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DSDE9- LOFFREDOAPPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN DEPOSITORY FOR CANDIDATES (Section 106.021(1), F.S.) (PLEASE PRINT OR TYPE) NOTE: This form must be on file with the qualifying 9 officer before opening the campaign account. 02 -15 -1 9 1 1 :54 R9I� CE USE ONLY 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re- filing to Change: ❑ Treasurer /Deputy ❑ Depository ❑ Office [j Party 2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip STEPHEN K. LOFFREDO code) 317 Northeast 102 Street Miami Shores, Florida 33138 4. Telephone 5. E -mail address ( 305)757 -8115 I attykavloff @aol.com 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: Miami Shores Village COuncil [:] 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. I have appointed the following person to act as my ® Campaign Treasurer ❑ Deputy Treasurer 0. Name of Treasurer or Deputy Treasurer Steven L. Jones 11. Mailing Address 9999 Northeast 2nd Avenue, Suite 216 12. Telephone Miami Shores, Florida 33138 ( 13. City 14. County 15. State 16. Zip Code 17. E -mail address Miami Shores Miami -Dade Fla. 33138 jonesatty @mindspring.com 18. 1 have designated the following bank as my ® Primary Depository ❑ Secondary Depository 19. Name of Bank 20. Address Bank of America 9499 Northeast 2nd Avenue, Miami Shor 21. City 22. County 23. State 1 24. Zip Code Miami Shores Miami -Dade Florida 33138 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. Signat of a da February 15, 2019 X 27, Treasurer's Acceptance of Appointment (fill in the blags and check the a propriate block) 1, Steven L. Jones do hereby accept the appointment (Please Print or Type Name) 'esignated above as ® Campaign Treasurer ❑ eputy Treasurer. February 15, 2019 X Date Signat6re of amp gn Treasurer or Deputy Treasurer DS -DE 9 (Rev. 10/10) /' ,% Rule 1S- 2.0001, F.A.C.