Gongora, Michael - February 7, 2023...M ±irii iii@s
MIAMI-DADE COUNTY ELECTIONS DEPARTMENT
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
501{c)(4) ORGANIZATIONS AND POLITICAL PARTIES
OFFICE USE ONLY
Electe\{;fficial's or Can6iate's Name
['ch] 67'016
Add_r~ss
1
(number_~nd Aeet) RECEIVED
± 34 $3, (Cl(a 4e FEB 7 2023
2%° - 3314 0 CITY OF MIAMI BEACH a, «d' OFEIF OE TIF CIT CLERK I
□CHECK IF ADDRESS HAS CHANGED
Filing as:
[ Elected Official
Office:
D Miami-Dade County Candidate
Office:
5Municipal candidate Ci±, £ •M; g Baa.
Office:
M ~ (Name of Municipality) 64or
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) [J treasurer D Deputy Treasurer (Type name) D Elected Official Elcare«aae
X x Ii,id.i = Signature Sig~ature/
0
2,2,23
Date Date
MD-ED 28 (Rev. 3/1/17)
...M
REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR iiiiij ii'
POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATIONS,
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 ~
omctars or ]]'j [ '
"" [((h@&[ ,odf76 .om ..
./ Of I J (Only for County Candidates)
(2) Page -----
(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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H HY Ur Vurwvs -' ERK OFFICE OF THE CITY CI
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
MD-ED 28 (Rev. 3/29/18)