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Robert Shelley - Registration Documents APPOINTMENT OF CAMPAIGN TREASURER AND DESIGNATION OF CAMPAIGN CITY OF AVENTURA DEPOSITORY FOR CANDIDATES Office of the City Clerk (Section 106.021(1), F.S.) RECEIVED 11/20/2020 (PLEASE PRINT OR TYPE) NOTE, This form must be on file with the qualifying OFFICE USE ONLY officer before oEening the camBai2n account, 1. CHECK APPROPRIATE BOX(ES): Initial Filing of Form Re-filing to Change-, Treasurer/Deputy C] Depository Office Party 2, Name of Candidate (in this order: First, Middle, Last) 3, Address (include post office box or street, city, state,zip robert shelley code) 1508 island Blvd 4, Telephone 5. E-mail address aventura,florida 33160 (954 ) 658 9948 rshelley@rlsgrou 95.a�m -7-7— 7. If a candidate fora nqnn2!!iM office, check if 6. Office sought(include district,circuit,group number) ca Mayor applicable'. El My intent is to run as a Write-in candidate, S. If a candidate for a 2artisan office,check block and fill in name of party as applicable: My intent isto run asa 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 Diana A�e Meth 11. Mailing Address 12:Telephone 2775 sunny isle blvd,su-ite J —7 ( 305 ) 9360188 13. City 14, County —715.State 16, Zip Code E-mail address north miami beach dada Ifi 33160 i8rilermn,@rIsg roues.cern 18, 1 have designated the following bank as my Primary Depository n Secondary Depository 19. Name of Bank 20. Address 0 tl U.�, IlMiarni gardens drive 21. City 22, County 23, State 24. Zip Code North Miami Beach lode fl I Ll'::iL UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING FORM FOR APPOINTMENT OF CAMPAIGN TREASURER AND oEstGNATION OF CAMPAIGN DEPOSITORY AND THAT THE FACTS STATED IN IT ARE TRUE. 25. Date 26. Signature idatei X 27, Treasumir's Acceptance of Appointment(fill in the blanks and check the appropriate,block) Diana A)ieMan hereby'Lpt the appointment here (Please Print or Type Name) designated above as Campaign Treasurer Dep r, X surej Date Signature of ZQ6aibasurer or Deputy Treasurer DS-DE 9(Rev. 10/10) Rule 1S-2.0001, F.A.C, OFFICE USE ONLY STATEMENT OF CANDIDATE CITY OF AVENTURA (Section 106.023, F.S.) Office of the City Clerk RECEIVED 11/20/2020 (Please print or type) ROM 1, robert shelley candidate for the office of MaVor have been provided access to read and understand the requirements of Chapter 106, Florida Statutes. x 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(05/11) RECEIVED 11/20/2020 CITY F AVENTURA Office of the City Clerk itura v Access to the Candidate and Campaign Treasurer Handbooand The Election Laws of the Mate of Florida Candidate: P acne / (Print�N � =120 sought; Mayor seat Commissioner seat 2 Commissioner Seat d [] Commissioner Seat 6 l 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 Aventurs Website (www..ci Tofaventura.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 Cade; 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 Electi s Department and State of Florida Division of Elections. Acknowledged by: Signature of Candidate Date" c Primary Telephone Number. `� f Alternate Telephone Number E-mail address: jf7`cGG r CITY OF AVENTURA APPOINTMENT ED 1 TRErRECEIVED g6�1 80 1 ASURE j AND DESIGNATION F CAMPAIGN 1 22 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 campai n account. OFFICE USE ONLY 1.CHECK APPROPRIATE BOX(ES): 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 Robert Shelley code) 4. Telephone 5. E-mail address 1508 Island Blvd (305 ) 936-0188 rshelley@rlsgroups.com Aventura, FL 33160 cz 6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if applicable: City of Aventura - Mayor 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 Diana Aleman 11. Mailing Address 12. Telephone 2775 Sunny Isles Blvd # 118 ( 305 ) 936-0188 13. City 14. County 15. State 16. Zip Code 17. E-mail address North Miami Beach Miami-Dade FL 33160 daleman@risgroups.com 18. 1 have designated the following bank as my Primary Depository rj Secondary Depository 19. Name of Bank 20.Address Wells Fargo Bank 118545 Biscayne Blvd 21, City 22. County 23. State 24. Zip Code Aventura Miami-Dade FL 33180 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 June 8, 2021 27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block) I, / Khere pt the appointment (Please Print or Type Name) designated above as: ® Campaign Treasurer Deputy Trea June 8, 2021 Date Signature of Ca sur or De y Treasurer S- E 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.