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Candidate for Governor or Cabinet Member
Request for Campaign Financing Act Matching Funds
(Section 106.33, Florida Statutes)
ATTENTION:
You must file this form with the Division of Elections upon qualifying for office in order to
be eligible to receive state matching funds under the Florida Election Campaign Financing
Act (Sections 106.30 – 106. 36, Florida Statutes). An unopposed candidate is not eligible to
receive matching funds.
Once this form is filed with the Division of Elections, it is a public record.
I request matching funds from the State in my race for:
(Insert title of elected office being sought)
I agree to abide by the contribution, loan, and expenditure limits provided in Sections 106.33(3) and 106.34,
Florida Statutes, throughout this race or until I first submit a signed, written statement to the Division of
Elections rescinding my request to receive matching funds under Section 106.33, Florida Statutes.
I understand that I am not eligible for matching contributions until I receive threshold contributions equal to
$150,000 (in the case of a candidate for Governor) or $100,000 (in the case of a candidate for Cabinet office).
I understand that contributions received from individuals for $250 or less made after September 1 of the
calendar year prior to the election will be eligible for match. Aggregate contributions from individuals in
excess of $250 will be matched only up to $250. Contributions to satisfy threshold amounts and qualifying
matching contributions must be from individuals who are Florida residents.
I understand that if I exceed the expenditure limit or falsely report qualifying matching contributions I will be
fined an amount equal to three times the amount at issue in addition to any other penalties which may be
applicable under the Florida Election Code,.
I agree to submit to a post-election audit of my campaign account by the Division of Elections.
Signature
Print or Type Name of Candidate
DS-DE 98 (eff. 11/17) Rule 1S-2.047, F.A.C
