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F1 (10/5/2001) ~~I ~ ~~. ._._~ . -. .-- --. --"- ---.- - --. .------ FLORIDA DEPARTMENT OF STATE, OMSION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Joe Fontana (2) Canclld818, Committee or Party Name 1.0. Number (3) 5750 COllins Avenue. . 16-G Miam1 \!each "1:0 33140 Address (number and street) CIty State Zip Code o Check box if 8ddnlss hes ch8nged sinCe Ia&t AIpOIt (4) Check epproprIate box(es): Ia CandId8Ie (oftIce 8DUghI): Miami Beaah Coauniesi<mer - Group II o Political Commillee [] Check If PC hils DISBANDED _.-" C1 - -- o CommItIee of Contlnuous ExIstence [] Chec:k If CCE has DISBANDED - '. ,:::> ;'11 ,''J .., :) o Party ExecutIve CommIlI.ee ;-', I - 0'1 ';1 ...-'-. ,...- (5) REPORT IDENTIFIERS 'CI ..... L ~-.." - __n._ in CoYer Period: From July 1, 2001 To sept. 28. 2001 Report Type: J:J 1P- '.', , \~: Ia 0riglnaI [] Amendment o SpsciaI EJsction Report [J -. (~ Independent ~ ReIjlorI (a) CONTRIBunoNS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ 22.200.00 Monetary $ 5,197.41 Expenditures 10,000.00 Transfers to Office 0.00 Loans $ Account $ Talal Monstaty $ 32,200.00 TotlII MoneI8ty $ 5,197.41 In-Kind $ 199.10 (8) Oller DIstribulIons $ 0.00 (9) TOTAL Monetary ContrlbuGons to Dele (it) TOTAL Monetary Expendlb.ns to Olde $ 32.200.00 $ 5.197.41 (11) CERTIFICATION It 18 . ftrst deg_ m.......anorfanny ,.._ to.....,. public .-d en. 83t.13, F.a) I ClIlI1ify that I have 8'Jl8IIllned lllla I9pOIt and it is I ClIlI1ify that I haw _...l8d this 11I/IlI'l8lld It is true. true, ClOII'ect and can'" correc;t and "",1jllSIe Joe Fontana Joe Fontana Name of IaT- o OspulyT_ Name of Ia Candidllle 0 Ch8In'n8n (PCIPTY only) X~~~ Xr~~/. / J 18 .( .. I v DS-DE 12 (71ll8) SEE REVEIllE FOR 1NS1'RUC:TION8 AND CODE VALUeS ~~ It 13 U\..1~.J--~iU'U'" ........"'-- . .,.......-............... ..........nn,"...............__ __. .______ ._---_.~....~.... . ''''' -- CAMPAIGN TUAS\lRER'S RUORT-1TIM1ZmCON'lKIBunoNS (I) Name: Joe FClIII8na lbr Mi8mi s.ch c-m--.. CampallPl -Group n (2) J.D. Numbw: (3) Cowr Pwiod 1uIy I, 200J 1IIrougb September 21, 2001 (4)P8ge 1 of7 07/11101 s.ch LeIkr Servlc:e, Inc. B INK PrintiDC 99.10 1108 IStb Slnet I Miami Beadl" FL 33139 07111101 M1ay Rl;1>'hMtI Damle1Iy J Home CHI! sso.OO S480 N. Bay Rd. Mtk<< 2 Miami Belch, FL 331-40 07/19101 MwIIlII Kamlet I Retired CHB SIOO.OO 6039 CclIliIIs A-. Apt. 126 3 Milmi IleadI, PL 33140 0712(J(01 GiuIeppe Poral J Hold CHI! SSOO.OO 4000 WU1i8m Is. Blvd. "2504 ~ 4 A_tin, FL33UiO 07121101 Mic:b8el lClIIbb I ID...- CHI! SSOO.OO 2034 FISher b1lmd Dr. S Fisher IsI8Itd, PL 33019 07123101 M1ay C. BufiIno I Home CHB S2S0.00 6820 TMIlViIle Il8pw..de MlIbr 6 Miami BeIcb, FL 33141 07/25/01 JClIIqlb M. B8rbIe B AltGmey CHI! SSOO.OO IoIIpb. M. B8risic Pi.LC 7 1000 West Aft. Suite 1017 Miami Beia, PL 33139 07/25/01 __ L. Curl J Houle CHI! SIOO.OO 6039 Collins Aft. Wi" 8 Miamllleadl, PL 331<10 07J2S/01 nn...~ LlAI. B PnIpert;y CHI! SSOO.OO 7911 NllrmllCA_ o.-s 9 Milmi 8eIda, FL 33141 07l2Mll Aura ofSoulh ~ B ~ CHI! SSOO.OO 613 LiDcoln Rll8d 10 Miami BeIcb, FL 33139 f~ 1- ~ 13 l.l'-1-;;;)-c:.~.1. .1.1-.......... . ,.'I.IJI,....,.......... ....................,.................u... .-..;. ,.........-................. ....,.......................................... ...... ....... CAMPAIGN 1'RIASVREJl'S REPORT -ITDOD.D COJIlTItIBIJTJO (1) N8IIle: 10e F......... lOr Miami Bcad1 Cclmmillli_ r.m,p..,. - Group n (2) LD. Number: (3) Cover Period.July I, 200llhrllUllh Septanber 2ll, 2001 (4) ..... 2 of7 07/'1.7101 Herbert L. 0.- B ~ CHI! $250.00 Consoltiq F..peows" IDe. 11 192 N.B. 168th St. N. Miami Be8cb, fL 33162 07/'1.7101 Ira1c F. Moore I Wrilw CHI! SSOO.OO 1800 SuIIlIet HIrllour Dr. II 12 1210 Miami Be8cb, fL 33139 07/'1.7/01 ~N1" _ -1IIt,Inc. B RII1tar CHI! $250.00 S23 Midlipn A_ue 13 Mi8llli &:lIdl, fL 33139 07127/01 ChriaIrm Real BIlale B lIeaI EIIMe CHI! SSOO.OO N1-.-- Co.,lae. n MaJutatlDIIIt 14 300 Alton Roed Suite 303 Miami Be8cb, fL 33139 07/'1.7101 Cbrisken RealI!sIate Mamt B lIeaI BIlale CHI! ssoo.OO Co..Inc Manqemlllt IS 300 Alton Roell Suite 303 Miami &:lIdl, FL 33139 rtT127101 RCl Mllrine, Ine. Apat lOr B MubIa CHB SSOO.OO Olndt Harbor Muina Manaaement 16 300 AItm Roed MIami IIeIdl, FL 33139 07127/Ot ReI Marine, Inc. AJlIIt lOr B MIIrina CHI! SSOO.OO Miami Beach Marina Assoc. ............- 17 300 Alton lloIId MIami Beach, FL 33139 07131/01 ShelIa HeUmm I Hame CHI! SI00.00 46S 0IleIIn Driw Unit 622 Maker II Miami Beach, FL 33139 07/31/01 Clearp C. ...... I c..-IIa4t CHI! SSOO.OO 1900 Sunset Harbour Dr. Apt. 19 No. 1603 MiMll Beach, FL 33139 0lI01101 Clay Hlul B IbeI am SSOO.OO 1438 W-;"CI'.'A_ 20 Milmi &:lIdl, FL 33139 ~~ ~ t l3 lJ'--1-;;:)-C~J. ,LI;;..........-n I "...,.._ ~""""" U.......'....,.... I................'.... J_' ._..._......... I.....~......................... ,.-.-....... CAMPAIGN TREASUUIl'S REPORT -ITEMIZED CONTRIBl1I1ONS (1) Nome: Joe FonlIIDa fur Milmi Be8c:b r.......""""'....er C'''''lP'"iIr' - Oroup U (2) I.D. Number: (3) eo- Period July I, 20011hroug11 SqJlmlber 21, 2001 (4) Page 3 of7 08101101 ~L.L.C. B ~ am $500.00 1S74 WashingIan Avenue BusiDIlIl8 21 M_i Bee.ch. FL 33139 01/01101 I'lJrt Roy8Je rm.w.inium B am $100.00 AsIociaIlllD, Inc. n 6969 Collins Aw. Milmi BeIdI, FL 33141 08103/01 IfInison HcJleI B HoIel am $~.OO 1900 CoI\ins Aft. 23 MIami Be8dl, FL 33139 08103/01 711 Deco, lne. B CamJllllY am S5OO.00 1'lOO CGDlns Aw. ~..,cJi>~ 24 MIami lleIcb, FL 33139 08I03IOt Kabo JltaIly Corp. B RaIIIr CUE $500.00 1900 Collins Aw. lS Miami lkiIdl. FL 33139 0lI07101 N "i-d, lDc. B CcDp8ny CUE $150.00 5818 LaOorce Driw ;>,,;/,/""/ rP..,M<<> 2ti MlImi lkiIdl. FL 33140 0810lI01 Bruce MarleIlS 1 S"'-- CHE SIOO.OO 7406 Gary Aw. 27 MIami BelIch, FL 33141 08109101 Beach Ada MjpIlt, IDe. B ~1Mil& CHI! S5OO.00 19S1I9NB 10lb Ave. ~ 28 Miami, l'l 33179 08109101 D)oaI ClIIp. B RaIlIn CHI! $500.00 1228 AItoa R-' 29 Miami BeIdI, FL 33139 08109/01 NlIdeI NItwmll, IDe. B Ad....1isina CUE ssoo..OO 19589 NB 10th Ave. Agency 30 North Miami, FL 33179 f~ 4 or; 13 LJ\...I-~-~... oL.....~.. . .,.............,...., .............."..........'-~._"- --. .------ CAMPAIGN TUASVRD'S IlD'OJlT - JTEMlZEDCONTRI8tJTIONS (1) Nmne: Joe FmIlIaa tbr MiIml Beach Cammisslomr CaIpIign - ~ n (2) J.D. Number: (3) eo- Period July 1.2001 dlrou&lt Sep\ember 21, 2001 (4) Pege 4 of7 01110101 Britto CenlraI, Inc. B Art a.Jlery CHB S2S0.00 ala Lincoln RGed 31 Millml ~ fL 33139 01112101 __ PilIllO I Retired CHl! $20,00 6801 Indian Cd: Dr No 701 32 MielDi IIc8da, fL 33141 01113101 BMS Nor1h Millml L.L.C. B WIIAIIlouIe CHI! SSOO.OO S901 SW 74th S1reet!lle 205 Co. 33 South Milani, fL 33143 01115101 Beach MClCO AuIo 1Iepair B FuelIAuIo CHE 1100.00 1790 AIIoo RoloI llepeirs 34 Millml BelIdI, fL 33139 01117/01 0enesIs IDterMtiGaal B Mldl.tillII. CHl! SSOO.OO MIakelina Corp. 35 1221 N,W. 165 S1reet Miall, FL 33169 08fl0I01 T J.P. Ed. f'uIad-Holel Emp. C p~ CHl! SSOO.OO ARest.~ 36 1219281h SIrect, N. w. W....i..B""'. DC 20007 08123101 o-n M8rbt B CHE 150.00 1424 Alton ROIICl 37 MiDi Beach, fL 33139 08/29101 Nurll.gi""- 1 ReslMraD1IIur CHB SSOO.OO 131 Royal PIIm DrIw 38 Ft. .......... fL 08l29I01 JcralIIe ~. B INK .......ojlh. 100.00 PII~ 39 235 Ncria Shcn Dri~ MielDi IIc8da, FL 33141 09107101 Mldaae1 S...... D.M.D. P.A. B Dodclr CHl! $330.00 2300 E. Hallendlle BeadI 40 Bml. SuIte 700 H81Ianclale, fL 3lOO9 rP~ S- or t3 U\..I-~.~... ................... .,~..__..__ __..._.._.__.__ __..______ CAMPAIGN TREASI.IIlER'S JtUORT -I'J'IMIZU) CONTJUIRlTlONS (t) Name: Joe FClIllana fir Miami BeadI Camm__ Campaign - Group n (2) 1.0. Number. (3) Cover Period IuIy I, 20DI lJInlu&b &IpI-..... 2J, 2001 (4) i'Iac 5 of7 09107/01 III1ieIte A. FemllDdez 1 ot1lce CUE SSOO.OO SISS NW 4 sa.t MluIlI&Ir 41 MiMni, n.. 33126 09107/01 0uitIerm0 Femandoz 1 c...m-.. CUE SSOO.OO 221 NWl52ndAw. 42 Miami, n.. 33126 09107/01 '- R. PemllDdez I BducatGr CUE SSOO.OO 51SS NW 4 sa.t 43 Miami. n.. 33126 09107/01 Mqaie A.l'WIez I 0IlIee CHE S~.oo 1402 NW 1st Terrace Manaaer 44 Miami, n.. 33126 09i07/01 Miuai TedlnoJo&y Orp. IDe. B Soltw.w CHE ssoo.oo 41 I NE 146Ih T_ 45 Nmth Miami, n.. 33161 09107/01 Claudia C. Pcrrzia 1 SludIlIt CHI! SSOO.OO 411 HE 146 T_ 46 NorIh Miami, n.. 33161 09i07/01 Paula Pazia 1 Sohare E1ll!lC CUE SSOO.OO 411 HE 146 Terrace 47 NorIh Miami. n.. 33161 09107/01 ...". Qo.-... 1 Tna.,.u.1aft.u CUE SSOO.OO 751 NW92 Ave. Executive 48 Pembroke PiDes" PI. 33024 09107101 Miriam RadrI&uerz J Office CUE SSOO.OO 11960 SW 190 St Maaeaer 49 Miami. n.. 33171 09110101 So..Il..,.. TOMIS B ApaI1Dleftt CUE $2GO.oo ApartmeDls ~~ SO 900 WllItA_ MUuni Ileacb, n.. 33139 ft (p err /3 ...,..... ..,. ............. ......--_. . ..--. -..-- --....-..-.--.-..- --. .------ CAMPAlGNTRBAStJRDl'S RDOIlT-ITDDUDCONTIUBunorcs (1) Name: Joe FCliIllID8 Iilr Miami Beech Commissioaer ('~l&n - Group n (2) 1,D. Number. (3) Cowr Period1uly I, 2001 iIlrougll SepMonher 28, 2001 (4) Paae 6of7 09117101 JmnesA. Cucbi.. I ~Mar. CUE 5100.00 1612 MJD._ Aft 1# 201 51 Miami Bead>, Ft. 33139 09(11101 Sierra Auto CInlllr, IDe. B am 5100.00 331.23 23rcl Street 52 MiuIi BelIch, I'L 33139 09121101 M.H. htrick" P.A- B AllionIey CHI! $SllO.oo 1141X-~ 53 Bay Harlx1i' Islands, I'L 33154-2012 0!IJ21101 ScMh Plorkla c.~& C PAC CHE $SllO.oo P.A.CJC.C.E. 54 2140 NW27Ih Aw. ft.~1'L33311 09l24I01 ~""lP'"' ApIa. B At*1IDlIIIt CUE S2OO.00 900 West A_ BuiIcliDg 55 Miami Beech, I'L 33139 O9f2SIOl Sow"&~_.. Reo)diq a Wale CHI! $SIlO.OO c...,.,... Mu__ ...... S(; SS20NW3SA_ Milani. PI. 33142 09127101 JaIcpb FOlIIIDa 1 RIIIlnd WA 510,000.00 51SO Col1iIIs Ave. Apt. 16-0 51 Miami BeIdI, PI. 33140 0912lI01 ~- B ~ CUE $SOllOO o-.....lc:atlanI u.c 58 2121 PaIl:e De r-1Ihd. C<<al Oableo, PI. 33134 09128101 '- 8Dd SiIblrmIn, P.A. B Alt.ome)' CHIl S2S0.00 300. 711t Street SuiIoe405 59 Miami Beech,I'L 33141 O!II28IOl .A1liBnce ec.strucllon Co. B c.........&a CUE WQ.OO 2121 PaIl:eDe~ aMI. 60 ~_n C<<al 0ab1e0, I'L 33134 Pl 7 '0 (3 ~I-::::>-~.t. ~l::....:J__. I ,"-'" I. ~""""" ........, ",'-,.... .....'-............. ........ ..................... CAMPAIGNTREASVREIl'S IlIJIORT -l'fEM1ZED CON'I'RIBtJ'n() (I) Name: 100 fODtlllalilr Mi8mi Bc8dl c-misoi- ClImpe!sn -Otoup n (2) ID. N1DIIber: (3) c- Pwiod luIy 1,2001 tbrousIt September 21, 2001 (4) I'age 7 of7 0912lI01 1L HoIdllIp.IDe. B HoldIng CHE $2.50.00 2121 PmceDeLal.BIvd. ~ 61 P'tIl1lIcue n CcnI 0abIcs, fL 33134 09128101 940 LlDcoln Ra8d ~ B ~ CHE $2.50.00 IDe. 62 940 Lincoln Rd. SuIto 301 Mi8ml Bc8dl, fL 33139 09l'281Ot Theodare BtrmIn I ""8l'- OlE SIOO.OO 7970 BisaI)'De Pt Cir 63 MiIIllli Bc8dl, fL 33141 09l28I01 JIdiIm u... I Brobr am S3OO.00 1717 N BqrIKn Dr. flOSS 64 MisDi, fL 33132 f~~dJJ\3 Ul.1-:::>-C:~.l .Lc.;,~ rn.ul ,. .1,1........... ~,.......... ...........uo....... _. ........--...~ ...................,.,.................JL... .."'" ........ CAMPAIGN TREASUIlIR'S REI'ORT - ITEMIZED UPENDrI1lRIS (1) Name: 100 Fontua filr Miami Beach CommItak1ns' Campaign - Oroup n (2) tn. Number: (3) ~ Period July I, 2OOllhrou&h ~ 28. 2001 (4) Page 1 of2 07nSJOI Feckncion Mundi81 de Ex-Prcsos Donation MOM 100.00 PoIitIcoI Cllb-O" 3178 ecnl Way Miami, R.33t4S 07n6lO1 Dave the BulIm-Man r_m_lDTap MaN 64.61 23-0 Coolidge Aw. 2 Omond Beadl, R. 32174 09I04I01 Serit.-..... Ine PrInting MOM "'.00 7230 HE Miami Ct 3 Milani, FL 33138 09107/01 City ofMillmI Beach Qualfti'ina F. MOM 918.00 1700 Calw:atioft Or Dr 4 Miami BeIcb, FL 33139 09I09I01 CIty DebIIe PlIbIiIhinll OmJllllY AchstisiDc MOM 330.00 1329 Collins Aw., # 213 S Miami BeIcb, FL 33141 O9IUlIOI ScrisnIJh, Inc. Prinling MOM "'.00 7230 NIl Miuli Ct 6 Miami, FL 33138 09/13101 The MiImi HlnId Publisbloa AdwrtlJin& MOM 216.00 CalB)IIlIY 7 ODe HnIcI PJua MJ.mI, FL 33132 09117/01 Safitie CommUllicatlaDa, Jnc.. Web Site DneIcJpmet a: MOM "'.00 P,O. Box 403042 Hosdna 8 MiImi &.cb, R. 33140 09118101 Rei Marine, Inc. Apt tOr Miami ___ Cc1oIrl1lulb IlEP 431.00 BeIcb MIriu Assoc. 9 300 AlIIlIn Road Miami BcIcb, PI. 33139 09/18101 RCI Marine, Inc. Aaentfilr Cmd> ~eh,"""" CaltribuIicIIl IlEP 431.00 Hullor Marina 10 300 AlIIlIn Road Miami Beadl, FL 33139 f~ q 1f {3 Ul..1-:::>-~.L .L.:.;,;"cr rf"<I..)I.'_ .....,.....LJ.. U.....Ir1I-............ . L....... I..II'\.L.. .J...rT"'T"""'-J"'~ .........A.I.JU1..J~...n... . ....c.r.....J CAMPAIGN 1'JUtAS(JJtD'S ItEPORT - JTDOZED EXPEl'tDITURES (I) Name: Joe FIlIl1IIna filr Miami Belch CcPm-""" ('ropa;g,. - Oroup n (2) tn. Number: (3) Cover Period July I, 2OOllhrough September 28, 2001 (4) P8ge 2 of7 09111101 Cbrisbn Real Esl8le ,..... _ ~...t Co., Rclumcd CantrlbuIicJD REF 431.00 Inc:.U tl 300 AItoa. RG..t MIami Bcadl, FL 33139 09111101 CbriIkCII Real EsIBIe MlJIIIl Co., lac Rclumcd CcIIItributim REF 431.00 300 Al10n R<lIId 12 Mlami Bcadl, FL 33139 09111101 1lesW~1nc:. Rclumcd CGalrlbudan REF :US.50 S23 M;mlpn Ave. 13 Milmi Bcadl, FL 33139 0911Il101 NeedIp'ada. loe. Rclumcd Cclab IbuIial REF 129.30 5818l.aGcne Driw: 14 Miami BeIc:b, FL 33140 ~o /0 ~ \ 3 \.,)O...I-.....-J;;;.LIC.I... ,L.....~ . '''....._.............. ...._.............._....~~ __. .______ .....-..................~ . .,L....,L.... CAMPAIGN LOANS REPORT ITEMIZED Page 1 of 1 FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: Joseph Fontana 5750 Collins Ave., , 16-G Miami BEach, FL 33140 OCCUPATION: Candidate OCCUPATION: AMOUNT OF LOAN: $10,000.00 AMOUNT OF LOAN: DATE RECEIVED: 912712001 DATE RECEIVED: FUll NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: OCCUPAT1ON: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: OCCUPATION: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: D$lJE 73A(R8v. 8185) f, II or-I3 OCT -5-'20l!Jl l~:::> (~ I-t'd.I'1: lM....U-lJbH<\.,H11I::.LI u-<I::. ':::f:)qq:X>1::>:>b IU:~(~~ 1":13'13 . CONTRIBUTIONS RETURNED (SedIon 1tlU1(4)(b). FA) (PLEA8E TYPE) This report applies only to conbibutions received by any candidate or commitl8e. but returned to the contributor befOre being deposited In the campaign account. 121 Clu dIdwIb o PoIlIceI Q",....ltbe o c.....m;.. of('..dll.w.usl!lliltmCc Full Name Joe Fontana for MIami Beach CommissIoner - Group II Full Address 5750 Colina Ave.. # 16-G, Miami Beach. FL 33140 Full Name and Adc:lr8ss of Conlributor: Full Name and AddrMs of ContrIbutor: Beater Management, Inc. Needaprada. Inc. 523 Michigan Avenue 5818 LaGorce DrIve MIami Besch. Fl33139 Miami Beach. Fl33140 Amount of ContrIbutlon; $ 215.50 Amount of Conlrtbution: S 129.30 De. Recelv8d; 9118101 Date ReceIved: 9/18101 Date Reilmed; 7/27101 De. Returned: 811101 Full Name and Addr8ss of ConlribUlor: Fun Name and AckIress of Con\l'lbulor: ChriIIk8n AMI e.- Mgm! Co., Inc. Amount of Contrlbutlon: $ Amount of ConlrIbuIlon: S De. ReceIYed; Date ReceMId: Date R8kmed: De. Returned: I ceRTIFY tHAT I HAVE EJCAMINED 1H8 REPORT AND rr 18 TRUE. CORRECT AND COMPLETE. Joe Fontana. Candidate Type or PrInt Name of Candidate. TI1l8lIUI'8I' or ChaIrmen ~'~~ 08-DE 2 (Rev. r ~ \")- or 13 U'wl -.I ~~ ~""."", ,.........._ _.._ __. ..,_.._ .__.__ __. ._....____ CONTRIBUTIONS RETURNED (StnA.. 108.07(4)(b). F.8.) (PLEASI! TYPE) This report applies only 10 contributions I1ICeived by any candidate or cormittee. but returned to the contributor before being deposited In !he campaign account. 121 CandkIIIIIl o PoIIIic8I eo".,dIlb6 o G.6..... ofCoulinuous B:ll.....~~ Full Name Joe Fontana for Miami Beach Commissio1l8l" - Group II Full Address 5750 CoIins Ave.. # 16-G. MIami Beach. FL 33140 Full Name and ~ Of Conlributor: Full Name and Address of ContI1butor: RCI_.Inc.AgenI....____ RCI_...............Canc:h__ 300 AIlon Road 300 Alton Road MIami Beach. FL 33139 Miami Beach, FL 33139 Amount of ContrIbution: $ 431.00 Amount of Contribution: $ 431.00 Date Received: 9118101 Date ReceiVed: 9118101 Date Retwned: 7127101 Date Returned: 7127101 . Full Name end Address of Contrl:lutor: Full Nllllle end Address of ConIrIbutor: ChI1lken Reel e.tate Mansgemenl Co., Inc. " ChriIbn Re8I Eal8I8 Mgml Co., Inc. 300 Alton Road 300 Alton Road Miami Beach, Fl33139 Miami Beach, FL 33139 Amount of Contribution: S 431.00 Amount of Con1l'ibutlOl'l: S 431.00 Dale Recelv8d: 9118101 Date Rec:eIved: 9118101 DaI8 Retwned: 7127101 Dale Returned: 7/27101 I \AR'Jrt THAT I HAVE I!XAIIINED nIB REPORT AND 11' 18 'J'ftW, CORRECT AND COMPI.Jm!. Joe FontaI8. Cardll8tia Type or Print Name of C1IIldicI8I8. TI\HIlIIlnIr or ChaIrman X~~~~ /' "Signature I)S.(lE 2 (Rev. 11195) p ~ 1"3 113