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SUBMIT SIGNED COPY TO ELECTIONS AT CAMPAIGNS@MIAMIDADE.GOV
MUNICIPAL OFFICIALS AND CANDIDATES: SUBMIT FORM TO CITY CLERK
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MIAMI-DADE COUNTY ELECTIONS DEPARTMENT 1 Reset Form I
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501(c)(4) ORGANIZATIONS AND POLITICAL PARTIES
OFFICE USE ONLY
Elected Official's or Candidate's Name
Alex Fernandez
Address (number and street) RECEIVED
3200 Chase Avenue SEP 16 2021
City, State, Zip Code CITY OF MIAMI BEACH
Miami Beach, Florida 33140 OFFICE OF TH E CI TY CLERK
0 CHECK IF ADDRESS HAS CHANGED
Filing as:
D Elected Official
Office:
D Miami-Dade County Candidate
Office:
Municipal Candidate City of Miami Beach
(Name of Municipality)
Office: City Commission, Group ll]
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)
Alex Fernandez Alex Fernandez
(Type name) [Xresore D Deputy Treasurer (Type name) D Elected Official 9cartacee
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MD-ED 28 (Rev. 3/1/17)
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR M~M-
POLIcAL COMMITTEES, ELECTIONEERING COMMUNICAToNs oRo ,an S}Wk}hjI,re
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
Official's or
Candidate's __ A_le_x_F_e_r_n_a_n_d_e_z I.D. Number _
Name
(2) Page
(Only for County Candidates)
_____ of _
(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
1. A Safer Miami Beach ECO Control 09/13/21
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CITY OF M IAM I RE A CH
OFFICE OF THE CITY OLERK
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
MD-ED 28 (Rev. 3/29/18)