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DS-DE 84 Micky Steinberg 2017 • I OFFICE USE ONLY STATEMENT OF ` `- I CANDIDATE 2016 OCT 13 11 O: 09 (Section 106.023, F.S.) [: Y L:LL UFF ICE (Please print or type) • 1, Micky Steinberg candidate for the office of Miami Beach Commissioner - Group I have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. X 1//,14_, 13, 2016 Signature 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)