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Gongora, Michael - June 12, 2023...mm ei&@fii is MI AMI -D AD E COUNTY ELECTIONS D E P AR TM E N T_ {+ 12 PH u:d' REPORTING OF SOLICITATION OF CONTRIBUTIONS#ok' , POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANIZATi~N'; 501(c)(4) ORGANIZATIONS AND POLITICAL PARTIES ~ Wt A. ddress (number and s}\et) 7 A 58 3 Co lli id ±± 5rt p"" Li &4, L, DJ CHECK IF ADDRESS HAS CHANGED OFFICE USE ONLY r? e .0 r3 a? 0 "7 .- .-- <-- c::: rr; >o z- -; (') -I. n3 Ti to 5 E> -- ± -O s< 3o 7E- r1 -«(r - 7> ..° a --> .. n .T O at 0 # Filing as: [] Elected Official Office: _ D Miami-Dade County Candidate Office: ------------------------------ 7ore»crass» Cry4 }'cg. keg £, [I,T @ar e orioniciaio») Office: ,___t1 ..... ay~~P~V _ 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) (T yp e na m e ) [J me asurer D D e puty T rea sure r (T ype na m e ) X Signature D Ele cted O ffi cia l it@ 23 Date MD-E D 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 .a POLITICAL COMMITTEES, ELECTIONEERING COMMUNICATIONS ORGANI NS, 501(C)(4) ORGANIZATIONS AND POLITICAL PARTIES Th is rep o rt m u st b e fil ed by Miam i-D ade Co u n ty and M unicipal E lected O ffi cers and Candidates to publicly disclose their fu n draisin g activities fo r P olit ical Com m itt ees, E lectioneering Com m unications Or g anizatio ns, 501(C)(4) Organizatio ns and P o li tical P art ies with in five day s (includes w eeken ds and holidays) of com m encing solicitation activities, either directly or in directly, o n b e h alf o f sa id org anizatio n (s). (1) Elected omet»rs or l]l f %g"" Hi] C7ya .o.wormer 2 --::::;r-- (Only for County Candidates) or 2 (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 I Le«es p l b fd Pc Cai eso ]el 23 \ I SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES MD-ED 28 (Re v. 3/29/18)