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)
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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.
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