DS-DE 84 Zachary M. Eisner 2017 •
OFFICE USE ONLY
STATEMENT OF ti. __
CANDIDATE ZOO FEB -9 P 1 2: 09
(Section 106.023, F.S.)
CITY CLip,;. S uJFi= ICE
(Please print or type)
I, Zachary Eisner
candidate for the office of Miami Beach City Commissioner Group 2
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X 404 fei 7 ?of-7
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)