DSDE-9 Ganju02-23-23A 10:14 RC VD
APPOINTMENT 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
officer before opening the campaign account.
I OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
X❑ 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
Dee ak Ganju code)
P 1 10400 NE 5th Ave
4. Telephone 5. E-mail address Miami Shores, FL 33138
(786 ) 210-3547 dganju@earthlink.net
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
Candidate for 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 0 No Party Affiliation ® Party candidate.
9. 1 have appointed the following person to act as my ❑X Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Chandra Ganju
11. Mailing Address
12. Telephone
10400 NE 5th Ave,
( 786 ) 543-5806
13. City
14. County 15. State
16. Zip Code
17. E-mail address
�chandraganju@hotmaii.com
Miami Shores
Dade �FL
33138
18. 1 have designated the following bank as my X❑ Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
Wells Fargo 9899 NE Second Ave
21. City
22. County
23. State
24. Zip Code
Miami Shores
Dade
FL
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. Signature of Candidat r -,
02/22/2303 X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)
Chandra GWju (CN,AN i2/t 1 do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer ❑ Deputy Treasurer.
02/22/2023 X 1�
Date Signature of Camp ign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10110) KUle ia-c.uuvi, F.A.C.