HomeMy WebLinkAboutAppointment of Campaign Treasurer RR - Refiled 08-12-2016APPOINTMENT 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
RECEIVED
AUG 12 29156
MG 12:10 PM
1. CHECK APPROPRIATE BOX(ES):
O Initial Filing of Form Re -filing to Change: X- Treasurer/Deputy X-Depository ❑ Office ❑ Party
2. Name of Candidate (in this order:First, Middle, Last)
Rocky Randels
3. Address (include post office box or street, city, state, zip
code)
308 East Central Blvd
P.O. Box 308
Cape Canaveral, FL 32920-0308
4. Telephone
(321) 784-5694
5. E-mail address
RockyRandels1@gmail.com
6. Office sought (include district, circuit, group number)
City Council, Cape Canaveral
7. If a candidate for a nonpartisan office, check if
applicable:
My intent is to run as a Write -In candidate.
8. If a candidate for a partisan office, check block and fill in name of party as applicable: My intent is to run as a
❑ Write -In D No Party Affiliation ® Party candidate.
9. I have appointed the following person to act as my X- Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Rocky Randels
11. Mailing Address
P. O. Box 308
12. Telephone
(321) 784-5694
13. City
Cape Canaveral
14. County
Brevard
15. State
FL
16. Zip Code
32920
17. E-mail address
RockyRandels1@gmail.com
18. I have designated the following bank as my X- Primary Depository Secondary Depository
19. Name of Bank
Sunrise Bank
20. Address
5604 N. Atlantic AVe Cocoa Beach, FL 32931
21. City
Cocoa Bch,
22. County
Brevard
23. State
FL
24. Zip Code
32931
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
12 Aug 2016
26. Signature of Candidate
X Rocky Randels
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
I, Rocky Randels , do hereby accept the appointment
(Please Print or Type Name)
designated above as: X- Campaign Treasurer O Deputy Treasurer.
12 Aug 2016 X Rocky Randels
Date Signature of Campaign Treasurer or Deputy Treasurer
DS -DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.