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Home My WebLink About2026 07 14 Spalthoff, Ken Filing DocumentsAPPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN RECEIVED DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) JUL 14 2026 (PLEASE PRINT OR TYPE) •-n. T,, CITY or- va,rJgE._.,!.�.�nvs NOTE: This form must be on file with the filing officer before CITY CLEF:: DZ'-" .il' Z, IT opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): nitialFiling of Form ElRe-filing to Change: ElTreasurer/Deputy ❑ Depository ❑ Office ❑ Party F ame of Candidate (in this order: First, Middle, Last): Please Print or Type Name ( Yp ) 3. Address (include PO Box or Street, City, State, Zip Code): 4 :�Srt,�- s �, � L70 4. Telephone: 5. Candidate's Voter Registration #: 6. Email Address: 110(� `3 K�� ° I/ (not required for qualifying purposes) 7. Office Sought (include district, circuit, roue, or seat #): : P n ll K �pl✓I 8. If a candidate for a nonpartisan office, check the box if applicable: C �Wit tJ� O �� S Sez� ` �� ❑ 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. XNo 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 De ut Treasurer: �� 1 12. Telephone: 13. Email Address: K�v\ .� ( 9() 14. Mailing Address: � f (iJC�� ►D V I t�� .�J `�c_.. 15. City: (,l)ivt �c./ ,S r�1� .S 16. State: %�, �, 17. Zip Code: 3 �7G� 18. 1 have designated the following bank as my (check appropriate box): XPrimary Depository ❑ Secondary Depository 19. Name of Bank: S �t� �; 20. Address: 1161 5 -i-13 21. City: 22. County: 23. State: 24. Zip Code: 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. Signature of C didate: C 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate box) CL I �" (3 � 1, do hereby accept the appointment designated above as: Please Print or Type Name) Campaign Treasurer. ❑ Deputy Treasurer. 28. Date: 6 JIG ja(� 29. Signature of mpaign Treasurer or Deputy Treasurer �/ /� / 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) 1, eC�---AJ �S RECEIVED JUL 14 M6 s:'tTY OF IUMTCR &P^ar1CS Ci f i CLE:.;t I3La. � i' •1: i7T OFFICE USE ONLY candidate for the office of yio��o/' C�/-/V 5S CC-51114141 I_S,::) tl,, 0 (S�4 � have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. I swear or affirm that I meet, or will meet at the time of election for the office sought or at the time of assuming the office, as applicable, all statutory and constitutiona qualifications for the office sought. Si In tur f C ndidate STATE OF FLORIDA COUNTY OF �J/�I✓VC�U� Sworn to (or affirmed) and subscribed before me by means of online notarization ❑ OR physical presence this — -� day of 20240. ('::� /(E Jai Date Signs ure of Officer Administering Oath Affix Seal Below or, it judge, provide name, title, and court (s. 92.50, F.S.) Notary Public State of Florida Tyler E Taylor My Commission HH 335718 (`Slfl9l! Expires 11/28/2026 Personally Known ❑ OR Produced Identification b/--,Type of Identification Produced: 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 (Eff. 04/2 SUPEflYISOBOfELECTIONS JUL 14 2026 CI Y or W£tuTER srrdNGS CITY CLE► N £ Zi.^i, 11LNT 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.gov under CANDIDATES > "Current Candidates". Candidate Name:>:�� Office sought: Witfl )' 5pr►'".5 �1��►�'► IeS'�/C►t,� dJ i571° 1 C`� �U�i�'; (include district, Croup or seat) Party Affiliation or NPA: V/ Address: ' Wo�D I� D�%� I Vi: [��t4'i��, r/'� S' rZ 3o)�� Phone: y6 7 �` 11 � 3 7�l Email: I�C�4 L1Q �r �. Website: Candidate Signature: Date: 1500 E AIRPORT BLVD, SANFORD, FL 32773 VOTESEMINOLE.GOV I @VOTESEMINOLE I PHONE: 407.585.VOTE (8683) 1 FAX: 407.708.7705 RECEIVED JUL 14 2026 Ct"1' of DJIIdTER srPJNCS C IT Y CLEZ_1,' DZ .'1i,ii.YL'NT Seminole County Supervisor of Elections Acknowledgement of Electronic Filing Information Pursuant to Florida law, and at the request of the Supervisor of Elections, the Board of County Commissioners of Seminole County has adopted Resolution 2011-R-152 (8/23/2011) regarding electronic filing requirements of campaign finance reports for local candidates, political committees and county executive committees of a political party. All of these entities are required to file electronically with Seminole County Supervisor of Elections Office via an Internet -based electronic filing system. 1. Sign -in Credentials Each person will be issued Sign -in Credentials, a log -in name and password, by the Seminole County Supervisor of Elections Office to access ("sign -in") the Electronic Filing System. You are responsible for safeguarding this sign -in information and for notifying the Supervisor of Elections Office should this information be lost or become compromised. Please note: Only one log -in name and password will be issued for both the candidate and treasurer (or committee chair and treasurer, as applicable) 2. PIN The sign -in credentials will serve as a PIN (personal identification number). This PIN is considered the same as your signature on a paper filed report. 3. Reports Reports shall be completed and filed electronically through the Seminole County Supervisor of Elections electronic filing system not later than Midnight (Eastern Standard Time) of the day designated. When your report is electronically filed, the Status column in your report list will indicate "Submitted" along with a confirmation number. The PDF version of the report may be printed and retained for your records as your "Electronic Filing Receipt" which reflects the confirmation number, date and time of submission. Any reports that I file through the electronic filing system are considered to be certified as to correctness within the meaning of Sections 106.07(5) or 106.29(2), F.S. 4. Reports Not Timely Filed If a required report is not filed timely the relevant penalty sections in Chapter 106, Florida Statutes, shall apply. All reports filed via this system are considered to be under oath by the candidate and treasurer, chair and treasurer of political committees and county executive of a political party and are subject to all relevant penalties in Chapter 106, Florida Statutes. I acknowledge that I have received a copy of Electronic Filing Instructions for Campaign Finance Reports filed pursuant to F.S. 106.0705; that I am responsible for protecting rn 'gn-in credentials and that reports must be filed no later than midnight (EST) of the day designated. e-& 1�-- ,3 t w� Signature Printed Name Date Please check applicable box: Nandidate Political Committee ❑ County Executive Committee