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DS-DE 9 F1-09 LaroseFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) JOSHUA LAROSE OFFICE USE ONLY Name (2) P. O. BOX 191328 ~-; ev Address (number and street) -+ MIAMI BEACH, FL 33119-1328 ;--; ~ ~' City, State, Zip Code '~ ~ ^ CHECK IF ADDRESS HAS CHANGED Qo i' (3) ID Number: ~2 ----~ (4) Check appropriate box(es): ~,W ~ ~. c --~ © Candidate (Office SOUght): MAYOR OF MIAMI BEACH - ~ ~ "~ °"~ ^ Political Committee ^ CHECK IF PC HAS DISBANDED ~~= w ^ 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 o~ / of / 09 To 09 / 11 / 09 Report Type F1-09 Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 1, 3 6 0.0 0 Loans $ 2 , 0 0 0.0 0 Transfers to Office Acxount $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 2,000.00 $ 1,360.00 (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, I certify that 1 have examined this report and it is true, correct, and complete. correct, and complete. (Type name) VALENCIA ST LOUIS (Type name) JOSHUA LAROSE ^Individual (only for ^treasurer Q Deputy Treasurer ^/ Candidate ^ Chairperson (ony for Pc PTY 8 electioneering commun.) , electioneering commun. organization) X .~~~ ~- ~-„~,~, X Signature Signature DS-DE 1~ (Rev. 08f04) p~~,~3 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1j Name JosHUA r~AR.osE (2j I.D. Number 52 (3) Cover Period o~ / 01 / 09 through o9 / 11 / 09 (4j page 2 of 3 (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffoc, First, Middle) Street Address & C' State Zi Code Contributor T Ocxu n Contribution T In-kind Descri lion nm~d~t Amount 09 ~ 09 X09 Joshua Larose PO BOX 191328 I CEO CHE 2000.00 O1 MIAMI BEACH, FL 33119-1328 / / / / / / / / ! / / / US-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~ ~~3 CAMPAIGN TREASURER'S REPt3RT -ITEMIZED EXPENDITURES (1) Name JOSHUA I,AROSE (2) I.D. Number 52 (3) Cover Period o7 ~ 01 ~ 09 thmugh o9 ~ 11 ~ 09 (4) Page 3 of 3 (5) Date (7) Fuil Name (8) Purpose (s) ho) (~~) (6) Sequence Number (Last, Suffix, First, Middle) Street Address b City, State, Zip Code (add office sought if contribution to a candidatie) Expenditure TYPe Amendment Amount 09 10 09 CITY OF MIAMI BEACH 1700 Convention Center Drive Qualifying Fee Mon $1,360.00 O1 Miami Beach, FL 33139 DS-0E 14 (Rev. 08105) SEE REVERSE FOR INSTRUCt10NS ANO CODE YALUES