DS-DE 41 REGISTERED AGENT r874,rFP1,47Y
STATEMENT OF APPOINTMENT
(Section 106.022, F.S.) 2tlt OCT 23 AM II: 26
❑`y Original Appointment 0 Change of Appointment
❑ Change of Mailing Address 0 Change of Physical Address
Registered Agent and Office Information
Name Telephone
Juan-Carlos Planes, Esq. 305-929-8500
Street Address
600 Brickell Avenue, Suite 1715
City State Zip Code
Miami Florida 33131
Mailing Address
600 Brickell Avenue, Suite 1715
City State Zip Code
Miami Florida 33131
I accept this appointment and confirm that I am familiar with and accept the obligations of the position as set
forth in Section 106:02 .S. I als• nders -id that I may resign this appointment by executing a written
statement of resign and fly,"ith •- a. ing officer.
� /1/4-L�2'
Sig i. "re 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
Prosperity with Transparency for Miami Beach
Street Address Telephone
600 Brickell Avenue, Suite 1715 305-531-2424
City State Zip Code
Miami Florida 33131
ua:`ll of Chairpe
Juan-Carlos Planas
Printed Name of Chairperson Date
Form DS-DE 41 (revised 6/11)