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DS-DE 9-1 Joy Malakoff APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) 2016 JUN -6 AFB 9: 20 (PLEASE PRINT OR TYPE) C 1 1 Y 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 0 Depository C] Office C] 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 (3©S )966-i772_ 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: 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 0 Write-In © No Party Affiliation E] Party candidate. 9. 1 have appointed the following person to act as my ❑ Campaign Treasurer jq Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Joy /Aa.)&k'o 11. Mailing Address 12.Telephone (,p9`1S f1me- J_t-� e AHitre ( 305 ) flog -1772. 13. City 14.County 15. State 16.Zip Code 17. E-mail address FL I 331LI) 18. 1 have designated the following bank as my 0 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 I 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. Signa re of Candidate J-lU N X 27. Treasurer's Acceptance of Appointment(fill in the anks and check the a riate block) I, O A L O F i1 ,do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasurer Deputy Treasurer. -�_o )(p X Date $(gntdre of Campaign Tr surer Deputy Treasure /tea S,z I