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DS-DE 12 F1-09 LibbinFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS ~~ ~ ~~ .,. ; « l .~ ~ CAMPAIGN TREASURER'S REPORT SUMMA ~- ~ , , OFFICE U ~~ f (1) Jerry Libbin Campaign ~ / j" ~ ~ ~ j ~ 3~ ~ Name C ' ~ ~- ~,`Y sr' ~ ~~ l (2) 1125 North Shore Drive ~ `- r r~-`_/l / ' ~ Address (number and street) Miami Beach, FL 33141-0000 City, State, Zip Code Check box if address has changed (3) I.D. Number: 00000 (4) Check appropriate box(es): X Candidate (office sought): Commissioner Group 1 Political Committee ^ Check if PC has DISBANDED Committee of Continuous Existence ^ Check if CCE has DISBANDED Party Executive Committee Electioneering Communication ^ Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From 07/01/2009 To 09/11/2009 Report Type: F1 ^X Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $19,200.24 Monetary Expenditures $27,753.80 Transfers to Office Loans $0.00 Account $0.00 Total Monetary $19,200.24 Total Monetary $27,753.80 In-Kind $450.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $98,712.24 $51,578.13 (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 ve examined this report and it is I certify that I have examined this report and it is true, Corr an complete true, correct and complete Alan Lis Jerrv Libbin ^ Indiv' ual (only for ^ Treasurer ^ Deputy Treasurer ele ioneerin9 X ^ Candidate ^ Chairman (only for PC, PTY 8 }~ electioneering commun. organization) c mun.) X X r, Sig re Signat DS-DE 12 (Rev. 08104) Adjutant Software -Campaign ToolBox ~~~~ ~~a~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 1 of 8 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address 8 cicy, state, zip code Type Occupation Contribution Type Description mendmen Amount 07/05/2009 Paul I. Sherman, PA B Attorney CHE $ 500.00 935 NW 164th Ave. Pembroke Pines, FL 33028-0000 000001 07/05/2009 Manne, Leon I Retired CHE $ 200.00 5500 Collins Ave. Miami Beach, FL 33140-0000 000002 07/05/2009 Esformes, Philip I Health CHE $ 500.00 5077 N. Bay Rd. Care Miami Beach, FL 33140-0000 000003 07/07/2009 Feola, AI I Entertain CHE $ 250.00 220 W. Rivo Alto ment Miami Beach, FL 33139-0000 000004 07/07/2009 Wallack, David I Restaura CHE $ 500.00 900 Ocean Dr. nteur Miami Beach, FL 33139-0000 000005 07/17/2009 Dadeland Depot, Inc. B Retail CHE $ 500.00 2665 Sout Bayshore Dr. Coconut Grove, FL 33133-0000 000006 07/17/2009 Kendallgate Properties, Inc. B Investor CHE $ 500.00 2665 South Bayshore Dr. Coconut Grove, FL 33133-0000 000007 07!17/2009 Bersin Development Corp. B Real CHE $ 500.00 2665 S. Bayshore Dr. Estate Coconut Grove, FL 33133-0000 000008 DS-DE 13 (Rev. 08103) Adjutant Software -Campaign ToolBox PACE a ~-~~, CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 2 of 8 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & cny, state, zip code Type Occupation Contribution Type Description mendmen Amount 07/17/2009 Kaplan, Mary Rose I CHE $ 25.00 5500 Collins Ave. Miami Beach, FL 33140-0000 000009 07/17/2009 Jeffrey L. Berkowitz Trust B Real CHE $ 500.00 2665 South Bayshore Dr. Estate Coconut Grove, FL 33133-0000 000010 07/17/2009 Berkowitz Development Group, Inc. B Real CHE $ 500.00 2665 South Bayshore Dr. Estate Coconut Grove, FL 33133-0000 000011 07/17/2009 Libbin, Ira I Retired CHE $ 300.00 210 Whlite Oak Dr. Point Blank, TX 77364-0000 000012 07/17/2009 Girsh, Marilyn I Retired CHE $ 250.00 5500 Collins Ave. Miami Beach, FL 33140-0000 000013 07/23/2009 Perl, Larry I Trade CHE $ 250.00 1866 South Bayshore Lane Show Miami, FL 33133-0000 000014 07/23/2009 Mayer, Bernard I Retired CHE $ 100.00 5500 Collins Ave. Miami Beach, FL 33140-0000 000015 07/23/2009 Jameck Development, Inc. B Investor CHE $ 500.00 1300 Collins Ave. Miami Beach, FL 33139-0000 000016 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox Pp6E 3 d~ tom. CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 00000 (4) Page 3 of 8 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6~ (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & cny, state, Zip Code Type Occupation Contribution Type Description mendmen Amount 08/02/2009 Borges, Ana I CHE $ 50.00 9085 N.W. 113th Place Miami, FL 33176-0000 000017 08/02/2009 ECS 1 Inc. B Sportswe CHE $ 200.00 P.O. Box 402422 ar Miami Beach, FL 33140-0000 000018 08/02/2009 Nails 111 Corp. B Spa/Salo CHE $ 300.00 111 Alton Rd. n Miami Beach, FL 33139-0000 000019 08/02/2009 Hospitality Purchasing, LLC B Hospitalit CHE $ 500.00 11 SW 12th Ave. y Industry Dania Beach, FL 33004-0000 000020 08/02/2009 PNS Farms, Inc. B Farming CHE $ 500.00 14390 SW 199 Ave. Miami, FL 33196-0000 000021 08/02!2009 Production Management, Inc. B Productio CHE $ 500.00 P.O. Box 347947 n Coral Gables, FL 33234-0000 Manage men 000022 08/02/2009 Spotmaster Linens B Rug CHE $ 500.00 2100 NE 123rd St. Cleaning North Miami, FL 33181-0000 000023 08/02/2009 Bevinco B Consults CHE $ 500.00 12569 NW 10th Ct. nt Sunrise, FL 33323-0000 000024 DS-DE 13 (Rev. 08/0.3) Adjutant Software -Campaign ToolBox P~~ ~ ~ «- CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 4 of 8 (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 mendmen Amount 08/02/2009 Furtun Insurance, Inc. B Insuranc CHE $ 500.00 365 Palermo Ave. e Coral Gables, FL 33134-0000 000025 08/02/2009 Progressive Specialty Glass B Glasswar CHE $ 500.00 Company, Inc. e 123 Whiting Street Plainville, CT 06062-0000 000026 08/02/2009 TBS Realty, LLC B Hotel CHE $ 500.00 200 W. 55th Street New York, NY 10019-0000 000027 08/02/2009 American Grinding & Equipment Co. B Kitchen CHE $ 500.00 Inc. Equipme 1301 N. Miami Ave. nt Miami, FL 33136-0000 000028 08/02/2009 Suncoast Marketing, Inc. B Marketing CHE $ 500.00 6545 Nova Dr. Davie, FL 33317-0000 000029 08/02/2009 Arkin, Stanley I Architect CHE $ 100.00 5500 Collins Ave. Miami Beach, FL 33140-0000 000030 08/02/2009 Ty Ty & Ty Inc. B Hotel CHE $ 250.00 10800 NW 103 St. Services Miami, FL 33178-0000 000031 08/02!2009 Ty. Amenities, Inc. B Hotel CHE $ 250.00 10800 NW 103rd Street Services Miami, FL 33178-0000 000032 DS-DE 13 (Rev. 08103) Adjutant Software -Campaign ToolBox ('qGE S ~ la CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 5of8 (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 mendmen Amount 08/17/2009 Weaver, Anthony I Fitness CHE $ 500.00 1556 Alton Rd. Instructor Miami Beach, FL 33140-0000 000033 08/17/2009 Cassidy, M. I Attorney CHE $ 500.00 945 72nd. St. Miami, FL 33138-0000 000034 09/01/2009 Lutzky, Jose I Physician CHE $ 300.00 1530 W. 27th St. Miami Beach, FL 33140-0000 000035 09/01/2009 Steven D. Weissman, DMD, PA B Dentist CHE $ 250.00 1031 Kane Concourse Bay Harbor Islands, FL 33154-0000 000036 09!01/2009 Valenti, Marie I Retired CHE $ 200.00 6865 S.W. 64th Street South Miami, FL 33143-0000 000037 09/01/2009 Gross, Howard I Retired CHE $ 250.00 Penthouse S.E. 407 Lincoln Rd. Miami Beach, FL 33139-0000 000038 09/04/2009 Burgos, Marco I CHE $ 50.00 760 W. 50th St. Miami Beach, FL 33140-0000 000039 09/04/2009 Burgos, Rafael I CHE $ 50.00 7107 Harding Ave. Miami Beach, FL 33141-0000 000040 DS-DE 13 (Rev. 08!03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 6 of 8 O (7) (8) (9) (10) (11) (12) Dale Full Name Contributor 6) (Last, Suffix, First, Middle) In-kind Sequence Number Street Address & city, state, Zip Code Type Occupation Contribution Type Description mendmen Amount 09/04/2009 Kruger, Stacey I CHE $ 75.00 400 Alton Rd. Miami Beach, FL 33139-0000 000041 09/04/2009 Probus, Carla I Engineer CHE $ 200.00 #1708 400 Alton Rd. Miami Beach, FL 33139-0000 000042 09/04/2009 DeMartino, Ralph I Real CHE $ 250.00 # 808 Estate 5161 Collins Ave. Miami Beach, FL 33140-0000 000043 09!04/2009 China Latin American Trade Center B Importer/ CHE $ 200.00 Inc. Export 2340 NW 27th AVe. Miami, FL 33142-0000 000044 09/04/2009 Burgos, Julianne I CHE $ 50.00 760 West 50th St. Miami Beach, FL 33141-0000 000045 09/04/2009 Hachem, Youssef I Engineer CHE $ 250.00 Suite 104 12151 SW 128 Ct. Miami, FL 33186-0000 000046 09/04/2009 Trujillo, Tony I CHE $ 75.00 Apt. 2104 1000 South Pointe Dr. Miami Beach, FL 33139-0000 000047 09/04!2009 Bitran, Mauricio I Physician CHE $ 500.00 633 W. 28th St. Miami Beach, FL 33140-0000 000048 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerr~r Libbin Campaign (2) I.D. Number 00000 (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 7 of 8 O (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 mendmen Amount 09/04/2009 Gary J. Rosenbaum MD PA B Physician CHE $ 500.00 Suite 420 4320 Alton Road Miami Beach, FL 33140-0000 000049 09/04/2009 Kaiser, Roberta I CHE $ 25.00 #1006 4101 Pine Tree Dr. Miami Beach, FL 33140-0000 000050 09/04/2009 Mueller, Hans I Banker CHE $ 250.00 255 Palm Ave. Miami Beach, FL 33139-0000 000051 09/04/2009 Jacobs, Baruch I Physician CHE $ 250.00 33605 Flamingo Dr. Miami Beach, FL 33140-0000 000052 09/06/2009 Smiles, Susie I Retired CHE $ 100.00 #1404 4101 Pine Tree Dr. Miami Beach, FL 33140-0000 000053 09/08/2009 Pay Pal B Test/Esta CHE $ 0.19 2211 N. First Street blish San Jose, CA 95131-0000 Acct. 000054 09/08/2009 Pay Pal B Test/Esta CHE $ 0.05 2211 N. First Street blish San Jose, CA 95131-0000 Acct. 000055 09/10/2009 Local 326J NY/NJ American Dream C PAC CHE $ 500.00 Fund 101 Avenue of The Americas New York, NY 10013-0000 000056 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox P~~ a ~,~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin Campaign (2) I.D. Number 00000 (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 8 of 8 (5) (7) (8) (9) (10) (11) (12) Dale Full Name Contributor (6) Sequence Number (Last, Suffix, First, Middle) Street Address & cay, slate, Zip Code Type Occupation Contribution Type In-kind Description mendmen Amount 09/10/2009 Alexdex Corp. B Retail- CHE $ 300.00 Ste. 211 Clothing 1560 South Dixie Hwy. Coral Gables, FL 33146-0000 000057 09/10/2009 Miami Beach Firefighters Union C PAC CHE $ 500.00 Local 1510 P.O. Box 403518 Miami Beach, FL 33140-1518 000058 09/10/2009 Victoria & Isabella Real Estate Management, Inc. B Real Estate CHE $ 500.00 Suite 228 Mgmt. 8500 SW 8th Street 000059 Miami, FL 33144-0000 09/10/2009 FOP William Nichols Lodge #8 C PAC CHE $ 500.00 Political Action Committee 999 11th St. Miami Beach, FL 33139-0000 000060 09/10/2009 Wolfson Law Firm, LLP B Attorney CHE $ 50.00 3399 SW 3rd Avenue Miami, FL 33145-0000 000061 09/10/2009 Siqueiros, David 1 Video INK Video $ 450.00 1230 NE 91 Terrac Productio Miami Shores, FL 33138-0000 n 000062 DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox P~~9~~~, CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought ff contribution to a candidate) Expenditure Type mendmen Amount 08/01/2009 The Donner Group campaign consulting MON $ 3,000.00 7525 SW 54th Ct. Miami, FL 33143-0000 000001 08/26/2009 The Donner Group consulting and MON $ 6,983.80 7525 SW 54th Ct. reimbusables Miami, FL 33143-0000 000002 09/05/2009 Libbin, Jerry Return of Loan MON $ 1,500.00 1125 N. Shore Dr. Miami Beach, FL 33141-0000 000003 09/06/2009 Seniors Are First Meet voters MON $ 250.00 Suite 117 1940 Park Avenue Miami Beach, FL 33139-0000 000004 09/06/2009 50 Blue LLC Media Buy MON $ 15,000.00 7525 SW 54th Ct. Miami, FL 33143-0000 000005 09/09/2009 City of Miami Beach Qualifying Fee MON $ 1,020.00 1700 Convention Center Dr. Miami Beach, FL 33139-0000 000006 DS-DE 14 (Rev. Ot3/03) Adjutant Software -Campaign ToolBox Pic ~ o +~- 1~, CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 00000 (4) Page 0 of 0 (5) Date (7) Full Name ($) (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Middle) Street Address 8 City, State, Zip Code Purpose (add office sought if contribution to a candidate) Related Expenditures mendmen Amount Nothing to report on t is form DS-DE 14A (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS (1) Name Jerry Libbin Campaign (2) I.D. Number (3) Cover Period 07/01/2009 - 09/11/2009 (4) Page 00000 0 of 0 (5) Date (7) Name of Financial (8) (9) (10) (11) (6) Sequence Number Institution Street Address & city, State, Zip Code Transfer Type Nature of Account mendmen Amount Nothing to report on th s for DS-DE 94 (Rev. 08/03) Adjutant Software -Campaign ToolBox