DSDE-9 Neil CantorAPPOINTMENT 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.
OFFICE USE ONLY
1. 5HECK APPROPRIATE BOX(ES):
Q 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)
4. Telephone
5. E-mail address
t\41,01- 1I Sheres F'L 33a3g
(121) &H 1_47S7
S1y1n-e 2_3(&)aC'1.CCr0A
)
I
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check if
Ce un c i 1 �Ac r% b-Er'
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 ❑ 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
N e i l 5. C r-C\+Or
11. Mailing Address
12. Telephone
11(05 Ne dU4o- SA-
(721 ) 441-475-7
13. City
14. County
15. State 16. Zip Code
17. E-mail address
M La' ' S hm•r e s
�d C_
F(® 33 e3 8
S I hvL�ct', 3" - c,
18. 1 have designated the following bank as my ❑ Primary Depository ❑ Secondary Depository
19. Name of Bank
20. Address
f3I.nk aF Ar-nen caa
j t4'19 NE Zhd Prue
21. City
22. County
23. State
24. Zip Code
NlkOXANI S► 0_ e3
U0.-kg
F:7L
33 \3?
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. Signature of Candidate
o-rb I Ci I-K 9-0 2-3
X -
27- Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, last i� caLv'dvy do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer ❑ Deputy Treasurer.
20 23 X `
_
Date Sidnature BoT Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 15-2.0001, F.A.G.