DS-DE 9 Florez APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 2013 JAN 22 011. 01
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) CITY CLEI,_GK'S OFF ICE
(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
Christine Florez code)
800 West Avenue#241
4.Telephone 5. E-mail address Miami Beach, Florida 33139
(786 ) 440-6983 christinegraceflorez @gmail.6 I Chr15+lne race -0oy-,_o_Z-P_ mcu) COQ
6. Office sought(include district, circuit, group number) 7. If a c didate for a nonparbsan office, check if
Commissioner, Group 1 (2013) applicable:
❑ My intent is to run as a Write-In candidate.
8. If a candidate for a ap rtisan 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 0 Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Christine Florez
11. Mailing Address 12. Telephone
800 West Avenue#241 ( 786 ) 440-6983
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Miami Beach Dade Florida 33139 christinegraceflorez @gmail.com
I18. 1 have designated the following bank as my 0 Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
Sabadell United Bank 11688 Meridian Avenue
21. City 22. County 23. State 24. Zip Code
Miami Beach Dade Florida 33139
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREG G RM FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND T T TH ACTS STATED IN IT ARE TRUE.
25. Date 26. Si n ur f idate
January 22, 2013 X
27. Treasurer's Acceptance of Appointment(fill in the nks and check the appropriate block)
1, Christine Florez , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ❑X Campaign Treasurer D ut Tre rer.
January 22, 2013 X
Date Signature mpaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.