Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
DS-DE 9 Joy Malakoff
APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (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): XO Initial Filing of Form Re-filing to Change: C] Treasurer/Deputy C] Depository C] Office E] Party 2. Name of Candidate(in this order. First, Middle, Last) 3.Address(include post office box or street,city, state,zip Joy Malakoff code) 6415 Pine Tree Drive 4.Telephone 5. E-mail address Miami Beach, FL 33141 ( 305 ) 8j4-f 7);PZ- beachjoy2 @gmail.com 6. Office sought(include district,circuit,group number) 7.If a candidate for a nonpartisan office,check if City Commissioner Group 3 applicable: E] My intent is to run as a Write-In candidate. 8. If a candidate for a ap rtisan office,check block and fill in name of party as applicable: My intent is to run as a E] Write-In © No Party Affiliation ❑ Party candidate. 9. 1 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 11 th Floor ( 305 ) 442-2200 13. City 14.County 15. State 1 16.Zip Code 17.E-mail address Coral Gables Miami-Dade IFL 33134 sandy.horwitz @gskadvisors.com 18. 1 have designated the following bank as my © Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address BankUnited 1300-41 Street 21. City 22. County 23. State 24.Zip Code Miami Beach Miami-Dade IFL 133140 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. Signature of Candidate J t9Nr 20 (� X 27. reasurer's Accepts ce of,A,p " tment(fill in e b anks and check the app ate bldck) 1, f�i� r RW { j ,do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer puty reas rer X Y Date Signatur4 of Campai n Treasurer r Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C. P�'I / q r