DSDE-9 MarinbergAPPOINTMENT 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.
OFFICE USE ONLY
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
Daniel Marinberg code)
1550 NE 103 St
4. Telephone 5. E-mail address Miami Shores, FL 33138
(305 ) 528-6237 marinbergd@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 Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Carlos Canasi
11. Mailing Address
12. Telephone
1550 NE 103 St
( 305 ) 987-1246
13. City
14. County
15. State
16. Zip Code
17. E-mail address
Miami Shores
Miami -Dade
FL
33138
carloscanasi@gmail.com
18. 1 have designated the following bank as my Primary Depository Secondary Depository
19. Name of Bank 20. Address
Bank of America 9190 Biscayne Blvd
21. City
22. County
23. State
24. Zip Code
Miami Shores
Miami -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 Tf
IE FACTS STATED IN IT ARE TRUE.
25. Date 26. Signatu
Candidate
January 7, 2021 I-X
K
27. Treasurer's Acceptance of Appointment (fill i the blank and check the appropriate block)
I Carlos Canasi do hereby accept the appointment
(Please Print or Type Name)
designated above as: Z Campaign Treasurer Deputy Treasurer.
January 7, 2021 x
Date Signat re of Campai Trea urer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.