HomeMy WebLinkAboutAppt of Dep Treasurer PPOINTMENT OF CAMPAIGN TREASURER RFCF�V�D
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES ���� i9
(Section 106.021(1), F.S.) CrrYOf "Oil
Crtj C/e kebastian
(PLEASE PRINT OR TYPE) Ory,,ce
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: E] Treasurer/Deputy ❑ Depository 0 Office ❑ Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
Christopher Robert Nunn code)709 Jordan Avenue
4. Telephone 5. E-mail address Sebastian, FL 32958
(772 )633-7507 chrisnunn4sebastian@utlook.com
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
City Council applicable:
❑ 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 Q 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
Christopher Robert Nunn
11. Mailing Address 12. Telephone
709 Jordan Avenue
�(772 ) 633-750i'
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Sebastian Indian River FL 32958 chrisnunn4sebastian@outlo<k.corr
18. 1 have designated the following bank as my R] Primary Depository Secondary Depository
19. Name of Bank
20. Address
Seacoast
Bank
1
1110 Roseland Road
21. City
22. County
23. State
24. Zip Code
Sebastian
Indian
River
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
f
26. Signature of Cand'
27. Treasurer's Acceptance of Appointment ill-i�e blanks and check the appropriate block)
I, Christopher Robert Nunn do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer Q Deputy Tre uA
X
Date Ignat ampaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.