DS-DE9
STATE OF FLORIDA,.., r: !"'ili I \ f F D CHECK APPROPRIATE BOX
APPOINTMENT OF CAMPAIGN TR'EAS'R'ER" . Iij Original Appointment
AND DESIGNATION OF CAMPAIG~\QepOSlT~R-q: 51 0 Deputy Treasurer
FOR CANDIDATES S OFf ICE 0 Reappointment of Treasurer
(Section 106.021(1), F.S.)" , 0 Secondary Depository
(PLEASE TYPE)
Name of Candidate 1. Address (include post office box or ~treet, city. state. zip code)
5255 COLLINS AVENUE
ELAINE BLOOM MIAMI BEACH FLORIDA 33140
Telephone (optional) 2. Party (Partisan candidates only) 3. Office (add district. circuit or group number)
(5~) 1661.177 N/A MAYOR, CITY OF MIAMI BEACH
I have appointed the following person to act as my Ixx I Campaign' Treasurer D Deputy Treasurer,
4. Name of Treasurer or Deputy Treasurer
RICHARD A, BERKOWITZ
5. Mailing Address (11 post office box or drawer add street address) 6. Telephone
ONE SOUTHEAST THIRD AVENUE, FIFTEENTH FLOOR 305-379-7000
7. City 8. County 9. State 10. Zip Code
MIAMI MIAMI-DADE FLORIDA 33131
I have designaled the following named bank as my I XX I Primary Deposilory D Secondary Depository
11. Name of Bank 12, Street Address
BEACH BANK 555 ARTHUR GODFREY ROAD
13. Cily 14. County 15, State, 16. Zip Code
MIAMI BEACH MIAMI-DADE FLORIDA 33140
, I WILL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO "THESE APPOINTMENTS.
17. SignaZCandidate & Date
X //? ~#?; ~~'> .m lkU/1' ,.,(cJcJ/
Campaign Treasurer's Acceptance of Appointment ( r
I. RICHARD A. BERKOWITZ . do hereby accept the appointment as
(Please Print or Type)
~ Campaign Treasurer D Deputy Treasurer for the campaign of ELAINE HT,OOM
who is seeking 00mination or election as a .N/A candidate to the office of
(Party)
MAYOR, CITY OF MIAMI BEACH , As a duly registered voter in MIAMI-DADE
County. Fiorida. I am qualified to accept this appointment.
~/7(t:>1 X ,--~, ~~ ~ J-
Date Signature 0 ampalg ~asurer or ueputy Treasurer
--
'!~
~ECFIVED
STATE OF FLORIDA 01 w' -9 p)~~PPROPRIATEElOX
APPOINTMENT OF CAMPAIGN TREASURER, , ", _".0 ~~~nal Appointment
AND DESIGNATION OF CAMPAIGN DEPOSITORY'" "Cj foepirtYTreaSUrer
FOR CANDIDATES 0 Reappointment of Treasurer
(Section 106.021(1), F.S.) 0 Secondary Depository
(PLEASE TYPE)
Name of Candidate
1. Address (include post office box or street, city, state. zip code)
Telephone (optional)
<30}) $6-tiJtt
Ff-If/Ncf J LCJtJY!
2. Party (Partisan candidates only)
IV-A- .
5' v?5!7~~ lha4 ~~!tJj
3, Office (add district. circuit or group number)
./I1ItVtJt Ct1V tJ;:- #16 _-M
I have appointed the following person to act as my
D Campaign Treasurer
6. Telephone
?Jy-Jtf,6-J'"Y'?,/
9. State
17 FLLJ.~
I have designated the following named bank as my 0 Primary Depository
12, Stree1 Address
10. Zip Code
D Secondary DepOSitory
.5.7.7
he Y M4lJ
14. County
(filII: I-~
I WilL NOTIFY YOU OF ANY ADDITIONS OR CHANGES TO THESE APPOINTMENTS.
c
15. State
/UJ
16, Zip Code
3?1 ~
d~,c;:.01
I.
Campaign Treasurer's Acceptance of Appointment
EL-flltUl? PLOO/kJ
(Please Print 0< Type)
, do hereby accept the appointment as
o Campaign Treasurer (R] DeputyTreasurer forthecampaign of Ct..AIIVe' PlOt:J_1::t
who is seeking nomination or election as a . M It , candidate to the office of
. (Party)
;vi !lY()'~J ell'! tJ I' I1(A/!(/$~lIAs aduly registered voter in 11l/A .41/- }J/l-t;>e
County, Florida. I am qualified to accept this appointment.
1l~ f~tedOt? (
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R:E C r: I v E D
O 1',1','/ --Q p'f l' <;2
I t., ~ ~! v' v
STATEMENT OF CANDlDA\f9FFicE
(Section 106.023, F.S.)
(Please Type)
rLIfIA/8 &CtJ/'1
candidate for the office of ;!fA- y 0 ~, d / [\J or-AI ,,1,,111 48/1C11;
, .
I,
have received, read and understand the requirements of Chapter 106,
Florida Statutes.
x
~; Npu,
Signature of Candidate
~ 1) d/JC7/
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
Financin.g Act which may result in a fine of up to $1,000, (55. 106.19(1 )(c), 106.265(1), Florida
Statutes).
OS-DE 84 (Rev. 8/99)