Loading...
Statement of Candidate GanjuSTATEMENT OF CANDIDATE (Section 106.023, F.S.) (Please print or type) candidate for the office of OFFICE USE ONLY 02-23-23A 10: 14 RC VD Af�- have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x �60 Sign ure ofJCandidate Date Each candidate must file a statement with the qualifying officer within 10 days after the Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful failure to file this form is a first degree misdemeanor and a civil violation of the Campaign Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida Statutes). DS-DE 84 (05/11)