DSDE-9 MartinezAPPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
03-01-23P 02 :57 RC VD
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):
XD 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
Julio Martinez code)
130 NE 98th St
4. Telephone 5. E-mail address Miami Shores, FL 33138
(786 ) 290-0565 juliomartinezcampaign@gma
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
Miami Shores Councilmember 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
Julio Martinez
11. Mailing Address
12. Telephone
P. O. Box 531145
( 786 ) 290-0565
13. City
14. County 15. State
�Fl
16. Zip Code
�331153
17. E-mail address ~✓
�juliomartinezcampaign@gmail.com
Miami Shores
Dade
18. 1 have designated the following bank as my ❑X Primary Depository ❑ Secondary Depository
19. Name of Bank . Address
Bank of America NE 2nd Avenue
A99
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 FOREGO
NG F M FOR APPOINTMENT OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THA '
THE A TS ST�TED IN IT ARE TRUE.
25. Date 26. Sign
t f didate
X
27. Treasurer's Acceptance of Appointment (fill in t Aks and check the appropriate block)
1. Julio Martinez do hereby accept the appointment
(Please Print or Type Name)
designated above a ❑X Campaign Treasurer ❑ D uty� reasurer.
�V
ii X
Date Signature , mpaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) 1 Rule 15-2.0001, F.A.G.