HomeMy WebLinkAboutDavid W Mountford - Application and Acknowledgement of Electronic Filing InformationCity of Tamarac, Florida
Application and Acknowledgment of Electronic
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FiliFilingInformation
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1. CHECK APPROPRIATE BOX(ES)
2'Candidate D Treasurer/Deputy El Committee E Committee Treasurer
2. Name of Candidate/Committee (First, Middle, Last)
3. Address (include P.O. box or street, city, state,
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zip code)
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4. Telephone
5. E-mail address
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All reports of campaign finance activity must be filed with the City Clerk using the electronic campaign finance reporting system
available online at \v\�.,w.taii,iirae.k)i,gl'406/flectioii-Iiifoi-riiatioii (the "System") unless an alternative
filing procedure is required by the Americans with Disabilities Act of 1990 or other applicable law.
Credentials to log into the System are approved on a per candidate basis and are not be shared with anyone other than an
individual designated as the candidates Campaign Treasurer or Deputy Campaign Treasurer. Each user who is approved for
credentials is responsible for protecting those credentials from disclosure or compromise. Once credentials have been
approved for a user, that user is deemed responsible for every report filed using those credentials until such time as the City
Clerk is notified of disclosure or compromise of those credentials. The candidate or committee must immediately notify the City
Clerk if any user associated with that campaign or committee becomes ineligible to hold the credentials issued to that user.
Each report must he filed no later than 11:59 p."i. on the applicable due date. Late -filed reports are subject to fines
pursuant to Florida Statutes sections 106.07(8) or 106.29(3), as applicable.
B filing a report through the System, a person (i) is deemed to have electronically signed the report under oath and to have
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certified the correctness of the report in accordance with Florida Statutes sections 106.07(5) or 106.29(2), as applicable; (ii) is
responsible for the accuracy and veracity of the report; and (iii) commits a criminal act by certifying a report that is known to be
incorrect, false, or incomplete.
A report is deemed filed with the City Clerk only when the System issues a receipt confirming the date and time at which the
report was filed. The system will issue a separate notice for the subsequent acceptance or rejection of the report by the City Clerk.
Once a report has been filed with the City Clerk. it may be changed only by filing an amendment to that report,
The City is not responsible for providing the Internet access necessary to access the System, and problems with an individual
candidate's Internet access and does not excuse late filing by that candidate. In the event the electronic filing system is inoperable on
the date a report is due, the report will be accepted as timely filed if filed no later than midnight, Eastern Time., of the first business day
the electronic filing system becomes operable again. No fine will be levied during the period the electronic filing system was
inonernble.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ AND UNDERSTAND THE FOREGOING
FORM FOR APPLICATION AND ACKNOWLEDGEMENT OF ELECTRONIC FILING INFORMATION ANDTHAT
THE FACTS STATED IN ITARE TRUE.
6. Date
7. Signature of Candidate/Committee C iair
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8. Treasurer's Application and Acknowledgement of Electronic Filing Information (fill in the blanks and check
the appropriate block)
1, &-<�)l 0 �OrA,44,41J (print%nae), hereby acknowledge that I am
representing the Candidate/Committee above as the Ca nipaign Treasurer El Deput reasurer
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Date Signature of Treasurer or Deputy Treasurer
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