Gelber, Dan - October 1, 2021S U B M IT S IG N E D C O P Y TO E LE C T IO N S A T C A M P A IG N S @ M IA M ID A D E .G O V
M U N IC IP A L O FFIC IA LS A N D C A N D ID A T E S : S U B M IT FO R M TO C IT Y C LE R K
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MIAMI-DADE COUNTY ELECTIONS DEPARTMENT Reset Form
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
Mayor Dan Gelber
o .3 ·r 2 ·mcc 3 Address (number and street) -- - -- 5445 LaGorce Drive r1-« o 70
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City, State, Zip Code r:-- - rr rn7»
3. - Miami Beach, FL 33140 -- I» « -U r -rr Tr1
J> 9 o DJ CHECK IF ADDRESS HAS CHANGED r»" rr - 0
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Filing as:
~lected Official
Office: Miami Beach Mayor Dan Gelber
D 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)
Mayor Dan Gelber
(Type name) O Treasurer D Deputy Treasurer (Type name) El Elected Official [lcanatdate
X ~----~
Signature Signature
09/27/2021
Date Date
MD-ED 28 (Rev. 3/1/17)
R E P O R T IN G O F S O LI C IT A T IO N O F C O N T R IB U T IO N S F O R ".IAM•D
PomcAL coMMrrrs, ELECTIONEERING COMMUNICAToNs oRa,a[}?}kj,ge
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
coo · Mari each ayo Dan@ele .wormer Name (Only for County Candidates)
(2 ) Page 1 2 _____ 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 YES for A Safer Miami Beach PC Support 9/27/21
2 New Leadership for Florida P C Support 9/27/21
2
•
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
MD-ED 28 (Rev. 3/29/18)