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DS-DE 5 North Beach Neighbors Alliance STATEMENT OF ORGANIZATION OFFICE USE ONLY OF POLITICAL COMMITTEE . (PLEASE TYPE) 2015 OC•1 1 PM 1: 10 CITY OF F (CE 1. Full Name of Committee Telephone North Beach Neighbors Alliance 617 990 2544 Mailing Address(include city, state and zip code) 6538 Collins Ave, Suite 84, Miami Beach, Fl 33141 Street Address (include city, state and zip code) 7330 Ocean Ter. Cu 3&4, Miami Beach, FL 33141 2.Affiliated or Connected Organizations(includes other committees of continuous existence and political committees) Name of Affiliated or Connected Organization Mailing Address Relationship Save Ocean Terrace 6538 Collins Ave, Suite 84, Miami Beach, FL Grass Root Movement VoteNo#55 33141 3.Area, Scope and Jurisdiction of the Committee Miami Beach/North Beach 33141 4. Nature of Organization or Organization's Special Interest(e.g., medical, legal,education,etc.) Political Advocates 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 Brad Bonessi ., Ocean Ter. #2702, Miami Beach, Chair Person/Treasurer e Ovvie55t 62-C_$1c .-FI 33141 Jan Roelf Bult 7330 Ocean Ter. #2702, Miami Beach, Director 7) -ro_C :.'l_Ca,i, FL 33141 Bill Vitel 7330 Ocean Ter. #2402, Miami Beach, Director FL 33141 WOlk-0.\P,e,\)R-Co rtn uSD,00m DS-DE 5(Rev.06/11)—Rule 1S-2.017 (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: Opposing Ocean Terrace ballot question of FAR increase 9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party None 10. In the Event of Dissolution,What Disposition will be Made of Residual Funds? Back to unit owners who supported us 11. List all Banks, Safety Deposit Boxes,or Other Depositories Used for Committee Funds Name of Bank or Depository&Account Number Mailing Address Bank of America, Brad Bonessi 7330 Ocean Ter. #2702 Miami Beach, FL 33141 Account number: 4436844182 (personal account) 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 None STATE OF Florida Miami-Dade COUNTY Brad Bonessi , certify that the information in this Statement of Organization is complete, true and correct. X dr, 10-20-2615 Signature of hairman of Political Committee Date DS-DE 5(Rev.06/11)—Rule 1S-2.017 page 2