DS-DE 12 F2-09 RobertsFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMI~AI~ ~./ ~= ~~~
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(1) Sherry Roberts
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Name
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(2) 100 Lincoln Road Penthouse Two
Address (number and street)
Miami Beach, FL 33139-0000
City, State, Zip Code
Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate (office sought): Miami Beach Commissioner Group 2
Political Committee ^ Check if PC has DISBANDED
Committee of Continuous Existence
^ Check ff 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: SG2
^X Original ^ Amendment ^X Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $0.00 Expenditures $0.00
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $0.00 Total Monetary $0.00
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
(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 I certify that I have examined this report and it is
true, correct and complete
Raquel Levy true, correct and complete
Sherrv Roberts
^ Individual (onl r ^ Treasurer ^ Deputy Treasurer
electioneer }{ ^ Candidate Chairman (only for PC, PTY &
X electioneerin
commun
or
anization)
com m u g
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X
Signature Signa ure
DS-DE 12 (Rev. 08/04) Adjutant Software -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3) Cover Period
09/12/2009 - 09/25/2009
(4) Page 0 of 0
(5)
Date (7)
Full Name (8)
trib
C
t (9) (10) (11) (12)
(6)
Sequence
Number
(Last, Suffix, First, Middle)
SVeetAddress8
City, State, Zip Code on
or
u
Type Occupation
Contribution
Type
In-kind
Description
endment
mount
Nothing to report on this form
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Adjutant Software -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period
09/12/2009 - 09/25/2009
(4) Page
00000
Oof0
(5)
Date (7)
Full Name (8) (9) (~ 0) (~ 1)
~6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Purpose
(add office sought if
contribution to a candidate)
Expenditure
Type
mendmen
Amount
Nothing to report on t is form
~~-~~ 19 \RtlV. VO/V3) Adjutant SottWare -Campaign ToolBox
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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 09/12/2009 - 09/25/2009
(4) Page
00000
OofO
(5)
Date (~)
Full Nama (8) (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)
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CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period
09/12/2009 - 09/25/2009
00000
(4) Page 0 of 0
(5)
Date (~)
Name of Finanaal ($) (9) (10) (11)
( )
Sequence
Number Institution
StreetAddress&
city, state, Zip Code
Transfer
Type
Nature of
Account
mendmen
t Amount
Nothing to report on th s for
f1C_f1C DA
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