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Asion, Andres submitted June 16, 2023CITY OF MIAMI BEACH REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR POLITICAL COMMITTEES AND ELECTIONEERING COMMUNICATIONS ORGANIZATIONS In accordance with City of Miami Beach Ordinance 2023-4557, codified in Sections 2-487 through and including 2-490 of the Miami Beach City Code, a candidate for the offices of Mayor or Commissioner or a member of the City Commission must file, prior to engaging in solicitation activities (not otherwise prohibited by the aforementioned City Code sections), this Form to publicly disclose their solicitation fundraising activities for Political Committees or Electioneering Communications Organizations. Upon completion, this Form must be filed with the City Clerk (see filing instructions be low), to be filed on a one-time basis disclosing solicitation for a particular Political Committee or Electioneering Communications Organization. Andres Asion Elected Official's or Candidate's Name 1000 South Point Dr. Apt 2204 Address (number and street) Miami Beach, FL 33139 City, State, Zip Code OFFICE USE ONLY RECEIVED JUN 16 2023 CITY OF MIAMI BEACH OFFICE OE "HE CITY CLERK Prior to co mme ncing solicitation activities (not otherwise proh ibited by Article VII, Division 5, Secti on s 2-487 through and including 2-490 of the Miami Beach City Code), eithe r directly or indirectly, on be half of a Political Committ ee wh ich suppo rts or opposes candid ate s for City elected office, or Electione ering Com mun icat ions Organization wh ich ma ke s expe nditures for electionee ring communicati ons relating to ca ndida tes for City elected office or acce pts contributions for the purpos e of making suc h electioneering communicat ion s, a ca ndida te for the office s of Mayor or Commissioner, or a me mbe r of the City Commission shall file this one- time Repo rt with the City Clerk indicating that the ca ndidate or member of the City Commission is unde rtaking solicitation activities on beha lf of such Po litical Committe e or Electione ering Communications Organization. Fina as El. I candidate for the offices of Miami Beach Mayor or Commissioner Miami Beach City Commissioner, Group IV Office: _ D Member of the Miami Beach City Commission Office: _ I wil l b e commencing solicitation activities on behalf or a []. I ~ Political Committee E Electioneering Communications Organization RECEIVED JUN 16 2023 CITY O F MIAM I BEACH • Full Name of the Political Committee or El ecti oneer ing Communicauo'hr}4art~k#5"PY CLERK Defend Dem ocracy PC • Address of the Political Committee or Electioneering Communications Organization: 1742 W Flagler Street Miam i, FL 33135 • Telephone number of the Political Committee or Electioneering Communications Organization: 786-762-4 990C • Name of the Registered Agent for the Political Committee or Electioneering Communications Organization: Christian Ulvert • Name of the Chairperson or Treasurer for the Political Committee or Electioneering Communications Organization: Christian Ulvert • Name of the jurisdiction where the Political Committee or Electioneering Communications Organization filed its statement of organization (e.g., either the City of Miami Beach, Miami-Dade County, or the State of Florida): Miami-Dade Elections Department • Describe the relationship between the Candidate or member of the City Commission (as applicable) and the Political Committee or Electioneering Communications Organization: S uppo rt an d fundrai se C E R T IF IC A TI O N It is a first-d eg ree m isdem eanor for any person to falsify a publ ic rec ord (sec. 839.13. Fla. Stat.} I her eb y ackn owl edge th at it is my respo nsi bility to read, understan d, an d follow the campaign finan ce requirem ents de scri bed in th is Article VII, Division 5 of the Miami Beach City Cod e. l certi fy that I have exam i n ed th is rep ort an d it is tru e, correct , and com plete . ll - - X -1 - Si gn at ure RECEIVED Andres Asion Type or Print N ame JUN 16 2023 June 12, 2023 CITY OF MIAMI BEACH D ate OFFICE OF THE CITY CLERK 0 Elect ed Offi cial rp.candidate Form# M BC C 1 Created On May 17, 2023 ] O rdi nance 2023-4557 O nce the for m is com pleted, print it, sign it, and subm it an electro nic co py to the Offi ce of the City Clerk at Qity Clerk @ mi am i be achfl goy. You may also mail or hand del iver th e form to the Office of the City Clerk, Miam i Be ac h C ity Hall, 1700 Conven tion Center Drive, Miami Be ach , FL 33139. For m ore inform ation, please cont act the Office of the City Clerk at 30 5.673.7411 or via email at Ci ty@C lerk @m i am i be ach f_gov. F:\CLER\CLER\OOO_ELECTION\aaFORMS\MBCC 1 · REPORTING OF SOLICITATION OF CONTRIBUTIONS FOR PC & ECO.docx