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DS-DE 12 Q2-09 RobertsFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS I CAMPAIGN TREASURER'S REPORT ~~JII~Y'h I.-~ ji (1) Sherry Roberts Name (2) 100 Lincohl Road Penthouse T~ti•o Address (number and street) [VIIa1111 13eaC11, Pt, 33139-0000 City, State, Zip Code Check box if address has changed 20D9 JUL°FIF~E ~~ `~`~ I CITY ,~L~~II°i'~ C~~ IC?~:. (3) I.D. Number: 00000 (4) Check appropriate box(es): X Candidate (office sought): Mlaml Beach Canulussioner Group 2 Political Committee ~ Check if PC has DISBANDED Committee of Continuous Existence Party Executive Committee ^ Check if CCE has DISBANDED Electioneering Communication ~ Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From 04/01/2009 To 06/30/2009 Report Type: Q2 ~X Original ~ Amendment ~ Special Election Report ~ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks 51 #'291'87 Loans $15,000.00 Monetary Expenditures Transfers to Office Account $18,651.77 $0.00 Total Monetary 529,291.87 In-Kind 5546.09 (9} TOTAL Monetary Contributions to Date $87,606.87 Total Monetary $18,651.77 (8) Other Distributions $0.00 (10) TOTAL Monetary Expenditures to Date S37,834.34 I (11) CERTIFICATION - -~ It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct and complete 1 certify that 1 have examined this report and it is true, correct and complete Rag eu I Levv ei ~ 1O"y'O1 ~ Treasure/r'4~ ~ Deputy Treasurer commu~.} ~ /1 f / Signature .ua~uw,n .w„sra,o - ,.anyay, , w,w Pa~c • ~ i~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 1 of 10 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middls) In-kind Sequence Number Street Address & city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 04/05/2009 Diaz, Yudex I Chef INK Food $ 346.09 9365 SW 37 St Miami, FL 33165-0000 000001 04/05/2009 Reyes, Saskia I Asst. INK Food $ 200.00 3525 Sw 105 Chef Miami, FL 33165-0000 000002 04/15/2009 Tauber, Joel I Retired CHE $ 500.00 27777 Franklin Rd Ste 1630 Southfield, MI 48034-0000 000003 04/15/2009 Tauber, Shelley I Retired CHE $ 500.00 27777 Frankklyn Rd Ste 1630 ', Southfield, MI 48034-0000 000004 i 04/15/2009 Smith, Harry I Lawyer CHE $ 200.00 701 Brickell Ave Miami, FL 33131-0000 000005 04/15/2009 Kreger, Nora I CHE $ 20.00 100 Lincoln Road 1428 Miami Beach, FL 33139-0000 000006 04/20/2009 Granda, Eumelia I CHE $ 20.00 100 Lincoln Road 707 Miami Beach, FL 33139-0000 000007 04/28/2009 Jacobson, Victoria I CHE $ 50.00 529 Bean River Road Millerton, NY 12546-0000 000008 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (i) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 2of10 ~5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address 8 city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 04/28/2009 Gould, Roberta I Real CHE $ 200.00 6585 Allison Rd Estate Miami Beach, FL 33141-0000 000009 04/28/2009 Zemo, Dona I Director CHE $ 100.00 3101 Indian Creek Drive Miami Beach, FL 33140-0000 000010 04/28/2009 Harvey, Monica I Real CHE $ 50.00 9 Island Ave Estate Miami Beach, FL 33139-0000 000011 05/07/2009 Geovese, Joblov, and Battiista B Law CHE $ 500.00 44th Floor 100 Southwest Second St. Miami, FL 33131-0000 000012 05/11/2009 Surridge, Christopher I Consulta CHE $ 250.00 812 NE 19th Ave nt Flort Lauderdale, FL 33304-0000 000013 05/13/2009 Dworkin, Richard Allan I CHE $ 25.00 100 Lincoln Road 1440 Miami Beach, FL 33139-0000 000014 05/13/2009 Oramas, Joseph I Retired CHE $ 40.00 Suite 510 100 Lincoln Road Miami Beach, FL 33139-0000 000015 05/13/2009 Thompson, Robert I Retired CHE $ 50.00 100 Lincoln Road Miami Beach, FL 33139-0000 000016 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox ~>AG ~ 3 ~ ~ 1 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 (4) Page 00000 3of10 (5) (7) (8) (9) (10) (11) (12) Date Full Name ntributor C (6) (Last, Suffix, First, Middle) o In-kind Sequence Number Street Address & city, state, zip code Type Occupation Contribution Type Description mendmen Amount 06/01/2009 Geller, Michael I Clergy CHE $ 200.00 100 Lincoln Road Miami Beach, FL 33139-0000 000017 06/12/2009 Dickson, Alex I CHE $ 25.00 PO Box 2182 Palm Beach, FL 33480-0000 000018 06/12/2009 Comprehensive Insurence B Insurenc CHE $ 250.00 Associates e 1717 N Bayshore D Miami, FL 33132-0000 000019 06/15/2009 Martin, Enrique I Attorney CHE $ 250.00 10600 SW 130th St. Miami, FL 33176-0000 000020 06/15/2009 Hernandez, Lou I CAS $ 20.00 1601 SW 23rd St Miami, FL 33145-0000 000021 06/15/2009 Paez, Ava I CHE $ 20.00 10120 SW 129 Ter Miami, FL 33176-0000 000022 06/15/2009 Meclurlan, Enrique I CAS $ 10.00 550 51st St Miami Beach, FL 33140-0000 000023 06/15/2009 Burstein, Harvey J. I Director CHE $ 250.00 1775 Washingon Ave PH 2Directo Miami Beach, FL 33139-0000 000024 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox ~r~~ 4 ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 (4) Page 00000 4of10 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor ~6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & city, scale, Zip Code Type Occupation Contribution Type Description Amendmen Amount 06/15/2009 Bloom, David I Printer CHE $ 25.00 630 NE 55th St Miami, FL 33137-0000 000025 06/15/2009 Visual Horizons B Software CHE $ 500.00 100 Lincoln Road PH 7 Develope Miami Beach, FL 33139-0000 r 000026 06/19/2009 Lasko, Arturo I Consulta CHE $ 200.00 1330 West Ave. Apt. 2806 nt Miami Beac, FL 33139-0000 000027 06/19/2009 Sarafan, Richard I Lawyer CHE $ 200.00 2684 Edgewater Weston, FL 33332-0000 000028 06/19/2009 Leitner, Grace I School CHE $ 200.00 100 Lincoln Road PH 9 Teacher Miami Beach, FL 33139-0000 000029 06/19/2009 Starvin Marvin Jewelry B Jeweler CHE $ 50.00 19275 Biscayne Suite 2 Miami, FL 33180-0000 000030 06/19/2009 Stoler, Henry I Retired CHE $ 500.00 1500 Ocean Drive 803 Miami Beach, FL 33139-0000 000031 06/19/2009 Stoller, Suzanne I Retired CHE $ 500.00 Miami Beach 1500 Ocean Drive 803 Miami Beach, FL 33139-0000 000032 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox P A~ E 5 ~ IZ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 5of10 ~5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 06/19/2009 Mortgage Relief of America B CHE $ 50.00 2550 N Federal HWY Ste 9 Ft Lauderdale, FL 33305-0000 000033 06/19/2009 Bacheikov, Ada I Travel CHE $ 250.00 5201 North Bay Drive Agent Miami Beach, FL 33140-0000 000034 06/26/2009 Golovin, Karl I US CHE $ 100.00 100 Lincoln Road 636 Customs Miami Beach, FL 33139-0000 Retired 000035 06/26/2009 Walters, Jesse I Retailer CHE $ 50.00 440 N E 91st St Miami Shores, FL 33138-0000 000036 06/26/2009 Roses, Tomas I Executive CHE $ 500.00 20331 NE 20 Place Miami, FL 33179-0000 000037 06/26/2009 Sanctuary Hotel B Tourism CHE $ 500.00 1245 James Ave Miami Beach, FL 33139-0000 000038 06/26/2009 Shipley, John W. I Attorney CHE $ 200.00 1601 S Bayshore Drive Miami, FL 33133-0000 000039 06/26/2009 Weinberg, Marc I Doctor CHE $ 500.00 320 Poinciana Drive Sunny Isles, FL 33160-0000 000040 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 (4) Page 00000 6of10 ~5) (7) (8) (9) (10) (11) (12) Date Full Name ntributor C (6) (Last, Suffix, First, Middle) o In-kind Sequence Number Street Address ~ city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 06/26/2009 P.A.C.S. Group Inc B Consultin CHE $ 500.00 35 NE 38th Street g Miami, FL 33137-0000 000041 06/26/2009 AAA Chiropractic Center B Healthcar CHE $ 500.00 1352 NE 163rd St e North Miami Beach, FL 33162-0000 000042 06/26/2009 Secemla, Sebastion I Consulta CHE $ 500.00 172 Golden Beach Drive nt Golden Beach, FL 33160-0000 000043 06/26/2009 Guzman, Duvela I CAS $ 5.00 7300 Wayne Ave 502 Miami Beach, FL 33141-0000 000044 06/26/2009 Pesant, Rudy I CAS $ 5.00 7865 Camino Rd Miamii Beach, FL 33143-0000 000045 06/26/2009 Duque, Stephanie I CAS $ 5.00 15101 SW 148 Ave Miami, FL 33196-0000 000046 06/26/2009 Milian, Steven I CAS $ 5.00 490 W 42 Place Miami, FL 33012-0000 000047 06/26/2009 Guzman, Armando I CAS $ 5.00 1940 Bay Drive Miaimi Beach, FL 33141-0000 000048 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 00000 (4) Page 7 of 10 (5) (7) (8) (9) (10) (11) (12) Date Full Name ntributor C (6) (Last, Suffix, First, Middle) o In-kind Sequence Number Street Address tx city, State, Zip Cods Type Occupation Contribution Type Description Amendmen Amount 06/26/2009 Bolentz, Ileana I CAS $ 5.00 13236 NE 4th Ave Miami, FL 33161-0000 000049 06/26/2009 Morales, Karla I CHE $ 5.00 2735 W 61 Place 106 Hialeah, FL 33018-0000 000050 06/26/2009 Iglesias, Jose I CAS $ 5.00 1900 Libert Ave 202 Miami Beach, FL 33139-0000 000051 06/30/2009 South Beach Boutique Realty B Real CHE $ 500.00 407 Lincoln Road 2 E Estate Miami Beach, FL 33139-0000 000052 06/30/2009 The Hotel On Collins B Tourism CHE $ 250.00 804 Ocean Drive Miami Beach, FL 33139-0000 000053 06/30/2009 LFMG Midtown Inc B Hospitalit CHE $ 500.00 9485 SW 72nd St Ste a 295 y Miami, FL 33173-0000 000054 06/30/2009 OHFEO Realty Corp. B Real CHE $ 250.00 760 Ocean Drive Estate Miamii Beach, FL 33139-0000 000055 06/30/2009 2 K Clevelander LLC B Tourism CHE $ 250.00 Ocean Drive Miami Beach, FL 33139-0000 000056 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox Pp~e 8 r~ t7 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 8of10 (5) (7) ~ (8) (9) (10) (11) (12) Date Full Name Contributor ~s~ (Last, Suffix, First, Middle) In-kind Sequence Number Strest Address & city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 06/30/2009 Lantz, David I Attorney CHE $ 100.00 1500 Bay Road Apt 282 Miami Beach, FL 33139-0000 000057 06/30/2009 Randolph, Alice H. I Psycholo CHE $ 500.00 100 Lincoln Road PH 2 gist Miami Beach, FL 33139-0000 000058 06/30/2009 Psychological Transitions B Healthcar CHE $ 500.00 3619 Park East Drive e Beachwood, OH 44122-0000 000059 06/30/2009 Mango's Tropical Cafe B Entertain CHE $ 250.00 Ocean Drive ment Miami Beach, FL 33139-0000 000060 06/30/2009 Pizza Bar B Entertain CHE $ 500.00 100 Lincoln Road ment Miami Beach, FL 33139-0000 000061 06/30/2009 Roberts, Sherry S Real LOA $ 100 Lincoln Road PH 2 Estate 15,000.00 Miami Beach, FL 33139-0000 000062 06/30/2009 Breslin, Ray I Property CHE $ 100.00 2395 Lake Pancoast Dr APt 4 Manager Miami Beach, FL 33139-0000 000063 06/30/2009 Martino, Perry I Retail CHE $ 100.00 11 Island 906 Miamii Beach, FL 33139-0000 000064 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox P~~c q ~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 9 of 10 ~5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & city, state, zip code Type Occupation Contribution Type Description Amendmen Amount 06/30/2009 Randolph, Terry A. I Veternari CHE $ 23.97 13507 Shively Rd an Bremen, IN 46506-0000 000065 06/30/2009 Adams, Carolyn I CHE $ 9.41 5630 Windjammer Marblehead, OH 43440-0000 000066 06/30/2009 Randolph, Matthew I Veternari CHE $ 23.97 13507 Shively Road an Bremen, IN 46506-0000 000067 06/30/2009 Robeano, David I Entertain CHE $ 193.90 350 Bleecker St LF er New York, NY 10014-0000 000068 06/30/2009 Randolph, Lance I CPA DUE $ 23.97 13434 Fisher Road Forensic Burton, OH 44021-0000 000069 06/30/2009 Guell, Ines I CHE $ 23.97 1255 NW 35 Ave Miami, FL 33126-0000 000070 06/30/2009 Guell, Raymon I CHE $ 23.97 1255 NW 35 Ave Miami, FL 33125-0000 000071 06/30/2009 Guell, Raymon I CHE $ 23.97 1255 NW 35 Ave Miami, FL 33125-0000 000072 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 10 of 10 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6~ Sequence Number (Last, Suffix, Frst, Middle) Street Address & city, state, Zip Code Type Occupation Contribution Type In-kind Description mendmen Amount 06/30/2009 Guell, Danielle I CHE $ 23.97 1255 NW 35th Ave Miami, FL 33126-0000 000073 06/30/2009 Paez, Gabriel I CHE $ 19.12 100 Lincoln Road 1638 Miami Beach, FL 33139-0000 000074 06/30/2009 VonStorch, David I Health CHE $ 485.20 1612 U St NW 400 and Washington, DC 20009-0000 Fitness 000075 06/30/2009 Pinillos, Kimberly I CAM CHE $ 193.90 754 NE 90th St Miami Shores, FL 33138-0000 000076 06/30/2009 Recognition Media B CHE $ 3.58 1521 Alton Road #226 Miami Beach, FL 33139-0000 000077 06/30/2009 Faust, Gary I Veternari CHE $ 23.97 13507 Shively Road an Bremen, IN 46506-0000 000078 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 1 of 4 ~5) (7) (8) (9) (10) (11) Date Full Name ~6) (Last, Suffix, First, Middle) Purpose Sequence Number Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendmen Amount 04/01/2009 Almer Supplies Commadore MON $ 550.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000001 04/01/2009 Miami Dade County Days Events MON $ 175.00 13899 Biscayne. Blvd. 109 North Miami Beach, FL 33181-0000 000002 04/01/2009 Almer Community Outreach MON $ 500.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000003 04/03/2009 Almer Event MON $ 75.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000004 04/10/2009 Recognition Media Web Site MON $ 134.85 1521 Alton Road #226 Miami Beach, FL 33139-0000 000005 04/24/2009 Words On The Beach Printing MON $ 625.95 1657 Drexel Ave. Miami Beach, FL 33139-0000 000006 05/04/2009 USPS Postage MON $ 50.00 1661 West Ave Miami Beach, FL 33139-0000 000007 05/05/2009 USPS Postage MON $ 231.00 1661 West Ave Miami Beach, FL 33139-0000 000008 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox PACE i a, J~ n CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 (4) Page 00000 2 of 4 ~5) (7) (8) (9) (10) (11) Date Full Name ~6) (Last, Suffix, Firs[, Middle) Purpose Sequence Number Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendmen Amount 05/11/2009 Daniel's Offset Printing Printing MON $ 529.65 7404 SW 41 St Miami, FL 33155-0000 000009 05/11/2009 Almer Community Outreach MON $ 500.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000010 05/11/2009 Almer Event MON $ 600.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000011 05/13/2009 Surridge, Christopher Fundraising MON $ 5,000.00 812 NE 19th Ave Flort Lauderdale, FL 33304-0000 000012 05/13/2009 Save Dade Event MON $ 150.00 12864 Biscayne Blvd. 338 Miami, FL 33137-0000 000013 05/15/2009 Happy Endings Advertisiing MON $ 518.69 651 NW 106 Street Miami, FL 33150-0000 000014 05/18/2009 Office Depot Supplies MON $ 18.15 1771 West Miamii Beach, FL 33139-0000 000015 05/18/2009 Save Dade Event MON $ 75.00 12864 Biscayne Blvd. 338 Miami, FL 33137-0000 000016 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox PAGE 13 ~l"1 CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 3of4 ~5) (7) (8) (9) (10) (11) Date Full Name ~6) (Last, Suffix, First, Middle) Purpose Sequence Number Street Address & Ciry, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendmen Amount 05/30/2009 Florida Democratic Party Membership MON $ 300.00 214 South Bronough St. Tallahassee, FL 32301-0000 000017 06/01/2009 Almer Community Outreach MON $ 600.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000018 06/02/2009 Surridge, Christopher Fund Raising MON $ 809.98 812 NE 19th Ave Flort Lauderdale, FL 33304-0000 000019 06/02/2009 Surridge, Christopher Fundraising MON $ 5,000.00 812 NE 19th Ave Flort Lauderdale, FL 33304-0000 000020 06/02/2009 Almer Community Outreach MON $ 500.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000021 06/05/2009 Good Catch Advertising MON $ 731.00 PO Box 370366 Miami, FL 33137-0000 000022 06/09/2009 Sign One Advertising MON $ 267.50 1040 East 33 Street Hialeah, FL 33013-0000 000023 06/15/2009 Armona, Margarita Advertising MON $ 250.00 727 Collins Ave. Suite 204 Miami Beach, FL 33139-0000 000024 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01 /2009 - 06/30/2009 00000 (4) Page 4 of 4 ~5) Date (7) Full Name (8) (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought it contribution to a candidate) Expenditure Type Amendmen Amount 06/18/2009 The Lead 1521 Alton Road 115 Miami Beach, FL 33139-0000 Advertising MON $ 245.00 000025 06/22/2009 Dreyer Studio 318 Indian Trace #209 Weston, FL 33326-0000 Graphic Design MON $ 90.00 000026 06/24/2009 USPS 1661 West Ave Miami Beach, FL 33139-0000 Postage MON $ 30.00 000027 06/26/2009 Miami Dade Gay and Lesbian Chamber of Commerce 3510 Biscayne Blvd. 205 Event MON $ 95.00 000028 Miami, FL 33137-0000 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 00000 (4) Page 0 of 0 (5) Date (~) Full Name (8) (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought if contribution to a candidate) Related Expenditures Amendmen Amount Nothing to report on t is form DS-DE 14A (Rev. 08/03) Adjutant Software -Campaign ToolBox ~ A-~C 1(0 ~ I ~1 CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 04/01/2009 - 06/30/2009 (4) Page 00000 OofO (5) Date (~) Name of Financial (8) (9) (10) (1~) (6) Sequence Number Institution Street Address & city, state, Zip Code Transfer Type Nature of Account Amendmen Amount Nothing to report on th s for DS-DE 94 (Rev. 08/03) Adjutant Software -Campaign ToolBox