HomeMy WebLinkAboutBaker, Sarah DS-DE 9 - Updated 2024 06 05.pdfAPPOI�`�TMENT OF CAMPAIGN TREASURER
AV`�9 o DESIGNATION �F CAMPAIGN
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DEPOSIT®RY FOR CANDIDATES
(Section 106.021(1), F.S.)
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(PLEASE PRINT OR TYPE)
CITY OF WINTER SPRINGS
OFFICE OF,TI-iE CITY CLERK
NOTE: This form must be on file with the filing officer before
opening the campaign account.
®��9�E USE ONLIi
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 Wlnter SpringS BIVd
Sarah Marie Baker
Winter Springs, FL 32708
4. Telephone:
5. Candidate's Voter Registration #:
6. Email Address:
(513 > 910-4891
sarahferWi��tersprings@gmao
for
(not required qualifying purposes)
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7. Office Sought (include district, circuit, group, or seat #):
8. If a candidate for a non au rtisan office, check the boat
�®���i��i®ner DistU o�� 3 Winter S�
�❑ pplicable:
I intend to run as a Write Candidate.
�
-In
9. If a candidate for per; 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:
Sarah Baker
(513 ) 9104891
�'a�ah-�'o� w;��c�s�pr,i, sG� yma.�o .,
14. Mailing Address:
15. City:
16. State:
17. Zip Code:
1551 Winter Springs Blvd
Winter Springs
FL
32708
18. I have designated the following bank as my (check appropriate box): 0 Primary Depository ❑Secondary Depository
19. Name of Bank:
20. Address:
Fifth Third
1181 E State Rd 434
21. City:
22. County:
23. State:
24. Zip Code:
Winter Springs
Seminole
FL
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.
5/28/24
26. Signat f Candidate:
25. Date:
V
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?7. Treasurer's Acceptance of Appointment (fill in the blan eck the appropriate box)
I Sarah Baker do hereby accept the appointment designated above as:
(Please Print or Type Name)
❑ Campaign Treasurer. ❑■ Deputy Treasurer.
29. Sig of Campaign Treasurer or Deputy Treasi'�cer
28. Date: � � G ��
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DS-DE 9 (Rev. 09/23) Rule 1S-2.0001, F.A.C.
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