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Statement of OrganizationrVIIA-lyIT TY: STATEMENT OF ORGANIZATION I HEREBY C�OCUMENA "TRUE CDPY'bE THE ORIN)rlS CC NLED OF POLITICAL COMMITTEE iN TI�I< v a s .� a�� -AVEF (PLEASE TYPE) WITNESS I Y H D A D "FICIAL SEAL ❑ MIAMI SEIOAES I 1. Full Name of Committee on Miami Shores Future 53=33- 982 Mailing Address (include city, state and zip code) 6815 Biscayne BLVD Suite 103 #396 Miami, FL 33138 Street Address (include city, state and zip code) 6815 Biscayne Blvd Suite 103 #396 Miami, FL 33138 2. Affiliated or Connected Organizations (includes other committees of continuous existence and political committees) Name of Affiliated or Connected Organization Mailing Address Relationship 3. Area, Scope and Jurisdiction of the Committee Fund raising, campaigning and advertising in support of the Miami Shores general election on 4/11/2023. 4. Nature of Organization or Organization's Special Interest (e.g., medical, legal, education, etc.) Political Action Committee made of up of residents of Miami Shores Village 5. Identify by Name, Address and Position, the Custodian of Books and Accounts (include treasurer's name) Full Name Mailing Address Committee Title or Position Jeffrey Saadeh 261 NE 102nd St Chairman and Treasurer Miami Shores, FL 33138 DS-DE 5 (Rev. 06111) — Rule 1S-2.017 (continued on reverse side) 6. List by Name, Address and Position, Other Principal Officers, Including Officers 4hd.M6!nbers'of the Finance Committee, If Any (include chairman's name) •' Full Name Mailing Address = Committee Title or Position 4 fi s 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 Various Village Council 8. List Any Issues this Committee is Supporting: List Any Issues this Committee is Opposing: 9. If this Committee is Supporting the Entire Ticket of a Party, Give Name of Party 10. In the Event of Dissolution, What Disposition will be Made of Residual Funds? j�0roatd 70 a 11_ r 11. List all Banks, Safety Deposit Boxes, or Other Depositories Used for Committee Funds Name of Bank or Depository & Account Number Mailing Address 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 STATE OF Florida Miami -Dade COUNTY I Jeffrey Saadeh certify that the information in this Statement of Organization is pomplep, true and correct. x /j/A )Ipat"o Chairman of Political Committee Date DS4C V5 (R6v. 09111) — Rule 1S-2.017 page 2