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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.