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Filing Papers, Walker, Rich RECEIVED City Clerk's Office APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN MAR 2 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) Time: /a; fvn By: ' .A !)-- (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): X❑ 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 Rich Walker code) 10590 NW 62nd Ct 4. Telephone 5. E-mail address Parkland Fl 33076 (973 ) 390-1453 richwalke@gmail.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Mayor City of Parkland applicable: El 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 ❑ No Party Affiliation fl Party candidate 9. I have appointed the following person to act as my n Campaign Treasurer Deputy Treasurer 10 Name of Treasurer or Deputy Treasurer Scott Tulloch 11. Mailing Address 12. Telephone A)rev k i/4 V•-e-- ( 954 ) 770-0300 13. City 14. County 15. State 16. Zip Code 17. E-mail address Parkland Broward FL 33076 scott.tulloch@gmail.com 18. I have designated the following bank as my Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Bank United 551 N Powerline Rd _ 21. City 22. County 23. State 24. Zip Code Pompano Beach Broward FL 33069 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 Can date 3/0 �x�C 27. urer's Acceptance of Appointment (fill in Elie blanks and check the appropriate block) Scott Tulloch , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑X Campaign Treas er \ El Deputy Treasurer. 3/47/72 Date gnature of Campaign Treasurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C. STATEMENT OF oFl,1,C :lYLllLY City Clerk's Office CANDIDATE (Section 106.023, F.S.) MAR ', (Please print or type) Time: la: . Pon By: '2'3 1, Rich Walker candidate for the office of Mayor - City of Parkland have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. Signature of Candidate ate 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)