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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-345672

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1. CHANGE SOUTH FLORIDA

    PO BOX 565388
    MIAMI, FL 33256
    Email: changesouthflorida@gmail.com

2. Date: 06/20/2008

3. FEC Committee ID #: C00450445

This committee is an independent expenditure-only political committee (Super PAC).

Affiliated Committees/Organizations

None
, ____
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Brett P Smiley
154 Arlington Ave
Providence, RI 02906
Title: Accountant
Phone # (401) 455-2368

Treasurer:

Carmen Elias-Levenson
5979 NW 151 St
Maimi, Florida 33014
Title: Treasurer
Phone # (305) 817-3668

Designated Agent(s):

Banks or Depositories

City National Bank
25 W Flagler St
Miami, Florida 33130

Signed: Carmen Elias-Levenson
Date Signed: 06/20/2008
Official Committee URL: none

(End FEC FORM 1)

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