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DS-DE 9 R. Arriola APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 2015 MAR 24 P° 3° 39 DEPOSITORY FOR CANDIDATES n, a,, - (Section 106.021(1), F.S.) HK'S OFF !�;F:_ (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: ❑ 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 Jose Ricky Arriola code) 8200 NW 33rd Street, Suite 100 4. Telephone 5. E-mail address Miami, FL 33122 (305 ) 523-1115 rickymb2015 @gmail.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Miami Beach City Commission Group 5 applicable: ❑ 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 ❑ Campaign Treasurer © Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Jose Ricky Arriola 11. Mailing Address 12. Telephone 8200 NW 33rd Street, Suite 100 ( 305 ) 442-2200 13. City 14. County 15. State 16.Zip Code 17. E-mail address Miami Miami-Dade FL 33122 rickymb2015 @gmail.com 18. I have designated the following bank as my © Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Suntrust Bank 201 Alhambra Circle 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 03/24/2015 ç211T — 27. Treasurer's Acceptance of Appointment(fill in the blanks a d check the appropriate block) I Jose Ricky Arriola , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer © Deputy Treasurer. 03/24/2015 X Date Sig ature of ampaign•Treasurer:0400utyTreasurer DS-DE 9(Rev. 10/10) ;y T:Ruh, 1$-2;0001,F.A.C.