) 21
is the responsibility of each candidate to read and understand all the Election Statutes and laws
www.le .state.fl.us Statutes index.cfm?A mode=Display Index&Title Re uest=lX#TitlelX
CANDIDATE HANDBOOK ON CAMPAIGN FINANCING 22
https://www.teguesta.org/DocumentCenter/View/10735/`Candidate-and-Campaign-Treasurer-Handbook-
Updated-10 3 2019
FAC1's- https://dos.mvflorida.com/elections/contacts/frequently-asked-questions/fag-campaign-finance/
COUNTY ETHICS ORDINANCE 23
https://www.teguesta.org/DocumentCenter/View/10734/Commission on Ethics Ordinance-
effective 9-22-15
https://www.teguesta.org/DocumentCenter/View/10733/Code of Ethics Ordinance-effective 9-22-
2015
1 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.
(Candidate Si a Date
Candidate Declined to sign acknowledging he/she received the forms.
Clerk Signature: Witness:
n
Lori McWilliams
From: Bruce Prince
Sent: Wednesday, November 10, 2021 11:22 AM
To: Lori McWilliams
Subject: Council seat#5 withdrawal
Lori
With much regret I ask that you remove my application for seat#5 from the upcoming election for the Village of
Tequesta.
I look forward to finishing my current term and wish the Village the best of luck for the future! Regards Bruce
Sent from my iPhone
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