F2-09 LibbinFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS r_y ~~ . f .
CAMPAIGN TREASURER'S REPORT SUMMARI~` = j ~~' ~ ~.~
OFFIt~~~~~3 ~ ,~~ i ~ ~ ~ ~ 6
(1) Jerry Libbin Campaign
Name i ! L -:t ,~ i ~t,"~.
(2) 1125 North Shore Drive
Address (number and street)
Miami Beach, FL 33141-0000
City, State, Zip Code
Check box if address has changed
(4) Check appropriate box(es):
(3) I.D. Number: 00000
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 09/12/2009 To 09/25/2009 Report Type:
F2
~X Original ~ Amendment ~ Special Election Report ~ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
$2,425.00
Cash & Checks
$0.00
Loans
$2,425.00
Total Monetary
$0.00
In-Kind
(9) TOTAL Monetary Contributions to Date
$101.137.24
Monetary
Expenditures
Transfers to Office
Account
Total Monetary
(8) Other Distributions
$100.00
$0.00
$100.00
$0.00
(10) TOTAL Monetary Expenditures to Date
$51,678.13
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that av examined this report and it is I certify that I have examined this report and it is
true, corr t and mplete true, correct and complete
Alan Lis Jerrv Libbin
Indi dual (only for ^ Chairman (only for PC, PTY 8
Treasurer ~ Deputy Treasurer ~ Candidate electioneering commun. organization)
^ el ioneering X
mmun.) ~
X X ~~
Signature Signatur
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DS-DE 12 (Rev. 08/04)
Pr~~ ~ ~s
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
00000
/2009 4 Pag
( ) e 1 of 1
(3) Cover Perio d 09/12/2009 - 09/25
12)
(5)
Date (7)
Full Name Con (8)
tributor (9) (10)
i
d (11) (
(6)
Sequence
Number (Las[, Suffix, First, Middle)
Street Address &
city, state, zip code
Type
Occupation Contribution
Type n
In-k
Description
mendmen
Amount
09/16/2009
Waxman, Eric
520 N. Shore Dr.
Miami Beach, FL 33141-0000
I
CHE
$ 25.00
000001
09/16/2009 Gumenick Management Co. LLC
P.O. Box 17038
Richmond, VA 23226-0000 B Real
Estate
Investo CHE $ 500.00
000002
09/18/2009 Kahn, Carol
1730 W. 25th St.
Miami Beach, FL 33140-4205 I Employm
ent
Assistant CHE $ 100.00
000003
00
09/24/2009 151st Street Holdings, LLC
P.O. Box 380758
Miami, FL 33238-0000 B Investme
nts CHE $ 500.
000004
00
00
09/24/2009 Kle ach, Bernard
P
P.O.Box 380758
Miami, FL 33238-0000 I Investor CHE .
$ 5
000005
00
$ 500
09/24/2009 6742 Collins Avenue Corp.
P.O. Box 380758
Miami, FL 33238-0000 B Real
Estate
Investor CHE .
000006
00
$ 150
09/25/2009 1530 Washin ton Avenue LTD.
g
9425 Harding Ave.
Surfside, FL 33154-0000 B Hotel CHE .
000007
00
$ 150
09/25/2009 Marina Del. Re A artments Limited
y p
9425 Harding Avenue
Surfside, FL 33154-0000 B Real
Estate
Investor CHE .
000008
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DS-DE 13 (Rev. 08/03)
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name J erry Libbin Campaign (2) I.D. Number 00000
(3) Cover Perio d 09/12/2009 - 09/25/2009
(4) Page
1 of 1
11)
(5)
Date (7)
Full Name (8)
Furp°se (9) (10) (
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
Cdy, State, Zip Code (add office sought if
contribution to a candidate) Expenditure
TYPe mendmen Amount
09/20/2009 The Trevor Pro ect
~
Suite 208
9056 Santa Monica Blvd. Meet voters MON $ 100.00
000001 West Hollywood, CA 90069-0000
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 Jerry Libbin Campaign (2) I.D. Number 00000
(4) Page 0 of 0
(3) Cover Period 09/12/2009 - 09/25/2009
(5) (7) (8) (9) (10) (11)
Date Full Name
(6) (Last, Suffix, First, Middle) Purpose
Sequence Street Address 8 (add office sought if Related mendmen Amount
City, State, Zip Code contribution to a candidate) Expenditures
Number
Nothing to report on t is form
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DS-DE 14A (Rev. 08!03)
CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Jer Libbin Campai n (2) I.D. Number
00000
(3) Cover Period
(5)
Date
(6)
Sequence
Number
09/12/2009 - 09/25!2009
(7) (8)
Name of Financial
Institution Transfer
StreetAddress&
City. State, Zip Code Type
Nothing to report on th s for 4 Page 0 of 0
( )
(9) (10) (11)
Nature of
Account mendmen Amount
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DS-DE 94 (Rev. 06!03)
1 ~~