RUN FOR OFFICE
2024
FORMS REQUIRED TO
FORMS AND FEES REQUIRED TO QUALIFY TO RUN FOR OFFICE
Qualifying Period begins on June 4, 2024, at 8:00 a.m. and ends on June
18, 2024, at 5:00 p.m.
1.
Form DS-DE 9, “Appointment of Campaign Treasurer and Designation of Campaign
Depository for Candidates” - Candidates must file this form before opening a campaign
account. A candidate can appoint a campaign treasurer and designate a campaign depository at
any time, but no later than the date the candidate qualifies for office. Nothing prohibits a person
from announcing their intention to become a candidate prior to filing Form DS-DE 9, as long as
no contributions are received, no expenditures are made, and no signatures are obtained on a
candidate petition.
2.
Application of Acknowledgment of Electronic Filing Information
3.
Form DS-DE 84, “Statement of Candidate” - Candidates must file this form within ten
days after filing Form DS-DE 9.
4.
Form DS-DE 302np, “Candidate Oath –Nonpartisan Office.”
5 .
Candidates must file Form 6 “Full and Public Disclosure of Financial Interests”
online with the Florida Commission on Ethics
https://disclosure.floridaethics.gov/Account/Login?ReturnUrl=%2f and provide a
copy the City Clerk.
6.
Incumbents must file Form 6 “Full and Public Disclosure of Financial Interests” online
with the Florida Commission on Ethics
https://disclosure.floridaethics.gov/Account/Login?ReturnUrl=%2f and provide a copy
the City Clerk.
7.
Affidavit to Accompany Application to Qualify As a 2024 St. Petersburg City Council Candidate
QUALIFYING FEE OR NOMINATING PETITIONS
For Councilmember, a qualifying fee of $150 or petitions with the signatures of not less than five
hundred (500) qualified electors of the district in which the candidate resides.
Section 99.092(1), F. S., provides that your qualifying fee will be returned only if you withdraw
your candidacy before qualifying ends.
Section 99.095(3), F. S., requires petitions be submitted prior to NOON on May 7,
2024, the 28th day preceding the start of qualifying. Signatures may not be obtained until the
candidate has filed the Appointment of Campaign Treasurer and Designation of
Campaign Depository for Candidates, Form DS-DE 9.
Check must be drawn on the campaign account.
ELECTION ASSESSMENT FEE OR AFFIDAVIT OF UNDUE BURDEN
This fee, imposed by the Florida Legislature and remitted to the State, is 1% of the annual salary
of the office for which the candidate is qualifying.
The Election Assessment Fee for the office of Councilmember is $565.50 (based on the current
annual salary of $56,5500.00).
Check must be drawn on the campaign account.
If a candidate is unable to pay the Election Assessment Fee, he/she may file an
Affidavit of Undue Burden. Prior to disposing of surplus campaign funds, if you filed an
Affidavit of Undue Burden, you are required to pay the Assessment Fee per
Section 106.141(6), F. S.
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the filing
officer before
opening the campaign account.
OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
Initial Filing of Form
Re-filing to Change:
Treasurer/Deputy
Depository
Office
Party
2. Name of Candidate (in this order: First, Middle, Last):
(Please Print or Type Name)
3. Address (include PO Box or Street, City, State, Zip Code):
4. Telephone:
(
)
5. Candidate’s Voter Registration #:
(not required for qualifying purposes)
7. Office Sought (include district, circuit, group, or seat #):
8. If a candidate for a nonpartisan office, check the box
if applicable:
I intend to run as a Write-In Candidate.
9. If a candidate for partisan office, check the box and fill in the name of the party as applicable: I intend to run as a
Write-In Candidate. No Party Affiliation Candidate. Party candidate.
10. I have appointed the following person to act as my: Campaign Treasurer Deputy Treasurer
11. Name of Treasurer or Deputy Treasurer:
12. Telephone:
(
)
13. Email Address:
14. Mailing Address:
15. City:
16. State:
17. Zip Code:
18. I have designated the following bank as my (check appropriate box): Primary Depository Secondary Depository
19. Name of Bank:
20. Address:
21. City:
22. County:
23. State:
24. Zip Code:
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR THE APPOINTMENT OF THE
CAMPAIGN TREASURER AND DESIGNATION OF THE CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date:
26. Signature of Candidate:
X
27. Treasurer’s Acceptance of Appointment (fill in the blanks and check the appropriate box)
I, do hereby accept the appointment designated above as:
(Please Print or Type Name)
Campaign Treasurer. Deputy Treasurer.
28. Date:
29. Signature of Campaign Treasurer of Deputy Treasurer
X
DS-DE 9 (Eff. 10/23) Rule 1S-2.001, F.A.C.
City of St. Petersburg
Application and Acknowledgement of Electronic
Filing Information
1. CHECK APPROPRIATE BOX(ES)
☐ Candidate ☐ Treasurer/Deputy ☐ Committee ☐ Committee Treasurer
2. Name of Candidate/Committee (First, Middle, Last)
3. Address (include P.O. box or street, city, state,
zip code)
4. Telephone
5. E-mail address
All reports of campaign finance activity must be filed with the City Clerk using the electronic campaign finance reporting system
available online at https://cityofstpetersburgfl.easyvotecampaignfinance.com (the ‘‘System’’) unless an alternative filing procedure
is required by the Americans with Disabilities Act of 1990 or other applicable law.
Credentials to log into the System are approved on an individual basis and may not be shared--even with member of the same
campaign or committee. Each user who is approved for credentials is responsible for protecting those credentials from disclosure
or compromise. Once credentials have been approved for a user, that user is deemed responsible for every report filed using those
credentials until such time as the City Clerk is notified of disclosure or compromise of those credentials. Campaign or committee
must immediately notify the City Clerk if any user associated with that campaign or committee becomes ineligible to hold the
credentials issued to that user.
Each report must be filed before midnight at the end of the due date. Late-filed reports are subject to fines pursuant to
Florida Statutes sections 106. 07(8) or 106. 29(3), as applicable.
By filing a report through the System, a person (i) is deemed to have electronically signed the report under oath and to have
certified the correctness of the report in accordance with Florida Statutes sections 106. 07(5) or 106. 29(2), as applicable; (ii) is
responsible for the accuracy and veracity of the report; and (iii) commits a criminal act by certifying a report that is known to be
incorrect, false, or incomplete.
A report is deemed filed with the City Clerk only when the System issues a receipt confirming the date and time at which the
report was filed. The system will issue a separate notice for the subsequent acceptance or rejection of the report by the City Clerk.
Once a report has been filed with the City Clerk, it may be changed only by filing an amendment to that report.
The City is not responsible for providing the internet access necessary to access the System, and problems with an individual
candidate’s internet access at a residence, office, coffee shop, etc. do not excuse late filing by that candidate. The City Clerk will
provide an alternate filing deadline for candidates only in the event that the Reporting System is generally unavailable and all
candidates are affected.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ AND UNDERSTAND THE FOREGOING
FORM FOR APPLICATION AND ACKNOWLEDGEMENT OF ELECTRONIC FILING INFORMATION AND THAT
THE FACTS STATED IN IT ARE TRUE.
6. Date
7. Signature of Candidate/Committee Chair
X
8. Treasurer’s Application and Acknowledgement of Electronic Filing Information (fill in the blanks and check
the appropriate block)
I, (printed name), hereby acknowledge that I am
representing the Candidate/Committee above as the ☐ Campaign Treasurer ☐ Deputy Treasurer
X
Date Signature of Treasurer or Deputy Treasurer
00293211
STATEMENT OF
CANDIDATE
(Section 106.023, F.S.)
(Please print or type)
OFFICE USE ONLY
I,
,
candidate for the office of
;
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X
Signature of Candidate
Date
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)
CANDIDATE OATH
NONPARTISAN OFFICE
(Do not use this form if a Judicial or School Board Candidate)
Check box only if you are seeking to qualify as a write-in
candidate:
Write-in candidate
X
( )
Signature of Candidate
Telephone Number Email Address
Address of Legal Residence City State ZIP Code
S
TATE OF FLORIDA
COUNTY
OF
Signature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by means of
online notarization
OR physical presence
this day of , 20 .
Personally Known
OR Produced Identification
Type of Identification Produced:
DS-DE 302NP (Eff. 10/2023)
Rule 1S-2.0001, F.A.C.
OFFICE USE ONLY
Candidate Oath
Name to appear on ballot: ___________________________________________________________________ ____________ _______
Check box if two last names without hyphen. ☐ (Name cannot be changed after qualifying.)
Check box if name includes nickname.
☐ (For use of a nickname, you must complete the Nickname Affidavit on reverse side.)
I swear or affirm that I am a candidate for the nonpartisan office of ____________________________________________, ___________,
(Office) (District #)
_______________, ___________________; I am a qualified elector of _________________________________________ County, Florida
;
(Circuit #) (Group or Seat #)
I am a qualified elector under the Constitution and the Laws of Florida to hold the office to which I desire to be nominated or elected; I
have qualified for
no other public office in the state, the term of which office or any part thereof runs concurrent with the office I seek; and I
have
resigned from any office from which I am required to resign pursuant to Section 99.012, Florida Statutes; and I will support the
Constitution of the United States and the Constitution of the State of Florida.
If
O
Statement of Outstanding Fines, Fees, or Penalties
I owe outstanding fines, fees, or penalties, that cumulatively exceed $250, for ethics or campaign finance violations (s. 99.021(1)(d), F.S.).
YES, I Do______ NO, I Do Not _______
If you do, you must also specify the amount owed and each entity that levied the same on the reverse side.
DS-DE 302NP (Eff. 10/2023)
Rule 1S-2.0001, F.A.C.
Phonetic Spelling of Name
Phonetic spelling for the audio ballot (not required for qualifying purposes): Print the name phonetically on the line below as you
wish it to be pronounced on the audio ballot as may be used by persons with disabilities (see instructions on page 3 of this form):
__________________________________________________________________________________________________________
Statement of Outstanding Fines, Fees or Penalties
Pursuant to Section 99.021(1)(d), F.S., each candidate, whether a party candidate, a candidate with no party affiliation, or a write-in
candidate, shall, at the time of subscribing to the oath or affirmation, state in writing whether he or she owes any outstanding fines, fees,
or penalties that cumulatively exceed $250 for any violations of s. 8, Art. II of the State Constitution, the Code of Ethics for Public Officers
and Employees under part III of chapter 112, any local ethics ordinance governing standards of conduct and disclosure requirements, or
chapter 106.
Amount
Entity
Affidavit of Nickname (Only required if using nickname for the ballot.)
My legal name is ______________________________________________. I am over the age of eighteen (18) and the contents of this
affidavit are true and correct.
My nickname is _____________________________________________. I am generally known by this nickname or have used it as part
of my legal name. I have not created the nickname to mislead voters. My nickname does not imply I am some other person, constitute
a political slogan or otherwise associate me with a cause or issue, or that is obscene or profane.
Signature of Candidate: _________________________________________
STATE OF FLORIDA
COUNTY
OF
________________________ ______________________________________________
Signature of Notary Public
Print, Type, or Stamp Commissioned Name of Notary Public below:
Sworn to (or affirmed) and subscribed before me by means
of online notarization
OR physical presence
this day of , 20 .
Personally Known
OR Produced Identification
Type of Identification Produced:
______________
DO NOT SUBMIT THIS PAGE TO THE FILING OFFICER
Guide for Designating Phonetic Spelling
of Candidate’s Name for Audio Ballot
1.
Use the tables below.
2.
Use upper case for “stressed” syllables. Use lowercase for “unstressed” syllables.
3.
Use dashes (-) to separate syllables.
4.
Add any notes such as rhyming examples, silent letters, etc.
Vowels
Stressed Vowel Sounds
Unstressed Vowel Sounds
EE
(FEET) feet
uh
(SO-fuh) sofa (FING-guhr) finger
I
(FIT) fit
E
(BED) bed
A
(KAT) cat (KAD) cad
AH
(FAH-thur) father (PAHR) par
AH
(HAHT) hot (TAH-dee) toddy
UH
(FUHJ) fudge (FLUHD) flood
UH
(CHUHRCH) church
AW
(FAWN) fawn
Certain Vowel Sounds with R
U
(FUL) full
AHR
(PAHR) par
OO
(FOOD) food
ER
(PER) pair
OU
(FOUND) found
IR
(PIR) peer
O
(FO) foe
OR
(POR) pour
EI
(FEIT) fight
OOR
(POOR) poor
AI
(FAIT) fate
UHR
(PUHR) purr
OI
(FOIL) foil
YOO
(FYOOR-ee-uhs) furious
Consonants
B
(BED) bed
R
(RED) red
D
(DET) debt
S
(SET) set
F
(FED) fed
T
(TEN) ten
G
(GET) get
V
(VET) vet
H
(HED) head
Y
(YET) yet
HW
(WHICH) which
W
(WICH) witch
J
(JUHG) jug
CH
(CHUCRCH) church
K
(KAD) cad
SH
(SHEEP) sheep
L
(LAIM) lame
TS
(ITS) its (PITS-feeld) Pittsfield
M
(MAT) mat
TH
(THEI) thigh
N
(NET) net
TH
(THEI) thy
NG
(SING-uhr) singer
ZH
(A-zhuhr) azure (VI-zhuhn) vision
P
(PET) pet
Z
(GOODZ ) goods( HUH-buhz-tuhn)
Hubbardston
Examples of Phonetically Spelled Names
NAME ON BALLOT
PRONOUNCED AS
Mishaud
mee-SHO (‘d’ is silent)
Jahn
HAHN (rhyme: fawn)
Beauprez
boo-PRAI (rhyme: hooray)
Maniscalco
man-uh-SKAL-ko
Tangipahoa
TAN-ji-pah-HO-uh
Monte
Mahn-TAI
Tanya
TAWN-yuh (not TAN)
DO NOT SUBMIT THIS PAGE TO THE FILING OFFICER
00658434 / v01
AFFIDAVIT TO ACCOMPANY APPLICATION TO QUALIFY AS
A 2024 ST. PETERSBURG CITY COUNCIL CANDIDATE
BEFORE ME, the undersigned authority, duly authorized under the laws of the State of Florida to ad-
minister oaths, personally appeared the person named below, who, being first duly sworn, deposes and
says as follows:
1. My name is (full name) ____________________________________, and I am over 18 years of age.
2. By submitting this affidavit to accompany various state and local election forms, I am applying to
qualify as a candidate for the 2024 municipal election cycle for the office of Council Member for
District (number) _______.
3. I am a qualified elector of the City of St. Petersburg, Florida.
4. I have maintained continuous residency in Distict (number) _______ since at least August 20, 2023,
and I intend to maintain such residency through the date of the 2024 municipal primary election
and then, if declared a primary nominee, through the date of the 2024 municipal general election.
5. I am not a candidate, nominee, or representative of any political party or any committee or
convention representing or acting for any political party.
FURTHER AFFIANT SAYETH NAUGHT.
Signature: ______________________________
STATE OF FLORIDA
COUNTY OF PINELLAS
This instrument was acknowledged before me on (date) _____________________________ by means of
physical presence or online notarization by (name) _______________________________________,
who is personally known to me or produced the following as identification (description): ___________
___________________________________________________________________________________ .
[NOTARY STAMP]
Signature: ______________________________
Printed Name: ___________________________
AFFIDAVIT OF UNDUE BURDEN
(Section 99.097(4), Florida Statutes)
IMPORTANT: (1) Paying signature gatherers will preclude or invalidate the filing of an undue burden
oath. Section 99.097(6), Florida Statutes, provides: (a) If any person is paid to solicit signatures on a petition, an
undue burden oath may not subsequently be filed in lieu of paying the fee to have signatures verified for that
petition. (b) If an undue burden oath has been filed and payment is subsequently made to any person to solicit
signatures on a petition, the undue burden oath is no longer valid and a fee for all signatures previously submitted
to the supervisor of elections and any submitted thereafter shall be paid by the candidate, person, or organization
that submitted the undue burden oath. If contributions as defined in s. 106.011 are received, any monetary
contributions must first be used to reimburse the supervisor of elections for any signature verification fees that
were not paid because of the filing of the undue burden oath. [Note: The second sentence in (b) applies only
when payment is made to a signature gatherer after an undue burden oath had been filed.]
(2) Upon a candidate terminating the campaign, any candidate who qualified by the petition process and who
has surplus funds, must first apply the surplus funds to the reimbursement of the signature verification fee (if
applicable). See s. 106.141(7), Florida Statutes.
********************************************************************************************************************
I certify under oath that I intend to qualify as a candidate for the office of
and that I am
unable to pay the fee for verification of petition signatures for that office
without imposing an undue burden on my personal resources or on
resources otherwise available to me.
X
Signature of Candidate Print Candidate’s Name
Address City
( )
State Zip Telephone Number
STATE OF FLORIDA
COUNTY
OF
__________________________________
Signature of Notary Public
Print, Type or Stamp Commissioned Name of Notary Public
below:
Sworn to (or affirmed) and subscribed before me by means of
online notarization
OR physical presence
this day of , 20 .
Personally Known
OR Produced identification
Type of Identification Produced:
DS-DE 19A (11/2/2021)