Filing Papers - J Casello CITY OF BOYN ON BEACH
CITY CLERK'S OFFICE
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 16 SEP 23 AH 9. 36
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):
X❑ Initial Filing of Form Re-filing to Change: J 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
Joe Casello code)
7981 Shaddock Drive
4. Telephone 5. E-mail address Boynton Beach, FL 33436
(561 ) 602-6400 'VoteJoeCasello@gmail.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
Boynton Beach City Commission, District 4 applicable:
fl 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 Q No Party Affiliation Cll Party candidate.
9. I have appointed the following person to act as my ❑X Campaign Treasurer El Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Kim LeeBove
11. Mailing Address 12. Telephone
6917 Vista Pkwy North, Suite 1 ( 561 ) 689-9787
13. City 14. County 15. State 16. Zip Code 17. E-mail address
West Palm Beach Palm Beach Florida 33411 kim.leebove@gmail.com
18. I have designated the following bank as my ❑X Primary Depository p Secondary Depository
19. Name of Bank 20.Address
Wells Fargo 5849 Okeechobee Blvd
21. City 22. County 23. State 24. Zip Code
West Palm Beach Palm Beach Florida 33417
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 o Ca did
X ? \
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
Kim LeeBove , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer Deputy Treasurer.
1 /(-213//67x - • • .(r. •
Date ignature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.
CITY OF BOYNTON 'BEACH
CITY CLERKS OFFICE
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 16 SEP 23 AM 9: 36
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):
X❑ Initial Filing of Form Re-filing to Change: 1=1 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
Joe Casello code)
7981 Shaddock Drive
4. Telephone 5. E-mail address Boynton Beach, FL 33436
(561 ) 602-6400 VoteJoeCasello@gmail.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
Boynton Beach City Commission, District 4 applicable:
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
u Write-In [] No Party Affiliation ED Party candidate.
9. I have appointed the following person to act as my fl Campaign Treasurer X❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Joe Casello
11. Mailing Address 12. Telephone
7981 Shaddock Drive ( 561 ) 602-6400
13. City 14.'County 15. State 16.Zip Code 17. E-mail address
Boynton Beach Palm Beach FL 33436 VoteJoeCasello@gmail.com
18. I have designated the following bank as my ❑X Primary Depository ❑ SecondaryyDepository
19. Name of Bank 20.Address
Wells Fargo 5849 Okeechobee Blvd
21. City 22. County 23. State 24.Zip Code
West Palm Beach Palm Beach Florida 33417
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. Sig ature of and'date
X '
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
Joe Casello , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer 0 Deputy Treasurer.
31/ X .
Date Signa ure of ampaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.
OFFICE USE ONLY
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
I, Joe Casello ,
candidate for the office of Boynton Beach City Commission, District 4 ;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
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signature of Candidate Da e
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)