DS-DE 5 UNITE HERE Miami Fund i
OFFICE USE°ONLY
STATEMENT OF ORGANIZATION
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OF POLITICAL COMMITTEE ��� 12. 6
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(PLEASE TYPE)
1. Full Name of Committee Telephone
UNITE HERE Miami Fund (212) 265-7000
Mailing Address(include city, state and zip code)
275 Seventh Ave, 16th Floor
New York, NY 10001
Street Address(include city, state and zip code)
275 Seventh Ave., 16th Floor
New York, NY 10001
2.Affiliated or Connected Organizations (includes other committees of continuous existence and political
committees)
Name of Affiliated or
Connected Organization Mailing Address Relationship
UNITE HERE 275 Seventh Ave, 16th Floor Connected Organization
New York, NY 10001
3.Area, Scope and Jurisdiction of the Committee
Miami Beach municipal ballot issue
4. Nature of Organization or Organization's Special Interest(e.g., medical, legal, education,etc.)
Labor Organization
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
Timothy Barnes 275 Seventh Ave, 16th Floor Custodian of Books/Treasurer
New York, NY 10001
DS-DE 5(Rev.05/06) (continued on reverse side)
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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
Zaina Tannu-Khan 275 Seventh Ave, 16th Floor Assistant Treasurer
New York, NY 10001
Donald Taylor Same as above Chairman
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: Referendum Re:Approval of City's Lease for Convention Center Hotel
List Any Issues this Committee is Opposing:
9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party
10. In the Event of Dissolution,What Disposition will be Made of Residual Funds?
11. List all Banks,Safety Deposit Boxes, or Other Depositories Used for Committee Funds
Name of Bank or Depository&Account Number Mailing Address
JP Morgan Chase & Co 109 Delancey Street
797206716 New York, NY 10002
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
STATE OF COUNTY
I, .. , certify that the information in this Statement of
Organization is complete, true and corr ct.
Signature of Chairman of Political Committee Da