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DS-DE 9 Parker APPOINTMENT OF CAMPAIGN TREASURER � k.. AND DESIGNATION OF CAMPAIGN } DEPOSITORY FOR CANDIDATES 2g t5 jui 6 PM 2: 19 (Section 106.021(1), F.S.) OFFI C, (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): K 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 JONATHAN H. PARKER code) 560 W 51ST STREET 4. Telephone 5. E-mail address MIAMI BEACH, FL 33140 (305 ) 8615-6888 1,M)C; (f-i e ki& do -P - aO1V1 6.-Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if COMMISSIONER GROUP IV 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 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 if-, 11. Mailing Address 12. Telephone 560 W 51ST STREET ns -- site 13. City 14. County 15. State 16. Zip Code 1 17. E-mail address MIAMI BEACH MIAMI-DADE FL 33140 /1/60/04/ .'/►/C J N l 18. I have designated the following bank as my © Primary Depository . ❑ Secondary Deposi •ry 19. Name of Bank 20. Address CITIBANK, N.A. 401 ARTHUR GODFREY RD 21. City 22. County 23. State 24. Zip Code MIAMI BEACH MIAMI-DADE FL 33140 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOINr0' M FOR APPOINTMENT OF CAMPAIGN TREASURE ND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT HE CTS STATED IN IT ARE TRUE. 25. Date 26. Si Aat re •`f di to JULY 16, 2015 X 27. Treasurer's Acceptance of Appointment(fill in the bla s and check the appropriate block) O NA-11.4 0 x f., , do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer WDeputy Treasurer. JULY 16, 2015 X _ Date " ature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.