AFFILIATED PARTY COMMITTEE
INDEPENDENT EXPENDITURE STATEMENT
(Section 106.088, Florida Statutes)
DS-DE 7A (Rev. 05/2020)
Before me, an officer authorized to administer oaths, personally appeared
to me well known, who, being sworn, says that he or she is the
affiliated party committee; that the affiliated party committee has not made, either directly
or indirectly, an independent expenditure in support of or opposition to a candidate or
elected public official in the prior 6 months; that the affiliated party committee will not
make, either directly or indirectly, an independent expenditure in support of or opposition
to a candidate or elected public official, through and including the upcoming general
election; and that the affiliated party committee will not violate the contribution limits
applicable to candidates under s. 106.08(2), Florida Statutes.
Signature of Committee Officer
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
physical presence or online notarization
this day of , 20 .
Personally Known OR
Produced Identification
Type of Identification Produced: _____________________________