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DS-DE 9 Group II Zachary M. Eisner 2017 • APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN " j F� _ �i,f 2:DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) �I (�' !_.z.L;„ 'S , F F i l (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): © 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 Zachary Max Eisner code) 825 W. 40th Street, #1, Miami Beach FL 33140 4. Telephone 5. E-mail address (786 ) 245-2319 zackelaw @gmail.com 6. Office sought(include district, circuit, group number) 7. If a candidate for a nonpartisan office,check if Miami Beach City Commissioner Group 2 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 © Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Abraham A. Galbut 11. Mailing Address 12. Telephone 4770 Biscayne Blvd. Suite 1400 ( 786 ) 245-2302 13. City 14. County 15. State 16. Zip Code 17. E-mail address Miami Dade FL 33137 agalbut @hudcap.com 18. I have designated the following bank as my © Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Chase Bank 474 Arthur Godfrey Rd 21. City 22. County 23. State 24. Zip Code Miami Beach 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 of Candidate Fe/ 7 20/7 X 27. A Treasurer's Acceptance of Appointment (fill in the b anks and check the appropriate •lock) l A b/w H a•.. A. C941 O „-1- , do hereby accept the -ppointment (Please Print or Type Name) designated above as: Campaign Treasure ❑ Deputy Treasurer. �P u 7 20/ 7 X L A I A Date Signature of Campaign •easure deputy Treasur DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.