DS-DE 9 Diffenderfer 2015 • •
APPOINTMENT OF CAMPAIGN TREASURER ` , n
AND DESIGNATION OF CAMPAIGN 2 � JUL -2 PM 1:DEPOSITORY FOR CANDIDATES 23
(Section 106.021(1), F.S.) (;ri`E" C L _V'S OFF I 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):
Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository DI Office ❑ Party
2. Name of Candidate(in this order: First, Middle, Last) 3.Address(include post office box or street, city, state,zip
Diffenderfer, G Scott code)
20 Island Ave.#402
4.Telephone 5. E-mail address Miami Beach, FL 33139
(305 ) 458-3334 scott@scottdiff.com
6. Office sought(include district, circuit,group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach Commission, Group 4 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
o Write-In [] No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my Q Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
John Lee
11. Mailing Address 12.Telephone
20 Island Ave. #402, Miami Beach, FL 33139 ( 305 ) 519-2769
13. City 14. County 15. State 16.Zip Code 17. E-mail address
Miami Beach Miami-Dade FL 33139 jI1400 @hotmail.com •
18. I have designated the following bank as my Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
Bank of America 1414 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 at,r- of a •'•ate
7/2/15 )(
27. Treasurer's Acceptance of Appointment( I i , blanks and check the appropriate block)
John Lee ,do hereby accept the appointment
(Please Print or Type Name)
designated above as: ► Campaign Treasurer ❑ Deputy Treasurer.
7/1/15 X d_( fj ` - - -._
Date p'Signatur.of C paign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) JUL 0 1 AID Rule 1S-2.0001, F.A.C.
f t.< ...,r r
2015 JUL -2 PM 11
Scott Diffenderfe1r. ,, _ ;
20 Island Avenue, #402
Miami Beach, Florida 33139
July 2, 2015
Rafael E. Granado, City Clerk
Office of the City Clerk
1700 Convention Center Drive
Miami Beach, Florida 33139
Dear Mr. Granado:
I am hereby notifying you that I am changing my designation of office from Group VI to Group IV
in the November 3, 2015 General Election.
Concurrently with this letter, I am completing new forms DS-DE 9 and DS-DE 84.
1 V r
. i
Id
S Dille er
OFFICE USE ONLY
STATEMENT OF T= 4. � ''r' �
CANDIDATE 20(5 JUL -2 PM e: 23
(Section 106.023, F.S.) I ,( `J 1
(Please print or type) 1 l
1, G Scott Diffenderfer
candidate for the office of Miami Beach Commission, Group 4
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
7/2/15
Signa re o i' andidate r Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
DS-DE 84(05/11)