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DS-DE 9 Florez APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 2013 JAN 22 011. 01 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) CITY CLEI,_GK'S OFF ICE (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): X❑ 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 Christine Florez code) 800 West Avenue#241 4.Telephone 5. E-mail address Miami Beach, Florida 33139 (786 ) 440-6983 christinegraceflorez @gmail.6 I Chr15+lne race -0oy-,_o_Z-P_ mcu) COQ 6. Office sought(include district, circuit, group number) 7. If a c didate for a nonparbsan office, check if Commissioner, Group 1 (2013) applicable: ❑ My intent is to run as a Write-In candidate. 8. If a candidate for a ap rtisan 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. 1 have appointed the following person to act as my 0 Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Christine Florez 11. Mailing Address 12. Telephone 800 West Avenue#241 ( 786 ) 440-6983 13. City 14. County 15. State 16. Zip Code 17. E-mail address Miami Beach Dade Florida 33139 christinegraceflorez @gmail.com I18. 1 have designated the following bank as my 0 Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address Sabadell United Bank 11688 Meridian Avenue 21. City 22. County 23. State 24. Zip Code Miami Beach Dade Florida 33139 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREG G RM FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND T T TH ACTS STATED IN IT ARE TRUE. 25. Date 26. Si n ur f idate January 22, 2013 X 27. Treasurer's Acceptance of Appointment(fill in the nks and check the appropriate block) 1, Christine Florez , do hereby accept the appointment (Please Print or Type Name) designated above as: ❑X Campaign Treasurer D ut Tre rer. January 22, 2013 X Date Signature mpaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.