DS-DE 9 Joshua Charles Dunkelman APPOINTMENT OF CAMPAIGN TREASURER 2013 FEB 26 � 11: � �
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES CITY CLLR' 'S OFF I C
(Section 106.021(1), F.S.)
(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):
❑ Initial Filing of Form Re-filing to Change: 0 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
Joshua Charles Dunkelman code)
4.Telephone 5. E-mail address 1125 Meridian Ave
786 766-0789 joshua @dunkelman.org Apt 1
( ) 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 City Commission , Group III 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 Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Joshua Dunkelman
11.Mailing Address 12.Telephone
1125 Meridian Ave Apt 1 ( 786 ) 766-0789
13. City 14.County 15.State 16.Zip Code 17. E-mail address
Miami Beach Dade FL 33139 joshua @dunkelman.org
18.1 have designated the following bank as my D Primary Depository Secondary Depository
19. Name of Bank 20.Address
Chase (bank change for convenience) 1801 Alton.Road
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 OINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT ST D IN IT ARE TRUE.
25. Date 26. nature of Cand a
February 26, 2013
27. Treasurer's Acceptance of Appointment(fill in a blanks check the appropriate block)
1, Joshua Dunkelman ,do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasur epu Treasurer.
N 0
February 26, 2013 X
Date Signatu e o Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10110) Rule 1S-2.0001,F.A.C.
FCI !`[77I
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 2013 FEB 21 PM 4: 16
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) CITY C L EE R ' ; OFF ICE
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
officer before o ening the cam aign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
✓❑. 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
code
Joshua Charles Dunkelman )
1125 Meridian Avenue
4.Telephone 5. E-mail address Apartment 1 -
(786 ) 766-0789 joshua @dunkelman.org Miami Beach, FL 33139
6. Office sought(include district,circuit,group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach Commission, Group III 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 Q Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Joshua Dunkelman
11. Mailing Address 12.Telephone
1125 Meridian Avenue ( 786 ) 766-0789
13.City 14. County 15. State 16.Zip Code 17..E-mail address
Miami Beach Dade FL 33139 joshua @dunkelman.org
18. 1 have designated the following bank as my ❑✓ Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
Sabadell United Bank 1688 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 FOREGOING FO-M FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE ACTS TATED IN IT ARE TRUE.
25. Date 26. gnatur f C didate
February 21, 2013 x
27. Treasurer's Acceptance of Appointment(fill in th anks and-check the appropriate block)
1, Joshua Dunkelman ,do hereby accept the appointment
(Please Print or Type Name)-
designated above as: ✓❑ Campaign Treas er ❑ Depu Tr sur
February 21, 2013 x
Date . S`i4Rat4e of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev.10/10) Rule 1 S-2.0001,F.A.C.