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01292024-5Form10-AC FLORIDA BOARD OF BAR EXAMINERS Rev.08/17 Administrative Board of the Supreme Court of Florida * * * * 1891 Eider Court Tallahassee, Florida 32399-1750 (850)487-1292 Michele A. Gavagni Executive Director City of Anaheim Office of the City Clerk 200 S. Anaheim Blvd., 2nd FL, Rm.217 Anaheim, CA 92805 NAME: A/K/A or F/K/A: FORMER ADDRESS: RACE: SEX: Mr. Ildefonso Paul Mas Mas, Dito M DL NUMBER: PLACE OF BIRTH: Washington, DC DATE OF BIRTH: FILE NO. 78745 DATE: 01/24/2024 ORI NO.: FL92019OZ Information indicates that the above -named applicant, who is seeking admission to The Florida Bar, may have been accused of the following charges. The Board investigates the background of all applicants for admission to the bar. The Federal Bureau of Investigation has issued approval for this Board to receive federal criminal history record information pursuant to Section 454.026, Florida Statutes. Date Charge 10/10 Speeding Infraction Please search your records and forward a copy of all documents reflecting the nature and disposition of each charge. The Board will absorb copying costs, if necessary, associated with your forwarding the documents as soon as possible. Court records are enclosed 0 No records can be found 0 Additional information is needed as follows: The Board sincerely appreciates your cooperation in completing this form and assures you that the information furnished by you will be revealed only in accordance with the Rules of the Supreme Court Relating to Admissions to the Bar. The information furnished by me is true and correct to the best of my knowledge and belief. Date: Print Name: Title: Signature: Enclosure: Return Envelope Authorization and Release Fors 6 Rev 10/21 *RAV) Florida Board of Bar Examiners ADMINISTRATIVE BOARD OF THE SUPREME COURT OF FLORIDA AUTHORIZATION & RELEASE Re: Application of Ildefonso Paul Mas Name of Applicant or Registrant TO WHOM IT MAY CONCERN: Having filed an application with the Florida Board of Bar Examiners, I hereby authorize and request every person, official, representative of a firm, corporation, association, organization or institution (collectively the "Authorized Persons") having control of any documents, records or other information pertaining to me or relevant to my character and fitness, to furnish the originals or copies of any such documents, records and other information to the Board or any of its representatives and to permit the Board or any of its representatives to inspect and make copies of any such documents, records or other information. I also authorize the National Personnel Records Center and any other agency in possession of military records regarding the undersigned to release any such records, including, but not limited to, records of disciplinary proceedings (whether nonjudicial punishment or courts martial) or records regarding my release from the military service (including an undeleted copy of my DD Form 214) to the Board or to the Board's authorized medical representative. I hereby further authorize the Authorized Persons to answer any inquiries, questions or interrogatories concerning the undersigned which may be submitted to them by the Board or its authorized representative and to appear before the Board or its authorized representative and to give full and complete testimony concerning the undersigned, including any information furnished by the undersigned. I hereby relinquish any and all rights to receive said information furnished to the Board or its authorized representative. I fully understand that I shall not be entitled to have disclosed to me the contents of any of the foregoing, except as provided by Rule 1-60 of the Rules of the Supreme Court Relating to Admissions to the Bar. I hereby release, exculpate and exonerate the National Personnel Records Center and all Authorized Persons that comply in good faith with the authorization and request made herein from any and all liability of every nature and kind growing out of or in any way pertaining to the furnishing or inspection of such documents, records and other information or the investigation made by the Florida Board of Bar Examiners. I understand that this Authorization and Release shall be effective until I have been admitted to The Florida Bar for 12 months pursuant to Rule 5-14 or until the end of any extension of that 12 month period granted by the Supreme Court of Florida. A copy of this Authorization and Release shall be as authentic as the original. For the purpose of this release, the undersigned gives permission to use a photocopy of the electronic signature on this form as an original signature 1, Ildefonso Paul Mas, by typing my name and entering my e-signature PIN, am signing this document electronically and demonstrating my intent to use this electronic signature as my authorization and release of any documentation or information pertaining to me. Ildefonso Mas Name 01/12/2024 12:20:58 PM EST CERTIFICATION The Florida Board of Bar Examiners certifies that authority to use this Authorization and Release form has not expired under the provisions of the Rules of the Supreme Court Relating to Admissions to the Bar and has not been revoked by the applicant. THE FLORIDA BO RD F BAR EXAMINERS By: FLORIDA BOARD OF BAR EXAMINERS 1891 EIDER COURT Y TALLAHASSEE, FLORIDA 32399-1750 '"��•',1 s�1 1891 EIDER CT TALLAHASSEE FL 32399- Hasler FIRST-GUkSS MAIL 01/24/2024+ $000.642 �ZIP 32308 Ol IE12650273 :,_ t