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DS-DE 12 F2-09 Góngora FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY {1} Michael Gongora OFFICE USE ONLY Name r'- `°~- _~~T, {~} ~g3g Collins Av. #3A f,_ Address (number and street} = , Miami Beach, FL 33140` r ~ ~, City, State„ Zip Code -~ , © CHECK IF ADDRESS HAS CHANGED f3 ~= {3} ID Number: ~, ~ (4j Check appropriate box(es}: ~ s'- r~ cS- © Candlda#e {OffCe SOUgh#}: Miami Beach Commission, Group 3 ^ Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Parry Executive Committee ^ Electioneering Communication ^ CHECK tF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5} REPORT IDENTIFIERS Cover Period: From 9 / za / 09 To 9 i z5 I o9 Report Type F2-09 (~ Original ©Amendment ^ Special Election Report ^ Independent Expendi#ure Report {6) CONTRIBUTIONS THIS REPORT (?} EXPENDITURES THIS REPORT Monetary Cash & Checks $ 5 080.00 Expenditures $ 5, 913 .41 Loans $ Transfers to Office Account $ Total Monetary $ 5 0 8 0.0 0 Total Monetary $ 5 , 913 .41 In-Kind $ ($) Other Distributions (9} TOTAL Monetary Contributions To Date (10} TOTAL Monetary Expenditures To Date $ 80x425.00 $ 18,045.90 {11} GERTIFlGATION It is a ttrst de ree misdemeanor for an ars on to faisi a ublic record ss. 839.13, F.S. I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. {Type name) Michael Gongora (Type name} Michael Gongora Individual (onty for Treasurer ^ Deputy Treasurer ^/ Candidate ^ Chairpe on (oniy~for PC, PTY 8 le ti ne n g common. elect' n ri common. organization) r gnature Sig ature DS-DE 12 (Rev. 08{04} .-",. {~i9~G~ - o~ 5 , ~~, ~:~ -, ~ °°'~ a r sa t~ ,._~ * `° C'/A . \ 'f {1) Name M~_chae:l Gongora {2) (. D. dumber 'l~ fl~' ----------~----__~._._._ _. __.._...______~-T.._ ..~ ~-~._._..._.. f,. (3} Cover Period 9 / 12 / 09 through s / 25 / 09 {4) Page 2 `6f ~~~ (5) (7) ($) __ (9) (~0) (t~) (12) Date Full Name (6} (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Cit State, Zi Code T e Occu ation T e Descri lion Amendment Amount Sidney Goldin I Retired Che 250 9 / 12 /09 5415 Collins PH A Miami Beach, FL 33140 1 Adam Cervera I Law Che 150 9 / 12 / 09 7735 Xardley Dr. Clerk Ft. Lauderdale, FL 2 33321 Eugene Rodriguez I Business Credit 500 ~i / 2 ~ / 09 550 Washington Av. man Card Miami Beach, FL 33139 3 Steven K.Devine I Investor Che 250 9 / 2~ / 09 625 Keystone Dr. Fairless Hills, PA 19030 4 Julian Linares I Banker Che 500 9 / 24 / 09 1717 N. Bayshore Dr. Miami, FL 33132 5 Naomi Wilzig B Trust Che 250 9 / 24 / 09 Revocable Trust 300 S. Pt. Dr. 6 #380 Miami Beach, FL 33139 Richard Milstein I Attorney Che 150 9 / 24 / 09 2505 Flamingo Place 7 Miami Beach, FL 33140 Hans Rothschild I Retired Che 100 9 / 24 / 09 2655 Collins Av. #1201 Miami Beach, FL 8 33140 D5-DE 13 (Rev. 08163) SEE REVERSE FOR 1NSTRUCTinNS ANn CAr)E vAl_l1FS pace a~ ~ ~~~P;~$GI~ ~'Fv~~~~,&~~~'~ ~2~P~1~i~' -- I~'~tk~C~~~7 ~tJt~T~l~31.~~'iC,~E'~> ,~.~ Cpl' ;-~, {t) IVarne ._....._._ ,__Michael Gongora _`._.___...._._ (~) I.L. CVurx~ber ~~ OOt~ ~"? r.. .__-~-~;.----~~ ~ - ~- {3) Caver Period 9 I 11 I o9 through 9 / ~25 1 09 (4) Page 3 ~~. ~ .~r;_ ,~*, .o ,,,.<. Dafe Futl Name G; . (6} (Last, Suffix, First, Middle) ' j,; Sequence Street Address & Contributor Contribution in-kind ~'~`~" Number Cit ,State Zi Code T e Occu ation T e Descri Pion Amendment Amount 1234 Partners Ltd. B Real Che 500 9 ~ 24 X09 523 Michigan Av, Estate Miami Beach, FL 33139 9 Eligio Moya T Che 25 9 ~ 24 ~ 09 836 N. Shore Dr. Miami Beach, FL 10 33141 Roberta Page I Retired Che 200 ~ ~ 2,d ~ Og© 2841 Wisteria Dr. Birmingham, AL 35216 11 Marlene Cassidy I Attorney Credit S00 9 ~ 2d ~ 09 7701 Collins Av. Card Miami Beach, FL 33141 12 Jose Antonio Font Z Credit 30 9 / 24 / 09 111 SW 5th Av. Card Miami, FL 33130 13 Jefferson Plaza B Real Che 500 9 / 24 ~ 09 Partners LTD Estate 523 Michigan Av, 14 Miami Beach, FL 33139 Martin Kahn I Che 100 9 ~ 24 ~ 09 9344 NW 48 Dural Ter. 15 Miami, FL 33178 David Alschuler B Law Firm Che 50 9 ~ 24 ~ 09 Operating Acct. 6538 Collins 16 Miami Beach, FL 33141 u~-u~ ~s tKev. o81fl3} SEE REVERSE FOR INSTRUCTIbNS ANa roue voi i ~Fc ~6 fA~E3~ S `~~O ~ ~L; ~ %`; C~CVfPA1~N ~'Ft~~SU~~f~'~ ~~p~~'T ~-~ !~'~4~t~~~ C®N~'I~I~U~'CC)N s/~'~~ ~~' ~ y~~°~°: • : .c> • ("i~ Name .__.._._.______ Michael Gongcax•a_...___._ .._ (2} i.®. Number _~__~p~t3-0 ~' ',.° (3) Cover period 9 / 12 / 09 through 9 / 25 / 09 ` ~q.y page 4 _ of~~ ~~ ~. pate Full Name (ti) Sequence Number {Last, Suffix, First, Middle) Street Address & Cit State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri lion Amendment Amount 9 / 24 /09 Hispanic Flamenco Ballet Ensemble B Dance Co. Che 25 17 Inc. 835 N. Shore Dr. Miami Beach, FL 33141 9 / 24 / 09 Millard Realty & Construction Co. B Construc tion Co. Che 500 18 2989 Hwy. SO E. Carson City, NV 89701 ~ / 2~, / pg~ Alton JAL, Inc. 523 Michigan Av. B Real Estate Che 500 19 Miami Beach, FL 33139 / / / / / / us-ut is (Kev. 05/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~~~~ c~ ~,,. ' ~ 9 ~ ~ C' UR~~ ~e~C1FtF~6~[C3F~ T~2~E4~E.{~t~R'~ ~~IPC3R'~' -- l~'~Mf~LC3 E3Cp~N~}!T ~y~ ~,,_ l'J, (1) Name Ma~Chae:l. Gor~ora {2} i.D. Number • _ . _ _ 0004.0 ~ ;°, ...--- -----_~_~~.__._ _. •,..__..~._ ._._-~.-_~_ .-_ ___ -- - . . (3) Caver Period , 9 ~ 12 ~ 09 Through 9 ~~2 5 I_ 0 9 (4) Page ~ __-- of .~~~;-__•~ ~rf ,, Date ll N P F urpase i, 6 u ame (s) Sequence Number (Last, Suffix, First, Middle) Street Address ~ City, State, Zip Cod® (add office sought if contribution to a candidate) Expenditure TYpe Amendment Amount VFW Event MON $150.00 9 12 09 650 S. Av. Miami Beach, FL 33139 1 Albert Maciks Videograhphy MON $500.00 9 21 09 5333 Collins Av. Mi i B FL 33140 h am eac , 2 Dale Stine Photography MON $500.00 9 21 09 645 Michigan Av. i i h am M Beac , FL 33139 3 Ocean View Post Office Postage MON $754.50 9 21 09 Miami Beach, FL 4 Print Farm Printing MON $1,572.90 9 24 09 3511 NW 79 Av. Miami FL 33122 , 5 Victory Store Signs MON $1,668.81 9 24 09 5200 SW 30th St. Davenport, IA 52802 6 MV Almer Productions, Inc. Events MON $500.00 9 4 04 1541 Brickell Av. 3C606 Miami, FL 33129 7 Go Daddy Website MON $57.10 9 24 09 godaddy.com 8 DS-DE 14 (Rev. 08103} 5EE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~~~s~