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Baker, Sarah DS-DE9 & DS-DE 84 - 2024 05 21
APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES E�t���p��® (Section 106.021(1), F.S.) �fAY 2 � 2024 (PLEASE PRINT OR TYPE) CITY of WINTER sPRlrvcs OFFICE OF THE CITY CLERK NOTE: This form must be on file with the filing 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 (in this order: First, Middle, Last): 3. Address (include PO Box or Street, City, State, Zip Code): (Please Print or Type Name) 1551 Winter Springs Blvd. Sarah Marie Baker Winter Springs, FL 32708 4. Telephone: 5. Candidate's Voter Registration #: 6. Email Address: (513 ) 910-4891 votesa ra h ba ke r@g m a i I . co m (not required for qualifying purposes) 7. Office Sought (include district, circuit, group, or seat #): � Winter Springs Commission Distric � 8. If a candidate for a nonuartisan office, check the box if applicable: ❑ I intend to run as a Write -In Candidate. 9. If a candidate for n office, check the box and fill in the name of the party as applicable: I intend to run as a ❑ Write -In Candidate. ❑ No Party Affiliation Candidate. ❑ Party candidate. 10. I have appointed the following person to act as my: ❑■ Campaign Treasurer ❑Deputy Treasurer 11. Name of Treasurer or Deputy Treasurer: Joseph Matthew Baker 12. Telephone: (513 )289-3870 13. Email Address: joedon3@gmail.co 14. Mailing Address: 1551 Winter Springs Blvd. 15. City: Winter Springs 16. State: FL 17. Zip Code: 32708-3802 18. I have designated the following bank as my (check appropriate box): ❑■ Primary Depository ❑Secondary Depository 19. Name of Bank: 20. Address: Chase Bank 1210 E State Rd 434 21. City: Winter Springs 22. County: Seminole 23. State: FL 24. Zip Code: 32708 UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR THE APPOINTMENT OF THE CAMPAIGN TREASURER AND DESIGNATION OF THE CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date:�� �/ � / �� 26. Signat of Candidate: � � � � Q 1_ _ 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate%b�o�x-)�� I Joseph Matthew Baker do hereby accept the appointment designated above as: (Please Print or Type Name) ❑■ Campaign Treasurer. ❑Deputy Treasurer. 4 �/• � � � �y 28. Date: �] 29. Si ature of Campaign Treasurer or Deputy Treasurer X, DS-DE 9 (Rev. 09/23) Rule 1S-2.0001, F.A.C. STATEMU d' H� ) C� CAMII®AT (Section 1®61o©23, Fo8a) (Please print or type) 1, Sarah Marie Baker candidate for the office of Winter Spri istrIM 1 have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. "Jr1 signature or �anaiaate 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 (OS/11)