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DS-DE 12 F4-09 LeveyFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Laura Rivero Levey OFFICE USE v1~L~('~ ~: ~ ~~~ ~ Name 2009 D (2) 4777 Pinetree Drive CT 3~ P ~ 4' 24 CirY Address (number and street) c~ ., E r4J~i S Gr Miami Beach, FL 33140 ~ ~C~ City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): ^ 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 to / to / 2009 To to / 29 / 2009 Report Type F4-09 ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 4~, 475.00 Expenditures $ 3, 964 .00 Loans $ 860.00 Transfers to Office Account $ Total Monetary $ 5 , 3 3 5.0 0 Total Monetary $ 3 , 964.00 In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9,235.00 $ 6,552.00 (11) CERTIFICATION It is a first degree misdemeanor for any pers on to falsify a public 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 com lete. correct, and complete. (Type name) ~ ~ W Z S , , ~ ~ V E (Type name) `~U ((~ ' ~' A-~ LQ ~( ~ l ~ 1 ^Individual (only for ^/ Treasurer ^ Depu Treasurer ^/ Candidate ^ Chairperson (only for PC, & electioneering co .) ele oneering c mun. organization) - X X Signature Signature DS-DE 12 (Rev. 08104) l ~ ~ ~~~-- CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period to / to / 2009 through to / 30 / 2009 (4) Page 1 of 3 (5) (~) ($) (9) (10) (~~) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount Sydney S. Traum I CH 125 10 ~ 19 2009 55 South Prospect Dr. Coral Gables, F1 33133 Mariana Cruz I CH 250 10 ~ 19 2009 1500 Bay Dr. Apt 914 Miami Beach, F1 33139 Levey & B Ch 500 1~ / 1~ /200 Associates, P.A. 1688 Meridian Ave Suite 902 Miami Beach, Fl 33139 D Lewis J. Levey I LOA 600 10 ~ 2~2009 Panter & Panter B CH 100 10 ~ 21 2009 p,p,, 6950 North Kendall Dr. Miami, Fl 33156 Aqua Vista B CH 100 10 ~ 21 2009 Holding, Inc. 1800 Sunset Harbor Dr. St 1 Miami Beach, FL 33139 ~ Anant K Nigam Ph.D I CH 250 10 22 2009 / / Marvin & Jill I 100 10 ~ 22 2009 Fridman ~-µ 6969 Collins Av. Apt504 Miami Beach, FL 33141 Q DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~ ~ ~ ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period to / to / 2009 through to / 30 / 2009 (4) Page 2 of 3 (5) (~) (8) (9) (~~) (~~) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount Abraham & Arlene I CH 150 10 / 22 /2009 Balot 541 Pelham Rd 8S New Rochelle, NY 10805 David Filler, Esq. I CH 500 10 / 22 /2009 1688 Meridian Ave Suite 902 Miami Beach, F1 33139 Isolina LLabre I Ch 100 1~ / 2~ /200 2777 SW 4th Ct Miami, FL 33132 Dulce Lacayo I CH 50 10 / 2~ /2009 1921 SW 62nd Ave. Miami FL 33155 Steven & Laura I CH 200 10 / 23 /2009 Kornspun 5 Harbor Lane New Rochelle, NY 10805 Glenn&Marcela I CH 50 10./ 27 /2009 Clark 5 Circuit RD Apt A53 New Rochelle, NY 10805 p Jewett, Schwartz, B CH 500 10 / 27 /2009 Wolfe & Associates 200 South Park Rd. Suite 150 Hollywood, FL 33021 p Jason M. Wandner I CH 500 10 / 28 /2009 777 Brickell Ave. St 1210 Miami, FL 33131 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~ ~~~,/ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period io / io / 2009 through io / 30 / 2009 (4) Page 3 of 3 (5) Date (~) Full Name (8) (9) (~~) (~~) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount 10 / 29 /2009 Catherine Rodriguez, P.A. I CH 50 1688 Meridian Av. Suite 902 Miami Beach,FL 33139 p 10 / 29 /2009 Gary Koenig I CH 500 1~ / 2~ /200 Lewis J. Levey I LOA 260 / / / / / / / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ' ® ~ ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period to ~ to ~ 2009 through to ~ 29 ~ 2009 (4) Page f of z (5) Date (~) Full Name ($) Purpose (9) (10) (~~) (s) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount 10 15 0.9 POSTAL OFFICE POSTAGE MON $685.00 101 10 16 09 PAUL YAVIS FEES MON $550.00 2 10 21 09 COLONIAL BANK FEES MON $29.00 10 20 09 POSTAL OFFICE POSTAGE MON $600.00 102 10 22 09 MARGARITA ARMONA FEES MON $300.00 10 22 09 COLEGIO NACIONAL DE PERIODISTAS DE CUBA ADVERTISING MON $70.00 1000 10 3 09 PAUL YAVIS FEES MON $500.00 1001 10 29 09 PAUL YAVIS FEES MON $500.00 1002 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period to ~ to ~ 2009 through to ~ 29 ~ 2009 (4) Page 2 of (5) Date (~) Full Name (8) Purpose (9) (~ 0) l11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure TYPe Amendment Amount 10 29 09 SUN POST ADVERTISING MON $225.00 1003 10 29 09 THE LEAD ADVERTISING MON $245.00 1004 1001 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 6~Gf'°~-