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Waterfront PAC.pdf

Waterfront PAC.pdf

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10/28/2013

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STATEMENT OF ORGANIZATION

OF POLITICAL COMMITTEE
(PLEASE TYPE)
OFFICE USE ONLY
1. Full Name of Committee
Committee Working to Beautify and Activate Miami's Waterfront
Telephone
305-445-0777
Mailing Address (include city, state and zip code)
,
95 Merrick Way, Suite #250, Coral Gables, Florida 33134
Street Address (include city, state and zip code)
95 Merrick Way, Suite #250, Coral Gables, Florida 33134
2. Affiliated or Connected Organizations (includes other committees of continuous existence and political
committees)
Name of Affiliated or
Connected Organization Mailing Address
(1C:S
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N/A

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0
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0

3. Area, Scope and Jurisdiction of the Committee
City of Miami
4. Nature of Organization or Organization's Special Interest (e.g., medical, legal, education, etc.)
The Committee will advocate for active, accessible and beautiful waterfron1s throughout the City of Miami and in specific as it relates to the proposed
development at Grove Bay Marina. The Committee will seek to educate and inform Miami's voters as to the benefits of an aC1ive. accessibl e and beautiful
waterfront In Coconut Grove.
5. Identify by Name, Address and Position, the Custodian of Books and Accounts (include treasurer's name)
Full Name
I
Mailing Address Committee Title or Position
Jose A. Riesco 95 Merrick Way, Suite #250
Coral Gables, Florida 33134
Treasurer
OS-DE 5 (Rev. 05/06) (continued on reverse side)
6. List by Name, Address and Position, Other Principal Officers, Including Officers and Members of the
Finance Committee, If Any (include chairman's name)
Full Name Mailing Address Committee Title or Position
Pete J. Perez-Medrano c/o 95 Merrick Way, Suite #250
Coral Gables, Florida 33134
Chairperson
7. List by Name, Address, Office Sought and Party Affiliation Each Candidate or Other Individual that this
Committee is Supporting (if none, please indicate)
Full Name Mailing Address Office Sought Party
None
;0
,11
--­
8. List Any Issues this Committee is Supporting: local referendum in the City of Miami re: supporting the at
Grove Say Marina
tTl
:- -<.. ;; : CJ
List Any Issues this Committee is Opposing:
9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party
None
10. In the Event of Dissolution, What Disposition win be Made of Residual Funds?
Most likely will be contributed to a 501 (c)(3) as allowed under Florida law
11. List all Banks, Safety Deposit Boxes, or Other DepOSitories Used for Committee Funds
Name of Bank or Depository & Account Number Mailing Address
Bank of Coral Gables 2295 Galiano Street
Coral Gables, Florida 33134
12. List all Reports Required to be Filed by this Committee with Federal Officials and the Names, Addresses
and Positions of Such Officials, If Any
Report Title Dates Required to be Filed Name & Position of Official Mailing Address
Form SS-4
Form 8871 or 1024
as may be required
Upon formation
March 15,
annually
Internal Revenue
Service
Ogden, Utah 84201
I,
STATE OF _F_lo_r_id_a_________=D Miami-Dade D COUNTY
___P_e_t_e_J_._P_sr_e_z_-M_e_d_r_a_no __________ ,certify that the information in this Statement of
o;ani>mi?'--17/ico:
I Chairman of Political Committee
.'
REGISTERED AGENT
STATEMENT OF APPOINTMENT
(Section 106.022, F.S.)
RE
SEONLY
2013 SEP 30
AH 10:59
OF FiCe OF T E CITY ! . .,E, ",
CITY OF " l!A.r1 l, FL
[{]
D
Original Appointment Change of Appointment
D Change of Mailing Address D Change of Physical Address
Registered Agent and Office Information
Name
Jose A. Riesco
Telephone
305-445-0777
Street Address
95 Merrick Way, Suite #250
City
I State
Coral Gables Florida
Zip Code
33134
Mailing Address
95 Merrick Way, Suite #250
City
I State
Coral Gables Florida
Zip Code
33134
I accept this appointment and confirm that I am familiar with and accept the obl igations of the position as set
forth in Section 106.022 , F.S. I also understand that I may resign this appointment by executing a written
,'a'emr:.:::::::-""""":;,"h the applicable "'09 officec.
A 09-25-13
- -
of Registered Agent Date
Former Registered Agent and Office Information (for changes only)
Name Telephone
Street Address
City
I State
Zip Code
Committee or Organization Information
Name of Committee or Organization
Committee Workinq to Beautify and Activate Miami's Waterfront
Street Address
95 Merrick Way, Suite 250
Telephone
305-445-0777
City
IState
Coral)BaJ:Jles Florida
Zip Code
33134


Pete J. Perez-Medrano 09-25-13
Printed Name of Chairperson Date
Fonn OS-DE 41 (revised 6/11)
R
CE/VED
APPOINTMENT OF CAMPAIGN TREASURER
AND DESIGNATION OF CAMPAIGN
2013 SfP 30
AH (0: S9
DEPOSITORY FOR
POLITICAL COMMITIEES GFF/CE OF THE Cn .
(Sections 106.011(1) and 106.021(1), F.S.) CITY OF MI.4.MI .'FtLE.?,
CHECK APPROPRIATE BOX:
OFFICE USE ONLY
IE]
Original Appointment of Treasurer 0
Reappointment of Treasurer 0 Deputy Treasurer
1. Committee or Organization 2. Telephone
Committee Working to Beautify and Activate Miami's Waterfront
(305 ) 445-0777
3. Name of Treasurer or Deputy Treasurer 4. Email (optional) 5. Telephone (optional)
Jose A. Riesco jose@riescoandcompany.com (305 ) 445-0777
6. Mailing Address
95 Merrick Way, Suite #250, Coral Gables, Florida 33134
7. Street Address
Same as mailing address
8. The following bank has been designated as the
[8]
Primary Depository
0
Secondary Depository
9. Name of Bank 10. Street Add ress
Bank of Coral Gables
2295 Galiano Street
11 . City 12. State 13. Zip Code
Coral Gables Florida 33134

15. Name of Chairman (Print or Type)
-
Pete J. Perez-Medrano
...
CampaiQn Treasurer's Acceotance of Appointment
I.
Jose A. Riesco
. do hereby accept the appointment as
(Please Print or Type)
treasurer or deputy treasurer for
Committee Working to Beautify and Activate Miami's Waterfront
(Committee or Organization)
UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING CAMPAIGN TREASURER'S
ACCEPTANCE OF APPOINTMENT AND THJ T THE FACTS STATED ARE TRUE.
09-25-13 X
)

Date v ampalgn Treasurer or Treasurer
OS-DE 6 (Rev. 7/10)

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