DS-DE 41 Statement of Appointment LET MIAMI BEACH DECIDE REGISTERED AGENT OFFICE USE ONLY
STATEMENT OF APPOINTMENT C-, N
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(Section 106.022, F.S.) 4,
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❑✓ Original Appointment ❑ Change of Appointment
❑ Change of Mailing Address ❑ Change of Physical Address
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Registered Agent and Office Information o
Lvame Telephone
Carlos M. Trueba 305-593-2644
Street Address
1985 NW 88th Ct Suite 101
Bo 6l � 7j 0 1$�de
Mailin Address 33
198 VV 88th Ct Suite 101
I�OYaI �SLate Zin1 �de
I accept this appointment and confirm that I am familiar with and accept the obligations of the position as set
forth in Section 106.022, F. I also understand that I may resign this appointment by executing a written
statemen gna n filing it with the applicable filing officer.
04/04/13
Signature of Registered Agent Date
Former Registered Agent and Office.Information (for changes only)
Name Telephone
Street Address
City State Zip Code
Committee or Organization Information
Name of Committee or Organization
Let Miami Beach Decide
iS g�t�on s9oad, #382 k�-%Vge2644
City �SLate �ap1 Cgde
Miami Bea r ;3 3y
SignatVffson h i rson
Jonah 04/04/13
Printed Name of Chairperson Date
Form DS-DE 41 (revised 6/11)