DS-DE 9 Isaiah Mosley r
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 2015 FEB 20 Ari 8: 44
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) CIPtif CLEHYS U _
I'•
(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):
M, 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
Isaiah Mosley code)
1038 11 Street#18
4. Telephone 5. E-mail address Miami Beach, FL 33139
(305 ) 514-2468 Isaiahwins @gmail.com
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach City Commissioner, Group 4 applicable:
El My intent is to run as a Write-In candidate.
8. If a candidate for a partisan 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. I have appointed the following person to act as my 0 Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Frances Ortega
11. Mailing Address 12.Telephone
2750 SW 128 Avenue ( 305 ) 978-8440
13. City 14. County 15.State 16.Zip Code 17. E-mail address
Miami Miami-Dade FL 33175 Francesortega33 @gmail.com
18. I have designated the following bank as my 0 Primary Depository fl Secondary Depository
19. Name of Bank 20.Address
Suntrust 1665 Alton Road
21. City 22. County 23. State 24.Zip Code
Miami Beach Miami-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. Si..-_ re of Candidate
- 17- IS
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropri.4 block)
I, Frances Ortega , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer El Deputy Treasurer.
2- ' 7- 15 X
Date ignature of Campai Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10)
Rule 1S-2.0001, F.A.C.