APPOINTMENT OF CAMPAIGN TREASURER

AND DESIGNATION OF CAMPAIGN

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):
[ZJ Initial Filing of Form Re-filing to Change: D Treasurer/Deputy 0 Depository 0 Office 0 Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
code)
OSCAR DE LA ROSA
r-~----------.-----------------~765WEST76STREET
4. Telephone 5. E-mail address HIALEAH, FL 33014
(305 ) 306-9055 oscar@lasartelaw.com
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
HIALEAH CITY COUNCIL, SEAT #4 applicable:
0 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

0 Write-In 0 No Party Affiliation D Party candidate.

9. I have appointed the following person to act as my D Campaign Treasurer IZJ Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
OSCAR DE LA ROSA
11. Mailing Address 12. Telephone
765 WEST 76 STREET ( 305 ) 306-9055
13. City 14. County 15. State 16. Zip Code 17. E-mail address
HIALEAH MIAMI-DADE FL 33014 oscar@lasertelaw.com
18. I have designated the following bank as my ~ Primary Depository 0 Secondary Depository
19. Name of Bank 20. Address
CITY NATIONAL BANK 5410 WEST 16 AVENUE
21. City 22. County 23. State 24. Zip Code
HIALEAH MIAMI-DADE FL 33012
UNDER PENAL TIES 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

~-

27. Treasurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)

I, ---------:-::0,-,-S_C_A
___R_D_E_L=A_R_O_S_A
_ _ _ _ _ _ _ _ _ , do hereby accept the appointment
(Please Print or Type Name)
designated above as: 0 Campaign Treasurer ~ Deputy Treasurer.
X ~ _,. c-=:_
Date Signature of Campaign Treasurer or Deputy Treasurer

DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.

 APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN FIPR!5 '1 '3 4 :2:C:PN
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):
[ZJ Initial Filing of Form Re-filing to Change: 0 Treasurer/Deputy 0 Depository D Office D Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
code)
OSCAR DE LA ROSA
765 WEST 76 STREET
4. Telephone 5. E-mail address HIALEAH, FL 33014
(305 ) 306-9055 oscar@lasartelaw. com
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
HIALEAH CITY COUNCIL, SEAT #4 applicable:
D 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

0 Write-In D No Party Affiliation D Party candidate.

9. I have appointed the following person to act as my [X] Campaign Treasurer D Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
JOSE A RIESCO, CPA
11. Mailing Address 12. Telephone
2600 SOUTH DOUGLAS ROAD, SUITE 900 ( 305 ) 445-0777
13. City 14. County 15. State 16. Zip Code 17. E-mail address
CORAL GABLES MIAMI-DADE FL 33134 jose@riescoandcompany.com
18. I have designated the following bank as my 181 Primary Depository D Secondary Depository

19. Name of Bank 20. Address

CITY NATIONAL BANK 5410 WEST 16 AVENUE
21. City 22. County 23. State 24. Zip Code
HIALEAH MIAMI-DADE FL 33012
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 ~jguatu of Candidate

'-1/s/1~ 1
x>---?~~ =-t-

27. Treasu rer's Acceptance of Appointment (fill in the blanks and check the appropriate block)

I, JOSE A RIESCO, CPA , do hereby accept the appointment

(Please Print or Type Name)
designated above as: lZI Campaign Treasurer )P?.,_.,,ffi, ~
~~ f, [lj X
Date I r Sigrtatl F ~..,;ampaign Treasurer or Deputy Treasurer

DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.

 APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN 4 :~.(t~S
DEPOSITORY FOR CANDIDATES
(Section 106.021 (1), F.S.)
f1PR~3''i•:J 4::22Pt-i
(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):
IZJ Initial Filing of Form Re-filing to Change: D Treasurer/Deputy 0 Depository 0 Office D Party
2. Name of Candidate (in this order: First, Middle, Last) 3. Address (include post office box or street, city, state, zip
code)
OSCAR DE LA ROSA
765 WEST 76 STREET
4. Telephone 5. E-mail address HIALEAH, FL 33014
(305 ) 306-9055 oscar@lasartelaw.com
6. Office sought (include district, circuit, group number) 7. If a candidate for a nonpartisan office, check if
HIALEAH CITY COUNCIL, SEAT #4 applicable:
D 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

0 Write-In 0 No Party Affiliation D Party candidate.

9. I have appointed the following person to act as my D Campaign Treasurer !XI Deputy Treasurer
10. Name of Treasurer or Deputy Treasurer
JEANNINE R. MIRANDA
11. Mailing Address 12. Telephone
2600 SOUTH DOUGLAS ROAD, SUITE 900 ( 305 ) 445-0777
13. City 14. County 15. State 16. Zip Code 17. E-mail address
CORAL GABLES MIAMI-DADE FL 33134 jen@riescoandcompany.com
18. I have designated the following bank as my [g) Primary Depository 0 Secondary Depository
19. Name of Bank 20. Address
CITY NATIONAL BANK 5410 WEST 16 AVENUE
21. City 22. County 23. State 24. Zip Code
HIALEAH MIAMI-DADE FL 33012
UNDER PENAL TIES 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.

k /li
25. Date 26. Signature of Candidate!__ ----::=:::::::===-~-::----~
·. . ~ ~----·-----
L' X ' c------.= ~
27. TreaJurer's Acceptance of Appointment (fill in the blanks and check the appropriate block)

I, JEANNINE R. MIRANDA , do hereby accept the appointment

(Please Print or Type Name)
designated above as: D Campaign Treasurer ~puty T<easu<er.

£\~ ~\G\ate
X
Signature~
-~
Campaign Treasurer or Deputy Treasurer
v
DS-DE 9 (Rev. 10/10) Rule 1S-2.0001, F.A.C.