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DS-DE 9-1 Dunkelman 1.V'F APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN 2013 FEB 2 1 PM 4: 16 DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) CITY C L IL r?1 OFT I C E (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 Joshua Charles Dunkelman CO 1125 Meridian Avenue 4.Telephone 5. E-mail address Apartment 1 (786 ) 766-0789 joshua @dunkelman.org Miami Beach, FL 33139 6. Office sought(include district,circuit,group number) 7. If a candidate for a nonpartisan office,check if Miami Beach Commission, Group III 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 Q Campaign Treasurer ❑ Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Joshua Dunkelman 11. Mailing Address 12.Telephone 1125 Meridian Avenue ( 786 ) 766-0789 13. City 14.County 15.State 16.Zip Code 17. E-mail address Miami Beach Dade FL 33139 joshua @dunkelman.org 18. 1 have designated the following bank as my ❑✓ Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address Sabadell United Bank 3 6 ,3 1688 Meridian Avenue 21. City 22.County 23.State 24.Zip Code Miami Beach Dade Florida 33139 . UNDER PENALTIES OF PERJURY,I DECLARE THAT 1 HAVE READ THE FOREGOING FO M FOR APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE ACTS TATED IN IT ARE TRUE. 25. Date 26. Ignatur f C didate February 21, 2013 x 27. Treasurer's Acceptance of Appointment(fill in th Yanks and check the appropriate block) I, Joshua Dunkelman ,do hereby accept the appointment (Please Print or Type Name)- designated above as: 0 Campaign Treas er ❑ Depu Tr sur f February 21, 2013 x Date. S'igRate 46f Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev.10/10) Rule 1S-2.0001,F.A.C. SCMNED FEB 12013 i .. APPOINTMENT OF CAMPAIGN TREASURER 2013 FE'B 26 AM 11: 3 1 AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES ,�, 1=T= IC; (Section 106.021(1), F.S.) (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: u Treasurer/Deputy U Depository ❑ Office Party 2. Name of Candidate(in this order: First,Middle, Last) 3.Address(include post office box or street,city,state,zip Joshua Charles Dunkelman code) 4.Telephone 5. E-mail address 1125 Meridian Ave 786 766-0789 joshua @dunkelman.org Apt 1 ( ) Miami Beach, FL 33139 6.Office sought(include district,circuit,group number) 7.If a candidate for a nonpartisan office,check if applicable: Miami Beach City Commission , Group III ❑ 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. 1 have appointed the following person to act as my 12 Campaign Treasurer Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Joshua Dunkelman 11. Mailing Address 12.Telephone 1125 Meridian Ave Apt 1 ( 786 ) 766-0789 13.City 14. County 15. State 16.Zip Code 17. E-mail address Miami Beach Dade FL 33139 joshua @dunkelman.org 18.1 have designated the following bank as my Primary Depository Secondary Depository 19. Name of Bank 20.Address Chase (bank change for convenience) 1801 Alton.Road 21.City 22.County 23.State 24.Zip Code Miami Beach Dade FL 33139 UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM OR OINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT ST D IN IT ARE TRUE. 25. Date 26. nature of Cand a February 26, 2013 27. Treasurer's Acceptance of Appointment(fill in"' e blanks check the appropriate block) I, Joshua Dunkelman ,do hereby accept the appointment (Please Print or Type Name) designated above as: Campaign Treasur epu Treasurer. February 26, 2013 X Date Signatu I o Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1 S-2.0001,F.A.C. I