Rachel Saltzman Friedland - Registration Documents RECEIVED
APPOINTMENT OF CAMPAIGN TREASURER OFFICE OF THE CITY CLERK
AND DESIGNATION OF CAMPAIGN
DEPOSITORY FOR CANDIDATES
(Section 106.021(1), F.S.) AUG - 4 2023
(PLEASE PRINT OR TYPE)
NOTE: This form must be on file with the qualifying CITY OF "ENTURA
officer before opening the campaign account. OFFICE USE ONLY
1. CK APPROPRIATE BOX(ES):
Eff 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
1a �` W ��1 M�%t� 1 ( t,p��(NA code) Z \� K)� �J�'1 � \C-
4. Telephone 5. E-mail address pL 3
( fir) �{�����`"1 �r�c,h�,� W�"�►eC�1�Gil�, �
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
applicable:
N\,enA ,((,, CC7fY1(`(w ) c S ccx+ � ❑ 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 200Campaign Treasurer Deputy Treasurer
10. Name of Treasurer or Deputy Trea urer
�,C�l�ehe,A r rl leCt
t
11. Mailing Address C� 12. Telephone
210 t nk (� 3 fie,. ( `z5 (3L �c l 'l
13. City 14. County 15. State 16. Zip Code 17. E-mail address
18. 1 have designated the following bank as my Primary Depository Secondary Depository
19. Na a of Bank 20. Address L2 VA,
0,4-\Y_ pqX\e'r�C<� (01(o�\S' 8'� C"Pte, &
21. City 22. County 23. Sta 24. Zip Code
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
�— L4 , 23 X
27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)su
I, ��Fick keaVT\4�, , do hereby accept the appointment
(Please Pri Type Name)
designated above as: Campaign Treasurer Deputy Treasurer.
�Lt —2—22 X `,��L�—
Date Signature of Campaign Treasurer or Deputy Treasurer
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.
OFFICE USE ONLY
STATEMENT OF RECEIVED
CANDIDATE OFFICE OF THE CITY CLERK
(Section 106.023, F.S.)
(Please print or type) AUG - 4 2023
CITY OF AVENTURA
candidate for the office of �jyrn�4 Cr-o)m\&o(�0- ScaV
have been provided access to read and understand the requirements of
Chapter 106, Florida Statutes.
x (b 23
Signature of Candidate 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(05111)
City of RECEIVED
Aventura OFFICE OF THE CITY CLERK
2024 Municipal Election AUG - 4 2023
C Y OF AVENTURA
Access to the Candidate and Campaign �reasurer
Handbook
and
The Election Laws of the State of Florida
Candidate:
(Print Name)
Office Sought:
Commissioner Seat 1 ❑
Commissioner Seat 3 ❑
Commissioner Seat 5 0/
I acknowledge that it is my responsibility to read, understand and follow the
requirements described in the City of Aventura Municipal Candidate Election
resources available on the City of Aventura Website (www.cityofaventura.com),
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 Sign Code;
List of City Vendors; Voter Registration Guide; Items for Sale from Miami-Dade County Elections
Department; Campaign Financing Forms; Frequently Asked Questions; and Common Reporting
Compliance Errors; as well as website links to the Miami-Dade County Elections Department and
State of Florida Division of Elections.
Acknowledged by: <P7\�
Signature of Candidate
Date: `c 2-3
Primary Telephone Number: 5a� L+l-"l go cf
Alternate Telephone Number:
E-mail address: �Q�� �T`� �� aF '(Y�-1\•C
PHONE: 305-466-8901 FAX: 305-466-8919
www.cityofaventura.com