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DS-DE 87 Waiver of Report (3)WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) ~~i~ktJlS~ ~I~I .Y 20Q10C~ 19 PH 3~ 19 ~iTY C;~;:_-~I~`~ OF F ICS MIAMI BEACH CITIZENS ALLIANCE PAC© Candidate's Name (Last, Suffix, First, Middle) Identification Number (Assigned by Division OR Political Committee, CCE or Party Name of Elections) 4045 SHERIDAN ST. (#362) Address (Number and Street) MIAMI BEACH, FL ~ ~~/ 3 City State Zip Code Candidate ~ Committee of Continuous Existence Political Committee ~ Party Executive Committee Office Sought (Include District, Circuit or Group Number) Check box if address has changed since last report. Check here if PC or CCE has DISBANDED and will no longer file reports. TYPE OF REPORT (Check Appropriate Box) QUARTERLY REPORTS ^ January ^ April ^ July ^ October PRIMARY ELECTION ^ 32nd day prior ^ 18th day prior ^ 4th day prior GENERAL ELECTION ^ 46th day prior ^ 32nd day prior Ga 18th day prior ^ 4th day prior ^ TERMINATION REPORT ^ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOp OF j"~ ~~'"~ ~ through ~~~ ~-s~.t~ / ~~ ~'`t~~ ~ ',1 r $' na ure Date SIGNATURES REQUIRED FOR: Candidates Candidate, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Political Committees Chairman, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Committees of Continuous Existence Treasurer (s. 106.04(4)(c), F.S.) Party Executive Committees Treasurer or Chairman (s. 106.29(2), F.S.) In any reporting period when there has been no activity in the account (no funds expended or received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS-DE 87 (Rev. 08103)