Levine DS-DE 84 �.,. -•OFFICE LJSE ONLY
STATEMENT OF
CANDIDATE 2f15 AUG 28 17,1; 9: 46
(Section 106.023, F.S.) C J '� t,
(Please print or type)
1, Philip Levine
candidate for the office of Mayor of Miami Beach - 2015
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
Adoe ,
08/28/2015
•e of Candidate 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)