DS-DE 84 MRSteinberg OFFICE USE ONLY
STATEMENT OF R C. r;�- 1
CANDIDATE
2013 MAY -6 AN 9: 35
(Section 106.023, F.S.)
(Please print or type) CITY CLERK" uI f IC;`
1, Micky Steinberg ,
candidate for the office of Miami Beach Commissioner - Group I
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
X May 6, 2013
ig'nature of Candidate I 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)