DS-DE 9 Dan Gelber 2017 APPOINTMENT OF CAMPAIGN TREASURER
2qI1 JAN 31 ('Fi : 6
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):
Ei 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
Dan Gelber 8rArthur Godfrey Road
4. Telephone 5. E-mail address Third Floor
(305 ) 336-3631 Dan @dangelber.com Miami Beach, FL 33140
6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if
Miami Beach Mayor 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
❑ Write-In ❑ No Party Affiliation ❑ Party candidate.
9. I have appointed the following person to act as my 151 Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Maria Kuhn •
11. Mailing Address 12.Telephone
2929 SW 3 Avenue, Suite 220 ( 786 762-4990
13. City 14. County 15. State 16.Zip Code 17. E-mail address
Miami Miami-Dade FL 33129 mkuhn @edgecommfl.com
18. I have designated the following bank as my ®` Primary Depository ❑ Secondary Depository
19. Name of Bank 20.Address
Chase-Bank- Ayicsk- 150 SE .eR, t q I' . c- 4-\
21. City 22. County 23. State 24. Zip Code
Miami Miami-Dade FL 33130
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. Signatur andidate
January 31, 2017 x
27. Treasurer's Acceptance of Appointment(fill in the blanks and check the appropriate block)
Maria Kuhn
1 , do hereby accept the appointment
(Please Print or Type Name)
designated above as: IN Campaign Treasure/ M De uty urer.
January 31, 2017 •
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001,F.A.C.