HomeMy WebLinkAboutBenton, Matthew DS-DE 9 - 2020 07 29APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(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.
1. CHECK APPROPRIATE BOX(ES):
OFFICE USE ONLY
X❑ 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
Matthew Oliver Benton code)
414 Cedarwood Court
4. Telephone 5. E-mail address Winter Springs, FL 32708
(407 ) 529-8948 mattbenton1959@gmail.com
6. Office sought (include district, circuit, group number)
Winter Springs City Commissioner District 1
7. If a candidate for a nonpartisan office, check if
applicable:
❑ My intent is to run as a Write -In candidate.
8. If a candidate for a artisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -In n No Party Affiliation ❑ m_ _ w m Party candidate.
9. 1 have appointed the following person to act as my
10. Name of Treasurer or Deputy Treasurer
Matthew Benton
11. Mailing Address
945 Longdale Ave.
13. City 14. County
Longwood Seminole
18. 1 have designated the following bank as my
❑X Campaign Treasurer
15. State 16. Zip Code
FL 132750
Deputy Treasurer
12. Telephone
( 407 ) 529-8948
17. E-mail address
mattbenton1959@gmail.com
❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
Citizens Bank of Florida 8305 Red Bug Road
21. City 22. County 23. State 24. Zip Code
Oviedo Seminole FL 32765
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
07/29/2020
27.
1,
26. Signature of Candidate
Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
designated above as
Matthew Benton
(Please Print or Type Name)
07/29/2020
Date
❑X Campaign Treasurer
, do hereby accept the appointment
11 Deputy Treasurer.
Signature of Campaign Treasurer or Deputy Treasurer
Rule 1S-2.0001, F.A.C.
DS-DE 9 (Rev. 10/10)