HomeMy WebLinkAboutRegistration Form for A Campaign Committee: Clyde HewittSEC DECLARATION OF INTENTION TO ACCEPT
Form DOI
Year of Election:
Rev 4/06 CAMPAIGN CONTRIBUTIONS
Date of this Filing:
/1 j f n j�
Candidate (Full Name): (. ` j'a f� 1 �'J IV
Campaign Committee
Chairperson (Full Name):
�y� !'j• . 5j
Candidate Address: { 3 469Sti
Chairperson Address:
Telephone Number(s):
Telephone Number(s):
Give Name of Office Sought: (include district, post, or judicial circuit)
Treasurer (Full Name):
❑ State ❑ County Municipal
Treasurer Address:
i JIG?)Qlla�y ��
41i lA,��
Name of Incumbent: i `� c �Vzii--'-
Party Affiliation (Optional):
❑ Democrat ❑ Republican ❑ Other or None
r
For Office Use
OA---
SIGNATURE OF CANDIDATE
Cr[Y cmc
cm of &mist