HomeMy WebLinkAboutAppt of Treasurer EC�/VFp
APPOINTMENT OF CAMPAIGN TREASURER JVAJ
AND DESIGNATION OF CAMPAIGN
City:'�
DEPOSITORYFOR
Cit ,0hebasti
ORICANDIDATES
n
n
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before 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 post office box or street, city, state, zip
Sherrie Matthews
code)
S Yearling Trail
4. Telephone
5. E-mail address
Sebsatian, FL 32958
e
( 772 )473-6757
1 smatt06l8@comcast.net
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonoartisan office, check if
applicable:
Sebastian City Council Member
❑ My intent is to run as a Write-in candidate.
8. If a candidate fora partisan office, check block and
fill in name of party as applicable: My intent is to run as a
❑ Write -In ❑ 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
Sherrie Matthews
11. Mailing Address
12. Telephone
800 Yearling Trail
(772 )473-6757
13. City
Y 14. Count
15.
State
16. Zip Code
17. E-mail address
Sebastian
Indian River
FL
32958
smatt0618@comcast.net
18. 1 have designated the following bank as my
% Primary Depository Secondary Depository
19. Name of Bank
20. Address
SunTrust
9601 US Hwy 1
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
0&—/1-0Da(
26. Sig a re of Candidate
X
27. Treasurer's Acceptance of Appointment
(fill in the blanks and check the appropriate block)
Sherrie Matthews
do hereby accept the appointment
(Please Print or Type Name)
designated above as: ® Campaign Treasurer Deputy Treasurer.
O( -1l -�Da X
J&AL, �M
Date
Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10110)
Rule 1S-2.0001, F.A.C.