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Second Notice of Late Report Preserve MB January 25, 2013 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK'S OFFICE Tel: 305-673-7411 ,Fax: 305-673-7254 CERTIFIED MAIL 70051820 0000 1186 1284 January 25, 2013 Preserve Miami Beach, ECO 1924 Ferdinand Street Coral Gables, Florida, 33134 jeffreygarciaCa.yahoo.com RE: Second Notice of Late Report Dear Mr. Garcia: Your Treasurer's Report(Q4-12)was due for filing on Wednesday,January 10,2013, but it has not been received in this office as of today. Pursuant to Florida Statutes§106.0703(7)(b):"Upon determining that a report is late,the filing officer shall immediately notify the electioneering communications organization as to the failure to file a report by the designated due date and that a fine is being assessed for each late day.The fine shall be$50 per day for the first 3 days late and, thereafter, $500 per day for each late day, not to exceed 25 percent of the total receipts or expenditures, whichever is greater, for the period covered by the late report." Upon receipt of the Treasurer's Report, the amount of the fine shall be calculated. Payment of this fine shall be paid to the filing officer and made payable to the City of Miami Beach within 20 days after receipt of the first notice of payment due, unless appeal is made to the Florida Elections Commission pursuant to §106.0703(7)(c). If the Campaign Treasurer's Report is not filed with this office by February 1, 2013, we must notify the Florida Elections Commission. Also note that the mail sent to 1521 Alton Road, #61 continues to be returned as undeliverable. If this address is no longer valid, please update the enclosed forms. If you have any questions,or require additional information, please do not hesitate to call me at(305)673- 7411. Res p c4Gra Rai ael o City Cle rk Enclosure: Statement of Organization Form F:\CLER\CLER1000_ELECTI0N101 CANDIDATES PACS ECOS TRACKING\ECOS\FINE LETTER 04 JEFF GARCIA PRESERVE MB 2ND NOTICE.DOC We are committed to providing excellent public service and safety to all who live,work,and play in our vibrant, tropical,historic community. ELECTIONEERING COMMUNICATION STATEMENT OF ORGANIZATION (PLEASE TYPE) OFFICE USE ONLY 1. Full Name of Organization Telephone Mailing Address (include city, state and zip code) Street Address (include city, state and zip code) 2. Affiliated or Connected Organizations Name of Affiliated or Mailing Address Relationship Connected Organization 3. Area, Scope and Jurisdiction of the Organization 4. Identify by Name,Address and Position,the Custodian of Books and Accounts for the Organization Full Name Mailing Address Street Address Title or Position Form DS-DE 103(Rev. 10/12)—page 1 of 2 (continued on reverse) f 5. List by Name, Mailing and Street Address, and Position, Other Principal Officers, Including the Treasurer and Deputy Treasurer, If Any (Include the Top-ranking Officer's (e.g., Chairperson) Name and Information) Full Name Mailing Address Street Address Title or Position 6. In the Event of Dissolution,What Disposition will be Made of the Residual Funds? 7. List All Banks, Safety Deposit Boxes, or Other Depositories Used by this Organization for Electioneering Communications Name of Bank or Depository Mailing Address 8. List All Reports Required to be Filed by this Organization 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 STATE OF COUNTY I, , certify that the information in this Statement of Organization is complete, true, and correct. X Signature of Top-ranking Principal Officer of Organization Date Form DS-DE 103(Rev. 10/12)—page 2 of 2 Note: If necessary,continuation sheets should be used to complete the form.