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HomeMy WebLinkAbout2026 04 06 - Cooper, Joel Filing DocumentsAPPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN RECEIVED DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) APR 0 6 2025 (PLEASE PRINT OR TYPE) CITY OF WINTER SPRINGS NOTE: This form must be on file with the filing officer before CITY CLERK DEPARTMENT 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) �IJ [ 9 V^ � jje"r& CootQ��00000n r !y j4 j ( PfCL 4. Telephone: 5. Candid[�atte's Voter #: Email Address: Registration �j 16. r ► l K M A-c It( [ dtoo � C.0►j inotrequ d alifying�poses) 7. Office Sought (include district, circuit, group, or seat #): 8. If a candidate for a nonpartisan office, check the box if applicable: or e1T 6 l mkr ceI I pt : ❑ 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. 1 have appointed the following person to act as my: Campaign Treasurer ❑ Deputy Treasurer 11. Name of Treasurer or Deputy Treasurer: 12. Telephone: 13. Email Addre Coo VC24:5�I T� h SZ' tiny c1 oer 14. Mailing Address: 15. City: 16. State: 17.r�Zip Code: IN�Cf rIVI S 18. 1 have designated the following bank as my (check appropriate box): ❑ Primary Depository ❑ Secondary Depository Address: 19. Name of Bank:�p� '20. own I" Lf' TcJ✓IIV Imo— � � iL`� �� 21, Ci y: j22. County: 23, State: 24. Zip Code: 11OR woo �(wL 1 UNDER P NALTIES 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. 26. Sig nat of Candidate: 25. Date: r J�� I X 27. Treasurer's Acceptance of Appointment (fill in thhe nks and check e appropriate box) 60,d it do hereby accept the appointment designated above as: (Please Pri t or Type Name) Campaign Treasurer. ❑ Deputy Treasurer. Campaign Treasurer or Deputy Treasurer 28. Date: L b l , M29natureof DS-DE 9 (Rev. 09/23) Rule 1S-2.0001, F.A.C. FCC USE ObM V 01 10 DID ATE Qgecx�6on WVUUAXO, ee) (Please print o, type) candidate for the office of RECEIVED APR 0 6 tutu CITY OF WINTER SPRINGS CITY CLERK DEPARTMENT !_providea access LU MUS c4- iq�-; Signature of Candidate bate Each candidate rr�usfi file a sfiafiemenfi with the qualifying offiicer within 10 days after the appointment of Campaign Treasurer and fJesignafiion of Campaign ©epository is filed. o/ilillfuB failure to file this form is a first degree misdemeanor and a civil violation oro` the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.190)(c), 106.265(1), Florida Statutes). DS-DE �4 (OS/11) RECEIVED APR 0 6 2ULO CITY OF WINTER SPRINGS CITY CLERK DEPARTMENT SUPEAYISAR UE ELECTIONS CANDIDATE INFORMATION CONSENT FORM Please complete the following Campaign Contact Information to be displayed on the Supervisor of Elections website. The information provided can be found at https://www voteseminole.bov under CANDIDATES > "Current Candidates" Candidate Name: Office sought: (includ"e district, grou Party Affiliation or NPA: Address: Phone:F� Website: Candidate Signatu VOTESEMINOLE.GOV FAX: 407.708.7705 seat) Date. I 1500 E AIRPORT BLVD, SANFORD, FL 32773 @VOTESEMINOLE � PHONE: 407.585.VOTE (8683) 0 v n 0 3 (hD m t O C 7 `G m X m 0 C m 0 O 3 m C7 m O o ;u — o (D c CD c n N O (n.a .A (D mQ n O 7 < ((D (< 7_ N O N Z7 ((DD o 0Z7 ;i7 0 0 '" (n v X O r+ z (n CQ (D O m o� �, � o(D �� (Dc� (n m I o N 0 (D0 c m c n (D (D � G Z 0 _r1 6 3� m `C o . -O (D 3 0 CL 0 v �' o c �' v O m (D Q m O m— Q _I ''m— ' m ��o ° a N < Q tD N (D n ` '* (O c m cn N moo m v (n (D Q(D v �; o (D am_ Qm _ Q �' w Q m m 1 ran 0 c@ N T �� N� m (m—p o No Co <" 07 (D CD :3 v 3 3, 0 v D m m O qI (D Q. 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