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HomeMy WebLinkAboutElliott, Robert Miles DS-DE 9 [SUPERSEDED]APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES Mr,,30 ()202j,,j (Section 106.021 (1), F.S.) C I T erI VV) N r E F, �" P f 1f iG S 1' 1 (E OF 1 fl C'�T'Y CLEF""fl< (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying officer before o ening,the cam ea!gn account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): El Initial Filing of Form Re -filing to Change: [-] Treasurer/Deputy C] Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Robert Miles Elliott code) 925 Chokecherry Court ........... . ...... 4. Telephone 5. E-mail address Winter Springs, FL 32708 (407 ) 848-9828 elliotr8689@gmaii.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Winter Springs City Commissioner applicable: D ) -t) T-g- ILT- -5- [] My intent is to run as a Write-in candidate. 8. If a candidate for a gqqLlsan office, check block and fill in name of party as applicable: My intent is to run as a ❑ Write-in E] No Party Affiliation E] Party candidate. 9. 1 have appointed the following person to act as my Q Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Sarah Alethe Elliott 11. Mailing Address 12. Telephone 925 Chokecherry Court ( 407 ) 314-6922 13. City 14. County 15. State 16. Zip Code 17. E-mail address Winter Springs �Seminole �FL 132708 elliott8689@gma il.com mail.com IMM,­ . . ...... ... ..j 18. 1 have designated the following bank as my Q Primary Depository [3 Secondary Depository . . . . . .....................----- 19. Name of Bank 20. Address Navy Federal Credit Union 1755 W SR 436 21. City 22. County 23. State 24. Zip Code Winter Park Orange FL 32792 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, f Candidate 8/5/2020 X I 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) Sarah Alethe Elliott I. , do hereby accept the appointment (Please Print or Type Name) designated above as: MX Campaign Treasurer Deputy Treasurer. 8/5/2020 Date DS-DE 9 (Rev. 10/10) X , A re of Campaign Treasurer or Deputy Treasurer Rule 1S-2.0001, F.A.C.