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DS-DE 9 Micky Steinberg 2017 • • APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES 2015 OCT ( 3 010:10: I09 (Section 106.021(1), F.S.) CITY Oi-T ;LE (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 ® Depository ❑ Office Party 2. Name of Candidate(in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Micky Ross Steinberg code) 900 Bay Drive #504 4. Telephone 5. E-mail address Miami Beach, FL 33141 (786 ) 471-4304 micky @palmprop.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if Miami Beach Commissioner, Group I 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 El Write-In ❑ No Party Affiliation fl Party candidate. 9. I have appointed the following person to act as my © Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Micky Steinberg 11. Mailing Address 12. Telephone 900 Bay Drive #504 ( 786 ) 471-4304 13. City 14. County 15. State 16. Zip Code 17. E-mail address Miami Beach Miami-Dade FL 33141 micky @palmprop.com 18. I have designated the following bank as my © Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Regions Bank NA 780 Arthur Godfrey Road 21. City 22. County 23. State 24. Zip Code Miami Beach Miami-Dade FL 33140 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 Candidate October 13, 2016 X 27. Treasurer's Acceptance of Appointment (fill in the tanks and check the appropriate block) Micky Steinberg , do hereby accept the appointment (Please Print or Type Name) designated above as: © Campaign Treasurer Deputy Treasurer. October 13, 2016 X ",\/- Date Ign6ture of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.