DS-DE 9 D. Cardenas APPOINTMENT OF CAMPAIGN TREASURERS `,,'
AND DESIGNATION OF CAMPAIGN 2013 JAN � �
DEPOSITORY FOR CANDIDATES PPS 3: 11
(Section 106.021(1), F.S.) CITY CLD,K,s Oi._)alCE
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ® Depository ❑ Office ❑ Party
2. Name of Candidate(in this order: First, Middle, Last) 3.Address (include post office box or street, city, state, zip
David R. Cardenas code)
5757 Collins Avenue, Apartment 704
4. Telephone 5. E-mail address Miami Beach, Florida 33140
(305 ) 775 8913 dre @cardenasgroup.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach City Commission, Group I applicable:
❑ My intent is to run as a Write-In candidate.
8. If a candidate for a partisan office,check block and fill in name of party as applicable: My intent is to run as a
❑ Write-In ❑ No Party Affiliation ❑ Party candidate.
9. 1 have appointed the following person to act as my ® Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
ca(Mine 1. (alrdendi
11. Mailing Address 12. Telephone
S�S } COQ AV'-w -loq (30iF 31e 600
13. City 14. County 15. State 16. Zip Code 17. E-mail address
YY1ftl PLKH DADS FL, 331 qD Climar moLse aol• cow^
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
r6 C r -tPhLt 22 d f-
lit c l G
21. City 22. County 23. State 24. Zip Code
Q( l (04 blr4 41�"(I r G 35 13
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE.
25. Date 26. ,!:tu,re of Candidate
JA,Wvkpy 18) 2.012 X s, L. ——
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
1, (� I�,(, c ay n , do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer ❑ Deputy Treasurer.
01 /1112615 X �IAAO T -
D to kFignature of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.