Michael Stern - Registration Documents RECEIVED
CrTY CLERK
APPOINTMENT OF CAMPAIGN TREASUREROFFICE OF THE
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES JAN 1
(Section 106.021(1), F.S.)
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying
CITY CIF' `�
officer before openin2 the cam ai n account. OFFICE USE ONLY
1. CHECK APPROPRIATE BOX(ES):
10 Initial Filing of Form Re-filing to Change: Treasurer/Deputy ❑ Depository F office Party
2 Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
Michael Stern code)
20730 NE 30 Place, Aventura FL 33180
4. Telephone 5. E-mail address
(786 ) 556-5657 aventuramagazine@aol.com
6. Office sought(include district, circuit, group number) 7. If a candidate for nonpartisan office, check if
applicable:
Commissioner Seat 2 ❑ My intent is to run as a Write-In candidate.
8.1f 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
Michael Stern
11. Mailing Address 12. Telephone
20730 NE 30 PI ( 786 ) 556-5657
13. City 14. County 15. State 16. Zip Code 17. E-mail address
Aventura Dade FL 33180 aventuramagazine@aol.com
18. 1 have designated the fallowing bank as my Primary Depository ❑ Secondary Depository
19. Name of Bank 20. Address
First Horizon Sank 20295 NE 29th PI
21. City 22. County 23. State 24. Zip Code
Aventura Dade FL 33180
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMEN OF CAMPAIGN TREASURER AND
DESIGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT RUE.
25. Date 26. Signature of di,ate
1/13/2020 X
27. Treasurer's Acceptance of Appointment (fill in the bl nks and check`Ae ppropriate block)
l Michael Stern do hereby acc it the appointment
(Please Print or Type Name)
designated above as: Campaign Treasurer ® Deputy Treas er.
1/13/2020
Date Signature of C a gn Treasure Deputy Treasurer
DS-DE 9 (Rev. 10110) Rule 15-2.0001 F.A.C.
OFFICE USE ONLY
STATEMENT OFRECEIVED
CANDIDATE OFFICE OF THE CITY CLERK
(Section 106.023, F.S.)
(Please print or type) J A N 1 6 20
CITY OF AVENTURA
I, Michael Stern ,
candidate for the office of Commissioner Seat 2
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x f 111_ /2020
Signature of Ca date Date
Each candidate must file a statement with the qualifying officer within 10 days after the
Appointment of Campaign Treasurer and Designation of Campaign Depository is filed. Willful
failure to file this form is a first degree misdemeanor and a civil violation of the Campaign
Financing Act which may result in a fine of up to $1,000, (ss. 106.19(1)(c), 106.265(1), Florida
Statutes).
{
DS-DE 84(05/11)
. . A-Aty of
RECEIVED
i,JR _ MIN #F9§
OFFICE
Aventura
I
� r
...
Agog jQ the Candidate an am io Treasurer Hand—book
The Flection laws of 1he
51ate of Kofida
I
Candidate:
(Print Tame
Mayor Seat U
Commissioner Seat 2
Commissioner Seat 4 'E
Commissioner Seat 6 E
acknowledge that it is my responsibility to reed, understand and follow the
requirements described its the City of 'Aventura Municipal Candidate Election
resources available on the City of'Aventura Website wwwcit ofare tura.co
including but not limited to:
Candidate and Campaign Treasurer Handbook; Compilation of the Election Laws of the State of
Florida; City of Aventura Charter and Code of Ordinances, City of Aventura Political ire Code;
List of City Vendors; Voter Registration guide; Items for Sale from iarrtl�l ad County Elections
1.
Department; Campaign Financing Forms; Frequently Asked Q ns; and Common Reporting
Compliance Errors; a It well as website links to th ' mi-lead y Elections epartrn nt and
Mate of Florida Division of Elections.
Acknowledged by.
Signature of Candidate
Date. IJ3
ra
Primary Telephone Number:
b "
Alternate Telephone Number:
-mail addros - I
HO : 305- -8901 « FAX: 305-466-8919