DS-DE 12 F3-09 Libbin,.r-~
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(1) Jerry Libbin Campaign
Name ~`? ^'
(2) 1125 North Shore Drive{ o :~''_
Address (number and street) ,, ~ i ~i
Miami Beach, FL 33141-0000 ~ ._.. -
City, State, Zip Code ~~`' ~` ' i
^ Check box if address has changed 3 00000 ~' ~`'
( ) I.D. Number: _~- -~
(4) Check appropriate box(es): ~ ~~
_...
X Candidate (office sought): Commissioner Group 1 _ r ~
r-,
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 09/26/2009 To 10/09/2009 Report Type: F3
^X Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $4,200.00 Expenditures $10,321.77
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $4,200.00 Total Monetary $10,321.77
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$105,337.24 $61,999.90
(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 and omplete true, correct and complete
Alan Lis Jerrv Libbin
^ In idual (only for ^ Treasurer ^ Deputy Treasurer
ectioneering ~{ ^ Candidate ^ Chairman (only for PC, PTY &
X electioneerin
commun
or
anization)
commun.) g
.
g
X
Signature Sign e
DS-DE 12 (Rev. 08/04) Adjutant Software -Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
1 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
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
09/28/2009 Howard, Melvin I CHE $ 50.00
Apt. 404
5500 Collins Ave.
Miami Beach, FL 33140-0000
000001
09/28/2009 Schwartz, Robert I Retired CHE $ 100.00
5500 Collins Ave.
Miami Beach, FL 33140-0000
000002
09/29/2009 Preira, Richard I Attorney CHE $ 100.00
4th Floor
777 Arthur Godfrey Rd.
Miami Beach, FL 33140-0000
000003
09/30/2009 Renedo Apartments, Inc. B Real CHE $ 500.00
Suite 228 Estate
8500 S.W. 8th Street Investor
Miami, FL 33144-0000
000004
10/02/2009 Berkson, Marshall I Investor CHE $ 500.00
111 Palm Ave.
Miami Beach, FL 33139-0000
000005
10/02/2009 Dade County Fire Fighters Local C Fire CHE $ 500.00
1403 PAC Fighters
Suite # 222
8000 NW 21st Street
000006 Miami, FL 33122-0000
10/03/2009 Miami Firefighters PAC II C Fire CHE $ 500.00
2980 NW South River Drive Fighters
Miami, FL 33126-3442
000007
10/03/2009 Miami Beach Firepac C Fire CHE $ 500.00
Box 114 Fighters
1521 Alton Rd.
Miami Beach, FL 33139-0000
000008
DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
2of2
(5)
Date (7)
Full Name (8)
Contributor (9) (10) (11) (12)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
cay, state, Zip Code
Type
Occupation
Contribution
Type In-kind
Description
mendmen
Amount
10/03/2009 South Florida Council of Fire
Fighters 4
Ste. 205 C Fire
Fighters CHE $ 500.00
000009 8000 N. W. 21st Street
Doral, FL 33122-1620
10/05/2009 Cejas, Trudy
P.O. Box 191679
Miami, FL 33119-1679 I Housewif
e CHE $ 250.00
000010
10/05/2009 Cejas, Trudy
P.O. Box 191679
Miami, FL 33119-1679 I Housewif
e CHE $ 250.00
000011
10/07/2009 Buckner, Margo
6120 La Gorce Dr.
Miami Beach, FL 33140-0000 I Artist CHE $ 200.00
000012
10/09/2009 Teichner, Lee
1691 Daytonia Road
Miami Beach, FL 33141-0000 I Attorney CHE $ 250.00
000013
DS-DE 13 (Rev. 08/03) Adjutant Software - Campai n ToglBox
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(31 Cover Period 09/26/2009 - 10/09/2009
(4) Page
1 of 1
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6)
Sequence (Last, Suffix, First, Middle)
Street Address & Purpose
(add office sought if
Expenditure
mendmen
Amount
Number City, State, Zip Code contribution to a candidate) Type
09/29/2009 Pay Pal Service Fee MON $ 3.20
2211 N. First Street
San Jose, CA 95131-0000
000001
09/30/2009 50 Blue LLC Yard Signs MON $ 1,635.38
7525 SW 54th Ct.
Miami, FL 33143-0000
000002
09/30/2009 50 Blue LLC Media/advertising MON $ 4,377.09
7525 SW 54th Ct.
Miami, FL 33143-0000
000003
09/30/2009 Advanced Prompting Systems Teleprompter rental MON $ 200.00
1771 NW 129th Ter.
Miami, FL 33167-0000
000004
10/02!2009 Congregation Ohr Menachem Meet voters MON $ 100.00
7800 Hispanola Avenue
North Bay Village, FL 33141-0000
000005
10/07/2009 Pay Pal Service Fee MON $ 6.10
2211 N. First Street
San Jose, CA 95131-0000
000006
10/07/2009 The Donner Group Consulting MON $ 4,000.00
7525 SW 54th Ct.
Miami, FL 33143-0000
000007
DS-DE 14 (Rev. OS/03)
Adjutant Software -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 Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
0 of 0
(5)
Date (~)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
Ctty, 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) utant Software -Campaign/ToolBox
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CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
OofO
(5)
Date (~)
Name of Financial ($) (9) (10) (11)
(g)
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. 08103) Adjutant Software -Campaign ToolBox
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