Loading...
DS-DE 9 2 Grieco Deputy Treasurer APPOINTMENT OF CAMPAIGN TREASURER �? AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES W 71 (Section 106.021(1), F.S.) rte, /..I ■P1 mp`J (PLEASE PRINT OR TYPE) c_r� -a NOTE: This form must be on file with the qualifying ry officer before opening the campaign account. FQFPME 09E ONLY 1. CHECK APPROPRIATE BOX(ES): ® Initial Filing of Form Re-filing to Change: 2 Treasurer/Deputy Depository ® Office 0 Party 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Michael Christopher Grieco code) 4. Telephone 5. E-mail address 119 Washington Avenue, Suite 500 (305 ) 857.0034 michael @griecolaw.com Miami Beach, FL 33139 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: Miami Beach Commission; Group 3 Ej 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 F1 Write-In 11 No Party Affiliation 1:1 Party candidate. 9. 1 have appointed the following person to act as my Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Michael C. Grieco 11. Mailing Address 12. Telephone 119 Washington Avenue, #500 ( 305 ) 857-0034 13. City 14. County 15. State 16. Zip Code 17. E-mail address Miami Beach Dade ' FL 33139 michael @griecolaw.com 18. 1 have designated the following bank as my ❑✓ Primary Depository Secondary Depository 19. Name of Bank 20. Address Sabadell United 1688 Meridian Avenue 21. City 22. County 23. State 24. Zip Code Miami Beach Dade FL 33139 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. Signat e C id 2/14/13 X 27. Treasurer's Acceptance of Appointment(fill In the blanks and check the appropriate block) Michael C. Grieco I, , do hereby accept the appointment (Please Print or Type Name) designated above as: ® Campaign Treasurer ✓ D uty Tr s re 2/15/13 X Date Wnature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001. , F.A.C.