HomeMy WebLinkAboutDiaz, Paul DS-DE9 & DS-DE 84 - 2024 06 05APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
R�1�1�D
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
Mill p 5 2024
NOTE: This form must be on file with the filing officer before
CITY OF WINTER SPRINGS
OFFICE OF THE CITY CLERK
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)
1170 Tree Swallow Dr., #343
PAUL DIAZ
Winter Springs, FL 32708
4. Telephone:
5. Candidate's Voter Registration #:
6. Email Address:
$ ^ " S�q�
($$$ )PAUL 4 WS
contact@ElectPaulDiaz.com
(not required for qualifying purposes)
7. Office Sought (include district, circuit, group, or seat #):
8. If a candidate for a nonpartisan office, check the box
if applicable:
Commissioner, District 1, Winter Springs
❑ I intend to run as a Write -In Candidate.
9. If a candidate for partisan 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:
12. Telephone:
13. Email Address:
PAUL D. DIAZ, EA
(689 ) 400-1040
1040@taxcuttery.com
14. Mailing Address:
15. City:
16. State:
17. Zip Code:
P.O. BOX 195418
WINTER SPRINGS
FLORIDA
32719-5418
18. 1 have designated the following bank as my (check appropriate box): ❑■ Primary Depository ❑ Secondary Depository
19. Name of Bank:
20. Address:
BANK OF AMERICA
110 E State Road 434
21. City: 22. County:
23. State:
24. Zip Code:
Winter Springs Seminole
Florida
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.
06/05/2024
26. Signature of Candidate:
25. Date:
X � e
to
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27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate box)
11 PAUL D. DIAZ, EA do hereby accept the appointment designated above as:
(Please Print or Type Name)
❑■ Campaign Treasurer. ❑ Deputy Treasurer.
06/05/2024
290 Sigraa re o Ca paign Treasurer or Deputy Treasurer
28. Date:
v
/�
DS-DE 9 (Rev. 09/23) Rule 1S-2.0001, F.A.C.
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
I, PAUL DIAZ
candidate for the office of WINTER SPRINGS COMMISSIONER, DISTRCT 1
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X S 'Wt
Signature of Candidate D to
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)