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DS-DE 87 Salom TR-09WAIVER OF REPORT (Section 706.07(7), F.S.) (PLEASE TYPE) SALOM, LUIS Candidate's Name (Last, Suffix, First, Middle) OR Political Committee, CCE or Party Name 815 North Shore Dr Address (Number and Street) Miami Beach,FL 331 t{ 1 City State Zip Code © Candidate ~ Committee of Continuous Existence R ~~I~~ ~3E ~NLY 2009 DEC -4 Pik 2~ I I CIT'>r ~Ltftri'S OFF ICE Identification Number (Assigned by Division of Elections) Miami Beach Commission Group 3 Office Sought (Include District, Circuit or Group Number) Check box if address has changed since last report. Political Committee ~ Party Executive Committee ~ Check here if PC or CCE has DISBANDED and will no longer file reports. TYPE OF REPORT (Check Appropriate Box) QUARTERLY REPORTS ^ January O April ^ July ^ October PRIMARY ELECTION ^ 32nd day prior O 18th day prior ^ 4th day prior GENERAL ELECTION ^ 46th day prior ^ 32nd day prior ^ 18th day prior ^ 4th day prior TERMINATION REPORT ^ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF ~~~ ____.0~~0:_1/_09 through 12/10/09 X l 2~ `~~0~1 Signature Date SIGNATURES REQUIRED FOR: Candidates Candidate, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Political Committees Chairman, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Committees of Continuous Existence 'Treasurer (s. 106.04(4)(c), F.S.) Party Executive Committees Treasurer or Chairman (s. 106.29(2), F.S.) In any reporting period when there has been no activity in the account (no funds expended or received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87 (Rev. 08103)