HomeMy WebLinkAboutDepositoryAPPOINTMENT 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 openina the campaign account.
Ca Initial
CHECK APPROPRIATE BOX(II
4a. Initial Filing of Form Re -filing to Change: ❑
2. Name of Candidate (in this order: First, Middle, Last)
David George Newhart
4. Telephone 1 5. E-mail address
(772 ) 480-3163 I dgnewhart@yahoo.com
6. Office sought (include district, circuit, group number)
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OFFICE USE ONLY
Treasurer/Deputy ❑ Depository ❑ Office ❑ Party
3. Address (include post office box or street, city, state, zip
code)
120 Larchmont Ter
Sebastian, FL 32958
7. If a candidate for a nonpartisan office, check if
applicable:
City COUDCII ❑ 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 EZ No Party Affiliation ❑ Party candidate.
9.1 have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
David G. Newhart
11. Mailing Address
120 Larchmont Ter
13. City 14. County
Sebastian I IRC
18, 1 have designated the following bank as my
12. Telephone
1 (772 ) 480-3163
15. State 1 16. Zip Code 17. E-mail address
FL 32958 dgnewhart@yahoo.com
Z Primary Depository Secondary Depository
19. Name of Bank 20. Address
Marine Bank and Trust 1 1020 Highway US 1
21. City 22. County 23. State 24. Zip Code
Sebastian IRC FL 32958
UNDER PENALTIES OF PERJURY, i DECLARE THAT I 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. &ignature of
August 7, 2020 X �aV
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
David Nehwart , do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasure ❑ Deputy Treasurer.
_Auaust 7. 2020 X ij
Date S,�nature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.