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HomeMy WebLinkAboutAnnouncement of Intention to Run AR ta46 •1 ! ii4414 THE S AUI. c--.;`, IN CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCED CANDIDATE PACKET ACKNOWLEDGMENT I, A nel cc iRcA>/nnoto d would like to announce my candidacy for City CouncilInd do hereby acknowledge receipt of: 1. May 17, 2017 Candidate Information Memo 2. 2017 Election Information 3. Announcement of intention to become a Candidate for Office 4. Form DS-DE 9 (rev. 10/10),Appointment of Campaign Treasurer and designation of campaign depository for Candidates 5. Form DS-DE 84 (rev. 05/11), Statement of Candidate 6. Election Laws of the State of Florida as of July 2016 7. Candidate and Campaign Treasurer Handbook as of January 2016 8. 2017 Campaign Treasurer's Report Due Dates for Announced Candidates and general information for filing reports 9. Do's & Don'ts for Campaign Treasurer's Reports 10. Form DS-DE 12 (rev. 11/13), Campaign Treasurer's Report Summary 11. Form DS-DE 13 (rev. 11/13), Campaign Treasurer's Report—Itemized Contributions 12. Form DS-DE 13A (rev. 11/13), Campaign Treasurer's Report—Fund Transfers 13. Form DS-DE 14 (rev. 11/13), Campaign Treasurer's Report—Itemized Expenditures 14. Form DS-DE 14A (rev. 11/13), Campaign Treasurer's Report—Itemized Distributions 15. Form DS-DE 87 (rev. 06/15), Waiver of Report 16. Public Service Request Form 17. Political Sign Regulations I understand to have my name appear on the November 7, 2017 Municipal Election Ballot, I must complete qualifying paperwork and pay qualifying fees during the qualifying period which begins on August 11, 2017 at noon and ends August 25, 2017 at noon. • III -� DII E © EDV F '',`'`_, ,/2 ` JUL 1 7 2017 Sign,0,2_,,,,_, re /** , Enter Date : I'imeleceive D (.2,y2i Date: idt, / 71 261 and Initials of Clerk's Office Staff Member APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN ( rAcuG !, 0:17E DEPOSITORY FOR CANDIDATES I , (Section 106.021(1), F.S.) -7 1 (' (PLEASE PRINT OR TYPE) Al -�** ' _ 7 q NOTE: This form must be on file with the qualifying officer before opening the campaign account. OFFICE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office 0 Party 2. Name of Candidate(in this order: First, Middle, Last) 3.Address(include post office box or street, city, state,zip 4v ec Mary Gvy✓Ylor cod © � Se ,; fIcc �+ �Z 4.Telephone 5. E-mail address/ r=L342-c)3 ( 32-1)7g3-607f- ( °av) '' Cu anaver�1 1 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: C Ou ri Cr I t e p 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 fl Write-In ❑ No Party Affiliation ❑ Party candidate. 9. I have appointed the following person to act as my Campaign Treasurer ❑ Deputy Treasurer 10. Name ofreasurer or Deputy Treasurer or rn Q L , Veacn 11. Mailing Address 12.Telephone 30� c) eo-/oc \ Ssc\ • (do yn�) (oa 13. City 1 County 15. State 16. Zip Code 17. E-mail ad ress Cape Cadgvuerc ce\icikr(k 3,Q qQb V)Pac Vl ei c1C Cj(Yic \ Co M 18. I have designated the following bank as my 121 Primary Depository ❑ Secondary Depo it ry 19. Name of Bank 20.Address (—GU r)rr‘Se— _ Ra✓l k J (P o' N, fila n-HC, /41/ 21. City 22. County 23. State 24.Zip Code Cu( oa. 6e ere,/or ok FI 32-93/ 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 g/ /51 17 X c---, 17. 27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block) I, 0 i (Yl G L , ST-e a c n , do hereby accept the appointment (Please not or Type Name) designated above as: Campaign Treasurer fl Deputy Treasurer. g115// 7 X `�2 is jou Date Signature of Campaign reasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. THESPAC[ r_ ttN CITY OF CAPE CANAVERAL, FLORIDA ANNOUNCEMENT OF INTENTION TO BECOME A CANDIDATE FOR OFFICE I, A nqqt-i rrl.clt c4 , hereby declare and announce my intentiah to become a Candidate for the office of City Council in the City of Cape Canaveral General Election on November 7, 2017. I understand it is my responsibility to comply with all applicable election laws and that I must be a resident and registered voter of the City of Cape Canaveral. a---ii/}AL., 4ccity-n7 7 2D/7 . Sigrre D OFFICE USE ONLY E © L 0 V 1 JUL 1 7 2017 • Enter Date&Time Received and Initials of Clerk's Office Staff Member OFFICE USE ONLY STATEMENT OF CANDIDATE DECCIV [ (Section 106.023, F.S.) (Please print or type) AUG 15 2017 IPA.4 5:2:ffh I, Ail PJo (\407 Mc)r2 candidate for the office of C� L1nc; 1 M have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X a--mak,-,_) 1)2. A' l i I/-7 gSignature of Caiodidate 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)