DS-DE 9 J. Malakoff APPOINTMENT OF CAMPAIGN TREASURER r
f
AND DESIGNATION OF CAMPAIGN 2013 AUG" 23 AND 04
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) OFFICE
(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
Joy Malakoff code)
6415 Pine Tree Drive
4. Telephone 5. E-mail address Miami Beach, FL 33141
(305 ) 866-1772 beachjoy2 @gmail.com
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 E] No Party Affiliation ❑ Party candidate.
9. 1 have appointed the following person to act as my ❑ Campaign Treasurer 0 Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Joy Malakoff
11. Mailing Address 12. Telephone
6415 Pine Tree Drive ( 305 ) 866-1772
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Miami Beach Miami-Dade FL 33141 beachjoy2 @gmail.com
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
BankUnited 999 Ponce De Leon Blvd. Suite#10
21. City 22. County 23. State 24. Zip Code
Coral Gables Miami-Dade FL 33134
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. Signature of Candidate
23 //3 X � ?
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the propriate block)
I Joy Malakoff , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ❑ Campaign Treasurer Deputy Treasurer.
f Z3 f3 X , 2)IW-,,,,r�,/
Date 'igndt&e of Campaign T urer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.