DSDE-9, Hernandez NovoaAPPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: Thi form must be on file with the qualifying
officer b ore opening the campaign account.
OFFICE USE ONLY
1. C CK 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
code)
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4. Telephone
5. E-mail address
6. Office sought (include 7. If a candidate for a nonpartisan office, check if
yri applicable:
❑ My intent is to run as a Write -In candidate.
8. If a candidate for a ap rtisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -in E] No Party Affiliation ® Party candidate.
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9. 1 have appointed the following person to act as my LA Campaign Treasurer E] Deputy Treasurer
10. Name of Treasurer or Deputy Treasure ,rte
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11. Mailing Address
A2, Telephone
13. City
14. County
15—State
1 16. Zip Code
17. E -mail address
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