HomeMy WebLinkAboutDS-DE 6 STATE OF FLORIDA
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR POLITICAL COMMITTEES
AND ELECTIONEERING COMMUNICATION
ORGANIZATIONS
(sections 106.011(1) & 106.021(1), F.S.)
(PLEASE TYPE)
CHECK APPROPRIATE BOX:
[] Odginal Appointment [] Deputy Treasurer []
1. Committee or ElectJonearing Communication Organization Name
Citizens to Preserve Miami Beach
Telephone (optional) 3. City I 4. County
I
305-673-5177 Miami Beach
Miami-Dade
The following person has been appointed to serve as [-~ Campaign Treasurer []
OFFICE USE ONLY
Reappointment of Treasurer
2. Mailing Address
HSBC Bank Building, 301 41st Street, 3rd Floor
5. State
FL
6. Zip Code
33140
Deputy Treasurer for the above named committee.
7. Name of Treasurer or Deputy Treasurer
Kenneth A. Camto
8. Street Address
5601 Collins Ave., #704
Miami Beach Miami-Dade FL 33140
I have designated the following named bank as my [] Primary Depository [] Secondary Depository
13. Bank Name (include account number) 14. Street Address
SunTrust Bank Acct. #1000025455790 9600 Collins Ave.
15. City 16. County 17. State 18. Zip Code
Bal Harbour [Miami-Dado I FL ~,..7 I33154
19. Name of Chairman 20. Sign of ~Ch.~j:~
Alexander C. Annunziato X ~ ~,~,-~:~:~
Campaign Treasurer's Accel~l/~e of ~R31ntme~t ....
Kenneth A. Camto
(Please Print or Type)
[] Campaign Treasurer [] Deputy Treasurer
Committee or Organization. As a duly registered voter in
, do hereby accept the appointment as
for the Citizens to Preserve Miami Beach
Miami-Dada County, Florida, I am
qualified to accept this appointment.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE.
10/4/04 X ~
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 6 (Rev. 08/04)