DS-DE 9 J. Malakoff Treasurer APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 2013 AUG 2 3 AH 10�
DEPOSITORY FOR CANDIDATES 04
(Section 106.021(1), F.S.) Q J I ,e 1, !i, 0 F F -
(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
Joy Malakoff code)
6415 Pine Tree Drive
4. Telephone 5. E-mail address Miami Beach, FL 33141
(305 ) 866-1772 , beachjoy2 @gmail.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 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
Sanford B. Horwitz
11. Mailing Address 12. Telephone
2121 Ponce De Leon Blvd. 11 th Floor ( 305 ) 442-2200
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Coral Gables Miami-Dade FL 33134 sandy.horwitz @gskcpas.com
18. 1 have designated the following bank as my ® Primary Depository Secondary Depository
19. Name of Bank 20.Address
BankUnited 999 Ponce De Leon Blvd. Suite#10
21. City 22. County 23. State 24. Zip Code
Coral Gables Miami-Dade FL 33134
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
� 23 Z-13
27. Treasurer's Acceptance of Appointment(fill in the lank;and check the propriate block)
I Sanford B. Horvitz , do hereby accept the appointment
(Please Print or Type Name)
designated above as: ® Campaign Treasurer De uty Treas rer.
2� �3 X .
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C.