Loading...
DS-DE 9-1 Bower APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES r) o (Section 106.021(1), F.S.) --I (PLEASE PRINT OR TYPE) c zt NOTE: This form must be on file with the qualifying == officer before opening the campaign account. QFFI SE,.ONLY 1.CHECK APPROPRIATE BOX(ES): t Tl ❑ Initial Filing of Form Re-filing to Change: ❑ Treasurer/Deputy ❑ Depository ❑ Office " Q.70arty 2. Name of Candidate(in this order: First, Middle, Last) 3.Address(include post office box or streef,'cityNtate,zip Matti Herrera Bower code) 1442 Jefferson Avenue 4.Telephone 5. E-mail address Miami Beach FL 33139 (305 ) 531-7908 ittam39 @hotmail.com 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 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 Campaign Treasurer Q Deputy Treasurer 10. Name of Treasurer or Deputy Treasurer Matti Herrera Bower 11. Mailing Address 12.Telephone 1442 Jefferson Avenue ( 305 ) 531-7908 13. City 14. County 15. State 16.Zip Code 17. E-mail address Miami Beach Miami-Dade Florida 33139 ittam39 @hotmail.com 18. 1 have designated the following bank as my X❑ Primary Depository ❑ Secondary Depository 19. Name of Bank 20.Address Sabadell United Bank 1 1688 Meridian Avenue 21. City 22. County 23. State 24.Zip Code Miami Beach Miami-Dade Florida 133139 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. Signature of Candidate Olo -D �- .� 27. Treasurer's Acceptance of Appointment(fill in&blanks and check the appropriate block) 1 Matti Herrera Bower do hereby accept the appointment (Please Print or Type Name) designated above as: ❑ Campaign Treasurer Deputy Treasurer. Date Signature of Campaign Treasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.