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DS-DE 5 MB Residents to Protect Homeowners' Rights STATE OF FLORIDA OFFICE USE oti(f' C F I V E 0 APPOINTMENT OF CAMPAIGN TREASURER 2007 JAN I 6 AND DESIGNATION OF CAMPAIGN AM II: 0 I DEPOSITORY FOR POLITICAL COMMITTEES AND ELECTIONEERING COMMUNICATION CITY CI E' ORGANIZA TIONS ... KK'S OFF ICE (Sections 106.011(1) & 106.021(1), F.S.) (PLEASE TYPE) CHECK APPROPRIATE BOX: [Z] Original Appointment D Deputy Treasurer D Reappointment of Treasurer D Secondary Depository 1. Committee or Electioneering Communication Organization Name 2. Mailing Address 1680 Michigan Ave # PH-4 Miami Beach Residents to Protect Homeowner's Rights Telephone (optional) 3. City 4. County 5. State 6. Zip Code 305-672-7495 Miami Beach Miami-Dade FL 33139 The following person has been appointed to serve as [Z] Campaign Treasurer D Deputy Treasurer for the above named committee. 7. Name of Treasurer or Deputy Treasurer 8 Street Address Aaron Resnick Same as Above 9. City 10. County 11. State 12. Zip Code I have designated the following named bank as my [{] Primary Depository D Secondary Depository 13. Bank Name (include account number) 14. Street Address Colonial Bank 901 Arthur Godfrey Road 15. City 16. County 17. State 18. Zip Code Miami Beach Miami-Dade FL 33140 19. Name of Chairman 20. Si~ure of Chairman~ Aaron Resnick X_...'.CVvGIl ~~ Campaign Treasurer's Acceptance of Appointment I, Aaron Resnick , do hereby accept the appointment as (Please Print or Type) [Z] Campaign Treasurer D Deputy Treasurer for the Miami Beach Residents to Protect Homeowner's Rights Committee or Organization. As a duly registered voter in Miami-Dade County, Florida, I am qualified to accept this appointment. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S ACCEPTANCE OF APPOINTMENT AND THAT THE FACTS STATED ARE TRUE. January 13, 2007 X~ Date Signature of Campaign Treasurer or Deputy Treasurer OS-DE 6 (Rev. 08/04) STATEMENT OF ORGANIZATION OFFICE US~~ E , V E 0 OF POLITICAL COMMITTEE Z007 JAN I 6 AM ,,: 0 (PLEASE TYPE) CITY CLfHK'S OfF IC 1. Full Name of Committee Telephone Miami Beach Residents to Protect Homeowner's Rights 305-672-7495 Mailing Address (include city, state and zip code) 1680 Michigan Avenue, PH-4, Miami Beach, FL 33139 Street Address (include city, state and zip code) Same as Above 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 City of Miami Beach 4. Nature of Organization or Organization's Special Interest (e.g., medical, legal, education, etc.) To Protect Homeowner's Rights 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 Aaron Resnick, Esq. Same as Above Chairman and Treasurer DS-DE 5 (Rev. 05/06) (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 None 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: List Any Issues this Committee is Opposing: Proposed City of Miami Beach Ordinance 9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party N/A 10. In the Event of Dissolution, What Disposition will be Made of Residual Funds? Donate to 501 (c)(3) 11. List all Banks, Safety Deposit Boxes, or Other Depositories Used for Committee Funds Name of Bank or Depository & Account Number Mailing Address Colonial Bank 901 Arthur Godfrey Road Miami Beach, 33140 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 N/A STATE OF Florida Miami-Dade COUNTY I, Aaron Resnick , certify that the information in this Statement of Organization is complete, true and correct. X ~~~ -l/J:J /o'f Signature of Chairman of Political Committee I Date