DS-DE 12 F4-09 LibbinFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMI~A~2~. , :Y~ ~ ~ ~ (-a
E ONLY
(1) Jerry Libbin Campaign Z ~ ~~ ® ~i~ ~~ 02
Name
(2) 1125 North Shore Drive L ~ ~ )~ ~ L Sri ~`j ' S (} ~ t' i (, ¢,
Address (number and street)
Miami Beach, FL 33141-0000
City, State, Zip Code
^ Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate (office sought): 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 10/10/2009 To 10/29/2009 Report Type: F3
^X Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
~j
Cash & Checks ~7~ ~50. O~ - Monetary
Expenditures ~ tel. ~y6. G-9
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary ~ ~ ZS~° yn Total Monetary +~ 9 ~ y.~
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$/O~LS.fs' 7. zy .~' 7~ ~ y~' . ~ 9
(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, corr d complete true, correct and complete
Alan Lis Jerrv Libbin
^ In ' idual (only for ^ Treasurer ^ Deputy Treasurer
ctioneering ]{ ^ Candidate ^ Chairman (only for PC, PTY 8
J{ electioneerin
comm
n
anizatio
mmun.) g
u
. org
n)
X
Signature Signatu
ua-uc iz trcev. uniua~ Adjutant Software -Campaign ToolBox
PA-~ c ~ 6~-7
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period
10/10/2009 - 10/29/2009
(4) Page
00000
1 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name
t
b
C
t
(6)
(Last
Suffix
First
Middle) On
rl
U
Or
,
,
, to-kind
Sequence
Number Street Address &
crty, state, zip code
Type Occupation Contribution
Type
Description
mendmen
Amount
10/18/2009 Permutter, Michael I Retired CHE $ 250.00
954 RT. 166
Toms River, NJ 08753-6582
000001
10/18/2009 New City, Inc. B Watches CHE $ 200.00
4th Floor
21 S.E. 1stAve.
Miami, FL 33131-0000
000002
10/18/2009 Concourse Commercial LC B Real CHE $ 500.00
Ste. 110 Estate
6001 NW 153rd St. Investor
Miami Lakes, FL 33014-0000
000003
10/18/2009 Golomb, David 1 CHE $ 50.00
Wayne Ave.
7441
Apt. 10R, FL 33141-0000
000004
10/20/2009 Kruszewski, Frank I CHE $ 25.00
Ste. 2002
1800 Sunset Harbour Dr.
Miami Beach, FL 33139-1458
000005
10/23/2009 Howard, Elsie I Retired CHE $ 250.00
Suite 400
1111 Lincoln Rd
Miami Beach, FL 33139-0000
000006
10/23/2009 Nusbaum, Ira I Jewelery CHE $ 100.00
4330 N. Michigan Ave.
Miami Beach, FL 33140-0000
000007
10/26/2009 Siegel, David I Retired CHE $ 200.00
333 E. Rivo Alto Dr.
Miami Beach, FL 33139-0000
000008
DSDE 13 (Rev. 08/03)
Adjutant Software -Campaign ToolBox
~'A-GE a ~" ~
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3} Cover Period
10/10/2009 - 10/29/2009
(4) Page
00000
2 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name i
(6)
(Last, Suffix, First, Middle) Contr
butor
In-kind
Sequence
Number Street Address &
City, State, Zip Code
Type Occupation Contribution
Type
Description
mendmen
Amount
10/26/2009 SEIU Florida Healthcare Union CCE C Union CHE $ 500.00
Suite 201
14645 NW 77th Ave.
Miami Lakes, FL 33014-0000
000009
10/26/2009 SEIU Florida State Council CCE C Union CHE $ 500.00
Suite 201
14645 NW 77th Avenue
Miami Lakes, FL 33014-0000
000010
10/26/2009 Lawrence, Eric I Hotelier CHE $ 150.00
Apt. 601
6917 Collins Ave.
Miami Beach, FL 33141-0000
000011
10/28/2009 Government Supervisors C Political CHE $ 500.00
Association of Florida Local 100 Action
Suite 405 Com
3600 Red Road
000012 Miramar, FL 33025-0000
10/29/2009 Fromkin, Ava I Registere CHE $ 500.00
#2306 d Nurse
555 NE 34 Street
Miami, FL 33137-0000
000013
10/29/2009 Friedman, Gary I Attorney CHE $ 500.00
117 Palm Avenue
Miami Beach, FL 33139-0000
000014
10/29/2009 Levy, Lucero I CHE $ 25.00
1855 Clevelander Road
Miami Beach, FL 33141-0000
000015
DS-DE 13 (Rev. 08103)
Adjutant Software -Campaign ToolBox
~~-~~ 3 ~?
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period 10/10/2009 - 10/29/2009 (4) Page
00000
1 of 2
(5) (7) (8) (9) (10) (11)
Date
Full Name
(Fi) (Last, Suffix, First, Middle) Purpose
Sequence Street Address 8 (add office sought ff Expenditure
Number City, State, Zip Cade contribution to a candidate) Type mendmen Amount
10/13/2009 50 Blue LLC Mailers/Span. & Eng. MON $ 8,002.75
7525 SW 54th Ct.
Miami, FL 33143-0000
000001
10/18/2009 Seniors Are First Meet Voters MON $ 150.00
Suite 117
1940 Park Avenue
Miami Beach, FL 33139-0000
000002
10/18/2009 Miami Beach Jewish Community Meet Voters MON $ 350.00
Center
4221 Pine Tree Dr.
Miami Beach, FL 33140-0000
000003
10/18/2009 Pay Pal Service Fee MON $ 1.75
2211 N. First Street
San Jose, CA 95131-0000
000004
10/19/2009 Fin Sea Foundation Meet voters MON $ 300.00
3282 Gifford Lane
Miami, FL 33133-0000
000005
10/25/2009 Domain Registry of America Domain Registered MON $ 95.00
#266
2316 Delaware Avenue
Buffalo, NY 14216-2687
000006
10/25/2009 Libbin, Jerry Reimburse for MON $ 41.51
1125 N. Shore Dr. Campaign meeting
Miami Beach, FL 33141-0000
000007
10/26/2009 Pay Pal Service Fee MON $ 4.65
2211 N. First Street
San Jose, CA 95131-0000
000008
DS-DE 74 (Rev. OS/03) Adjutant Software -Campaign TOOIBox
P~~ ~ ~7
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period 10/10/2009 - 10/29/2009 (4) Page
00000
2 of 2
(5)
Date (7)
Full Name (8) (9) (1 0) (11)
(6)
Sequence
Number (last, Suffix, First, Middle)
Street Address &
City, State, Zip Cade Purpose
(add office sought ff
contribution to a candidate)
Expenditure
Type
mendmen
Amount
10/29/2009 City Debate Publishing Company,
Inc.
Suite 113 Advertising MON $ 1,000.00
000009 6538 Collins Avenue
Miami Beach, FL 33141-4694
10/29/2009 Pay Pal
2211 N. First Street
San Jose, CA 95131-0000 Service Fee MON $ 1.03
000010
OS-DE 14 (Rev, OB/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 ~ibbin Campaign (2) I.D. Number
(3) Cover Period 10/10/2009 -1012912009 (4) Page
00000
0 of 0
(5)
Date (7)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
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)
Adjutant Software -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period
10/10/2009 - 10/29/2009
(4) Page
00000
0 of 0
(5)
Date (7)
Name of Financial . (8) (9) (10) (11)
(6)
Sequence
Number Instkution
Street Address 8
cay, state, Zip Code Transfer
Type Nature of
Account
mendmen
Amount
Nothing to report on th s for
~J4 (KBV. Otl/()3)
Adjutant Software -Campaign ToolBox
~~G~ 7~1