DS-DE 9-1 Betsy Perez APPOINTMENT OF CAMPAIGN TREASURER s '1 r ��
AND DESIGNATION OF CAMPAIGN `�; �� -8 + a
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
OFFICE
(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):
0 Initial Filing of Form Re-filing to Change: Treasurer/Deputy J Depository El Office ❑ Party
2. Name of Candidate(in this order:First, Middle, Last) 3.Address(include post office box or street,city,state,zip
Elizabeth "Betsy" Perez code)
7605 Collins Avenue
4.Telephone 5. E-mail address Miami Beach, Florida 33141
(305 ) 442-2200 rperez4bullseye @aol.com
6.Office sought(include district,circuit,group number) 7. If a candidate for a nonpartisan office,check if
City Commissioner , Group 4 applicable:
El 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 0 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
Elizabeth "Betsy" Perez
11. Mailing Address 12.Telephone
7605 Collins Avenue, ( 305 ) 442-2200
13. City 14. County 15.State 16.Zip Code 17. E-mail address
Miami Beach Miami Dade FL 33141 rperez4bullseye @aol.com
18. I have designated the following bank as my ® Primary Depository ® Secondary Depository
19. Name of Bank 20.Address
Suntrust Bank 9600 Collins Ave
21.City 22.County 23.State 24.Zip Code
Bal Harbour Miami Dade Florida 33154
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•,.ture of andidate
Sw7-6 x ; t'/,
27. Treasurer's Acceptance of Appointment(fill in tt" lanks and check the app ='date block)
I, Elizabeth "Betsy" Perez ,do hereby accept the appointment
(Please Print or Type Name)
designated above as: ® Campaign Treasurer ® D puty Tr asurer.
5Lpf e _a,D s-
Dlte Sign re of Campaign Treasurer o, 10.-puty Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001,F.A.C.