HomeMy WebLinkAboutDSDE 9APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account.
1. CHECK APPROPRIATE BOX(ES):
❑X Initial Filing of Form Re -filing to Change: ❑
2. Name of Candidate (in this order: First, Middle, Last)
Christopher, Robert, Nunn
4. Telephone 1 5. E-mail address
ccity s , ?020
C/cq , bdsba
C` "CC?
OFFICE USE ONLY
Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
3. Address (include post office box or street, city, state, zip
code)
709 Jordan Avenue, Sebastian, FL, 32958
(772 ) 633-7507 1chrisnunn4sebastian@outlo81
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonoartisan office, check if
City Council Member at large applicable:
❑ My intent is to run as a Write -In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
Write -In Q No Party Affiliation ❑ Party candidate.
9. 1 have appointed the following person to act as my ❑X Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Thomas George Shira
11. Mailing Address 12. Telephone
1534 Esterbrook Lane ( 863 ) 206-5396
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Sebastian Indian River FL 32958 1 tomshira@bellsouth.net
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
21. City 22. County 23. State 24. Zip Code
Sebastian Indian River FL 32958
UNDER PENALTIES OF PERJURY, I DECLARE THAT 1 HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signature of Cand' /
07/25/2020 �(
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
Thomas George Shira do hereby accept the appointment
(Please Print or Type Name)
designated above as: Q Campaign Treasurer ❑ Deputy Treasurer.
'`,_ � -SL
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10110) Rule 1S-2.0001, F.A.C.