DS-DE 5 STATEMENT OF ORGANIZATION OFFICE USE ONLY
4 i:,;.=
OF POLITICAL COMMITTEE
'all OCT 23 MIII: 26
(PLEASE TYPE)
r
1.Full Name of Committee Telephone
Prosperity with Transparency for Miami Beach 305-531-2424
Mailing Address(include city,state and zip code)
600 Brickell Avenue, Suite 1715, Miami Florida, 33131
Street Address (include city, state and zip code)
600 Brickell Avenue, Suite 1715, Miami Florida, 33131
2.Affiliated or Connected Organizations(includes other committees of continuous existence and political
committees)
Name of Affiliated or
Connected Organization Mailing Address Relationship
N/A N/A N/A
3.Area,Scope and Jurisdiction of the Committee
Issues PC in Miami Beach
4.Nature of Organization or Organization's Special Interest(e.g.,medical, legal,education,etc.)
Supporting responsible economic development.
5. Identify by Name,Address and Position,the Custodian of Books and Accounts(include treasurers name)
Full Name Mailing Address Committee Title or Position
Jose A. Riesco 2600 South Douglas Road Treasurer
Suite 900
Coral Gables, FL 33134
Jeannine Riesco 2600 South Douglas Road Deputy Treasurer
Miranda Suite 900
Coral Gables, FL 33134
DS-DE 5(Rev.06/11)—Rule 1S-2.017 (continued on reverse side)
6.List by Name,Address and Position,Other Principal Officers,Includingq(f c,Including .., of the
Finance Committee,If Any(Include chairman's name)
Full Name Mailing Address
75110CT li7illEfpr Position
Juan-Carlos Planas, 600 Brickell Avenue Chairrpn.afl Registered
Esq. Suite 1715 ' A_geril' LE1
Miami Florida, 33131
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
n/a n/a n/a n/a
8. List Any Issues this Committee is Supporting: Referendum 3-Approval of Miami Beach Convention Center Hotel
List Any Issues this Committee is Opposing: to be determined
9.If this Committee is Supporting the Entire Ticket of a Party,Give Name of Party
n/a
10.In the Event of Dissolution,What Disposition will be Made of Residual Funds?
Donation to 501 (c)(3) charitable organization.
11. List all Banks, Safety Deposit Boxes,or Other Depositories Used for Committee Funds
Name of Bank or Depository&Account Number Mailing Address
Regions Bank 3516 Main Highway, Miami, FL 33133
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
SS4 Upon Formation Internal Revenue Service Ogden,UT 84201
Form 8871 Upon Formation Internal Revenue Service Ogden,UT 84201
Form 1120 POL March 15,Annually Internal Revenue Service Ogden, UT 84201
Form 990 May 15,Annually Internal Revenue Service Ogden, UT 84201
STATE OF Florida Miami-Dade COUNTY
Juan-CarlOs Planas ,certify that the information in this Statement of
Organization is complet- ee;,•�•. =O. /7��
X
/ Signature of Chairman of Political Committee Date
DS-DE 5(Rev.06/11)—Rule IS-2.017 page 2