DSDE9- ULVERTAPPOINTMENT 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
02-19-19 09:46 RC VD *J
OFFICE USE ONLY
V1114G1 UGIVIC V F cItItI
1. CHECK APPROPRIATE BOX(ES):
0 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
Christian Ulvert
code)
29 NE 102 St
4. Telephone 5. E -mail address
Miami Shores, FL 33138
(305 ) 336 -3631 christian.ulvert@gmail.com
6. Office sought (include district, circuit, group number)
7. If a candidate for a nonpartisan office, check if
Miami Shores Village Council
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
Q Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Maria Kuhn
_
11. Mailing Address
12. Telephone
2929 SW 3 Ave Suite 220
( 786 ) 762 -4990
13. City 14. County 15. State 16. Zip Code 17. E -mail address
Miami Miami -Dade FL
33129 mkuhn@edgecommfl.com
18. 1 have designated the following bank as my ® Primary Depository ❑ Secondary Depository
19. Name of Bank
20. Address
Bank of America
9101 S. Dixie Highway
21. City 22. County
23. State 24. Zip Code
Miami Miami -Dade
FL 33143
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. S' ature f Ca ' alp
February 18, 2019
X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
Maria Kuhn , do hereby accept the appointment
designated above as:
(Please Print or Type Name)
® Campaign Treasurer
February 18, 2019
Date
DS -DE 9 (Rev. 10/10)
I1\
1T
Signature of Campaign Treasurer or Deputy Treasurer
Rule 1S- 2.0001, F.A.C.