Fillable INDEPENDENT EXPENDITURE STATEMENT FOR REBATE OF FILING FEES/PARTY (Florida Division of Corporations)

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INDEPENDENT EXPENDITURE STATEMENT FOR REBATE OF FILING FEES/PARTY (Florida Division of Corporations)

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INDEPENDENT EXPENDITURE STATEMENT
FOR REBATE OF FILING FEES/PARTY ASSESSMENT FUNDS
(Section 106.087, Florida Statutes)
DS-DE 7 (Rev. 05/2020)
Before me, an officer authorized to administer oaths, personally appeared
(name)
to me well known, who, being sworn, says that he or she is the
(title)
of the
party
(name of party)
(state or specific county)
executive committee, that the executive 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 executive committee will not
make, either directly or indirect
ly, 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 executive committee will not violate the contribution
limits applicable to candidates under s. 106.08(2), Florida Statutes.
Signature of Committee Officer
Address
State
Zip Code
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
t
his day of , 20 .
Personally Known OR Produced Identification
Type of Identification Produced:
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INDEPENDENT EXPENDITURE STATEMENT FOR REBATE OF FILING FEESPARTY (Florida Division of Corporations)

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Completed 30 July 2020

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