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DS-DE 9-1 Parker • APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN �+k , 17 DEPOSITORY FOR CANDIDATES Ll� ,:. t `' ' `' (Section 106.021(1), F.S.) (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 JONATHAN H. PARKER code) 560 W 51ST STREET 4.Telephone 5. E-mail address MIAMI BEACH, FL 33140 (305 ) 8615-6888 '+ Cfriyif'1tt4IJ e' Jo 4.T t1S µ(i i-e- rz , Cpri 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 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 MELISSA L. PARKER 11. Mailing Address 12. Telephone 560 W 51ST STREET ( 786 ) 352-4878 13. City 14. County 15. State 16. Zip Code 17. E-mail address MIAMI BEACH MIAMI-DADE FL 33140 M J iSSYMAI34 @YAHOO.COM 18. I have designated the following bank as my © Primary Depository ❑ Secondary Depository 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 FOREGOIN• O M FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT HE -'CTS STATED IN IT ARE TRUE. 25. Date 26. Si at re ,:f di to JULY 16, 2015 X • 27. Treasurer's Acceptance of Appointment(fill in the bla s and check the appropriate block) I MELISSA L. PARKER , do hereby accept the appointment (Please Print or Type Name) designated above as: © Campaign Treasurer ❑ Deputy Treasurer. JULY 16, 2015 Date Sig ature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.