HomeMy WebLinkAboutElvin Villalobos - Designation of Campaign Treasurer - DS-DE 9APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
120 Jll' 1 • A111 : 511
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. CHECK APPROPRIATE BOX(ES):
XO 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
ELVIN VILLALOBOS
code)
7801 WEST COMMERCIAL BLVD, TAMARAC, FL
33351 (RE/MAX OFFICE)
4. Telephone
5. E-mail address
(954 ) 294-9831
ELECTELVINV@GMAIL.C(�
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check if
TAMARAC COMMISSIONER DISTRICT 3
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
JACQUELINE ACEVEDO
11. Mailing Address
12. Telephone
9407 NW 74TH STREET
( 305 ) 975-7279
13. City
14. County
15. State
16. Zip Code
17. E-mail address
TAMARAC
�BROWARD
�FL
133321
ELECTELVINV@GMAIL.COM
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank
20. Address
SUNTRUST
17879 WEST COMMERCIAL BLVD
21, City
County
23. State
24. Zip Code
TAMARAC
AOWARD
�FLORIDA.
33351
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
v» C ; Lo 2-6—_-
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
JACQUELINE ACEVEDO do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasur ® Deputy Treasurer.
Date e o a pa n T easurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.