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)