Richardson, David - September 13, 2021M IA M I-D A D E C O U N TY E L E C T IO N S D E P A R T M E N T
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501 (c)(4) ORGANIZATIONS AND POLITICAL PARTIES
Elected Official's or Candidate's Name
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Address (number and stree)9 Lj. ¡
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City, State, Zip Code ,
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33135
0 CHECK IF ADDRESS HAS CHANGED
OFFICE USE ONLY
RECEIVED
$EP 13 2021
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Filing as:
[S Elected Official
omee:_¢o L u ssre@y,C T4o Faz1 3A¢4
[ Miami-Dade County Candidate
Office: _
D Municipal Candidate
(Name of Municipality)
Office: ------------------------------
CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F .S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. (SECTION APPLICABLE TO correct, and complete. (FOR BOTH ELECTED
CANDIDATES ONLY) OFFICIALS AND CANDIDATES)
{Type name) O Treasurer D Deputy Treasurer {Type name) [Sece ed orca [lcenartate
X X
Signature Sig
213
Date I Date
MD-ED 28 (Rev. 3/1/17)
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR ".IAMD
POIcAL COMMITTEES, ELECTIONEERING COMMUNICATioNs oRa.a S}&kèj¿,e
501(C)(4) ORGANIZATIONS AND POLITICAL PARTIES
This report must be filed by Miami-Dade County and Municipal Elected Officers and Candidates to publicly disclose their
fundraising activities for Political Committees, Electioneering Communications Organizations, 501(C)(4) Organizations and
Political Parties within five days (includes weekends and holidays) of commencing solicitation activities, either directly or
indirectly, on behalf of said organization(s).
(1) Elected j
Official's or
c««ns· DHvLo fCckAEDso. o.oro
Name
(2) Page I of f -----
(Only for County Candidates)
(3) (4) (5) (6) (7)
Row Name of PC, ECO, PC, ECO, Description of Relationship between Date
Number 501 (c)(4) Organization 501 (c}(4} Candidate/Officer and solicitation
or Political Party Organization or PC, ECO, 501(c)(4) Organization or activities
Political Party Political Party started
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MD-ED 28 (Rev. 3/29/18)
RECEIVED
SEE REVERSE FOR INSTRUCTIONS AND coDE vi[l8 2021
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK