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DS-DE 103 Jose A. Riesco Custodian of Records Z�13 SEp 21 PEA 12: 20 ELECTIONEERING COMMUNICATION STATEMENT OF ORGANIZATION (PLEASE TYPE) OFFICE USE ONLY 1. Full Name of Organization Telephone SEEKING TRANSPARENCY IN GOVERNMENT 305-445-0777 Mailing Address(include city, state and zip code) 95 MERRICK WAY,#250 CORAL GABLES,FL 33134 Street Address(include city, state and zip code) 95 MERRICK WAY,#250 CORAL GABLES,FL 33134 F ated or Connected Organizations Name of Affiliated or Mailing Address Relationship nnected Organization 3. Area,Scope and Jurisdiction of the Organization CANDIDATES FOR THE CITY OF MIAMI BEACH MUNICIPAL ELECTIONS 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 JOSE A.RIESCO 95 MERRICK WAY,#250 95 MERRICK WAY,#250 TREASURER CORAL GABLES,FL 33134 CORAL GABLES,FL 33134 Form DS-DE 103(Rev.10112)—page 1 of 2 . (continued on reverse) r 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 LUCIA BAEZ 95 MERRICK WAY,#250 95 MERRICK WAY,#250 CHAIRPERSON CORAL GABLES,FL 33134 CORAL GABLES,FL 33134 JOSE A.RIESCO 95 MERRICK WAY,#250 95 MERRICK WAY,#250 TREASURER CORAL GABLES,FL 33134 CORAL GABLES,FL 33134 kEvent of Dissolution,What Disposition will be Made of the Residual Funds? UTE TO OTHER ECO'S OR TO 501(C)(3)ORGANIZATIONS AS STIPULATED IN CHAPTER 106,FS. k7L!st All Banks, Safety Deposit Boxes, or Other Depositories Used by this Organization for Electioneering Communications Name of Bank or Depository Mailing Address CHASE BANK 380 EAST 4th AVENUE HIALEAH,FL 33010 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 FORM SS-4 UPON FORMATION INTERNAL REVENUE OGDEN,UT 84201 FORM 8871 UPON FORMATION SERVICE FORM 1120 POL MARCH 15,ANNUALLY FORM 990 MAY 15,ANNUALLY FLORIDA MIAMI-DADE STATE OF COUNTY LUCIA BAEZ 1, , certify that the information in this Statement of Organization is complete,true, and correct. X -9 (�` L Z"*�' qZ Signature of Top-ranking Principal Office f Organization Date Form DS-DE 103(Rev.10112)-page 2 of 2 Note: If necessary,continuation sheets should be used to complete the form. i