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DS-DE 9 Return to Group IIRECEl\IE() ~ ;,...-iii! ~"'~· APPOINTMENT OF CAMPAIGN TREASURER AH 9: 51 AND DESIGNATION OF CAMPAIGN WllAUG·I DEPOSITORY FOR CANDIDATES CITY OF MIAMI BEACH (Section 106.021 (1 ), F.S.) OFFICE OF nu: CITY CLERK (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): D Initial Filing of Form Re-filing to Change: 0 Treasurer/Deputy O Depository ~ Office D Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip Michael Grieco code) 4. Telephone 5. E-mail address 7144 Byron Ave (305 ) 857-0034 mike@mike-grieco.com Miami Beach FL 33141 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if City Commissioner Group 2 applicable: D 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 D Write-In D No Party Affiliation D Party candidate. 9. I have appointed the following person to act as my [ZJ Campaign Treasurer D Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Michael Grieco 11. Mailing Address 12. Telephone 7144 Byron Ave ( 305 ) 857-0034 13. City 14. County 15. State 16. Zip Code 17. E-mail address Miami Beach Miami-Dade FL 33141 mike@mike-grieco.com 18. I have designated the following bank as my 0 Primary Depository 0 Secondary Depository 19. Name of Bank 20. Address Sabadell United Bank 1501 Alton Road 21. City 22. County 23. State 24. Zip Code Miami Beach Miami-Dade FL 33139 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. nre of Candidate t;p,/,/17 x ~ (~ ~-::::::--. 27. Treasurer's Acceptance of Appointment (filllrfl'the blanks and check the appropriate block) I, Michael Grieco , do hereby accept the appointment (Please Print or Type Name) designated above as: ~ Campaign Treasurer Deputy Treasurer. 8/1/17 x ~~~ Date Signaturei of Campaign Treasurer or Deputy Treasurer DS·DE 9 (Rev. 10/10) Rule 1 S-2.0001, F.A.C.