DS-DE 5 YES to Preserve MB R. Sanchez STATEMENT OF ORGANIZATION OFFICE USE ONLY
OF POLITICAL COMMITTEE �-- 6 &-
(PLEASE TYPE) 10t2 0CT 12 P� 3: 30
CITY CLI'rt'�.—3 GFi=ICL.
1. Full Name of Committee Telephone
YES to Preserve Miami Beach, Inc. 305-794-0703
Mailing Address(include city, state and zip code)
1680 Michigan Avenue Suite 914 Miami Beach, FL 33139
Street Address (include city, state and zip code)
1680 Michigan Avenue Suite 914 Miami Beach, FL 33139
2.Affiliated or Connected Organizations(includes other committees of continuous existence and political
committees)
Name of Affiliated or
Connected Organization Mailing Address Relationship
None
3.Area, Scope and Jurisdiction of the Committee
Promote the passage of Ballot Question #2 in City of Miami Beach for 2012 General Election
4. Nature of Organization or Organization's Special Interest(e.g., medical, legal,education,etc.)
Historic Preservation
5. Identify by Name,Address and Position,the Custodian of Books and Accounts(include treasurer's name)
Full Name Mailing Address Committee Title or Position
Roberto Sanchez 1680 Michigan Avenue, Suite 914 Treasurer
Miami Beach, FL 33139
DS-DE 5(Rev. 05106) (continued on reverse side)
6. List by Name,Address and Position, Other Principal Officers, Including Officers and Members of the
Finance Committee, If Any(include chairman's name)
Full Name Mailing Address Committee Title or Position
Roberto Sanchez 1680 Michigan Avenue, Suite 914 Chairman
Miami Beach, FL 33139
7. List by Name,Address, Office Sought and Party Affiliation Each Candidate or Other Individual that this
Committee is Supporting (if none, please indicate)
Full Name Mailing Address Office Sought Party
None
8. List Any Issues this Committee is Supporting: Ballot Question#2 in City of Miami Beach for 2012 General Election
List Any Issues this Committee is Opposing: None
9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party
No
10. In the Event of Dissolution,What Disposition will be Made of Residual Funds?
Charity
11. List all Banks, Safety Deposit Boxes,or Other Depositories Used for Committee Funds
Name of Bank or Depository&Account Number Mailing Address
Wells Fargo Bank NA 2100 Ponce de Leon Boulevard Miami
Beach, FL
12. List all Reports Required to be Filed by this Committee with Federal Officials and the Names,Addresses
and Positions of Such Officials, If Any
Report Title Dates Required to be Filed Name& Position of Official Mailing.Address
None
STATE OF FLORIDA ® Miami-Dade
_ p COUNTY
Roberto Sanchez , certify that the information in this Statement of
Organization is complete, true osprrect.
x D
Signature of Chairman of Political Committee Date