DSDE-9 ValinskyAPPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.)
02 -24-23P 03 : 04 RC VD
(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):
19 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
Jesse Valinsky
code)
9780 ne 5th ave rd
Miami Shores, FL 33138
4. Telephone
5. E-mail address
(954 ) 9371166
jesse@steves-pizza.net
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 fora 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 0 Campaign Treasurer ❑ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
Jessica Rose Valinsky
11. Mailing Address
12 4elephone
9780 ne 5th ave rd
( 632 ) 6615
13. City
14. County
15. State
16. Zip Code
17. E-mail address
Miami Shores
Miami -Dade
Florida
33138
jbvalinsky@gmail.com
18. 1 have designated the following bank as my ® Primary Depository ❑ Secondary Depository
19. Name of Bank
20. Address
Bank of America
19499 NE Second Ave
21. City
22. County
23. State
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. Signature of Candidate
2/24/2023
27. Treasurer's Acceptance of Appointment (fill "e blan? and check the appropriate block)
Jessica Rose Valinsky do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer ❑ De uty Treasurer.
2/24/2023 X RJ i 1,�o
ignature of Campaign re s rer or Deputy Treasurer
Date S,
f77
DS-DE 9 (Rev. 10/10) Rule 15-2.0001, P.A.U.