DS-DE 9 MRSteinberg APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN R F G i V IF- f
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F-S.) 2013 MAY -6 AM g: 35
(PLEASE PRINT OR TYPE) C f i Y C L L I` 3 u i-
NOTE: This form must be on file with the qualifying
officer before opening the campaign account. OFFICE USE ONLY
1.CHECK APPROPRIATE BOX(ES):
XO 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
Micky Ross Steinberg code)
900 Bay Drive #504
4. Telephone 5. E-mail address Miami Beach, FL 33141
(786 ) 471-4304 micky @palmprop.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach Commissioner, Group I applicable:
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
❑ Write-In E] 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
Micky Steinberg
11. Mailing Address 12. Telephone
900 Bay Drive #504 ( 786 ) 471-4304
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Miami Beach Miami-Dade Florida 33141 micky @palmprop.com
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
Regions Bank NA 1780 Arthur Godfrey Road
21. City 22. County 23. State 24. Zip Code
Miami Beach Miami-Dade Florida 33140
UNDER PENALTIES OF PERJURY,1 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. Signature f Candidate
May 6, 2013
27. Treasurer's Acceptance of Appointment(fill in t blanl4s and check the appropriate block)
I Micky Steinberg do hereby accept the appointment
(Please Print or Type Name)
designated above as: Campaign Treasuregigna Deputy Treasurer.
May 6, 2013 X
Date e of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10110) Rule 1S-2.0001, F.A.C.