MD-ED 28 Mark SamuelianMIAMI -DADE COUNTY ELECTIONS DEPARTMENT
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(c)(4) ORGANIZATIONS AND POLITICAL PARTIES
OFFICE USE ONLY
Name
Mark Samuelian
Address (number and street)
10 Venetian Way # 1502
City, State, Zip Code
Miami Beach, FL . 33139
❑ CHECK IF ADDRESS HAS CHANGED
Filing as:
El Elected Official
Office:
El Miami -Dade County Candidate
Office:
Municipal Candidate Miami each
Office: City Commissioner, GROUP 2
(Name of Municipality)
CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
f certify that I have examined this report and it is true,
correct, and complete. (SECTION APPLICABLE TO
CANDIDATES ONLY)
(Type name)
Treasurer fl Deputy Treasurer
Si. ature
10/17/17
Date
I certify that I have examined this report and it is true,
correct, and complete. (FOR BOTH ELECTED
OFFICIALS AND CANDIDATES)
mark Samuelian
(Type name) 0Elected Official Candidate
Signature
10/17/17
Date
MD -ED 28 (Rev. 3/1117)
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(C)(4) ORGANIZATIONS AND POLITICAL PARTIES
This report must be filed by Miami -Dade County and Municipal Elected Officers and Candidates to publicly disclose their fundraising
activities for Political Committees, Electioneering Communications Organizations, 501(C)(4) Organizations and Political Parties
within five days of commencing solicitation activities, either directly or lndirectly, on behalf of said organization(s).
(1) Name Mark Samuelian
i E.D. Number
(Only for County Candidates)
(2) Page of
(3)
Row
Number
(4)
Name of PC, ECO,
501(c)(4) Organization
or Political Party
(5)
PC, ECO,
501(c)(4)
Organization or
Political Party
(6)
Description of Relationship between
Candidate /Officer and
PC, ECO, 501(c)(4) Organization or
Party
(7)
Date
solicitation
activities
started
Engaged Florida PC
PC
Supporter
10/17/17
MD -ED 28 (Rev. 115117)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES