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Levine DS-DE 9 APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 2015 AUG 28 AK oa 46 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) CITY (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 0 Depository ❑ Office ❑ Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address(include post office box or street, city, state, zip Philip Levine code) 1425 N. View Drive 4. Telephone 5. E-mail address Miami Beach, FL 33140 (305 ) 673-9500 philip @baron-corp.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if Mayor of Miami Beach 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 Q 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 Sanford B. Horwitz 11. Mailing Address 12. Telephone 2121 Ponce de Leon Blvd, Suite 1100 ( 305 ) 442-2200 13. City 14. County 15. State 16.Zip Code 17. E-mail address Coral Gables Miami-Dade FL 33134 sandy.horwitz @gskadvisors.com 18. I have designated the following bank as my Primary Depository Secondary Depository rY 19. Name of Bank 20.Address BB&T 1691 Michigan Avenue, Ste. 100 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 APPOINTME.Tom'° AMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STAT • 'r` .'74-TRUE. 25. Date 26. Signature of Ca G 08/28/2015 X 27. Treasurer's Acceptance of Appointment(fill in the b:n/ c nd •eck the appropriate block) Sanford B. Horwitz /` a i d o hereby e eby accept the appointment (Please Print or Type Name) designated above as: © Campaign Treasurer !/A Deputy Treasurer. 08/28/2015 X /� _ Date Sign "re of Campaign easurer or Deputy Treasurer DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.