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DS-DE 12 G1-09 Mayer~ ~ -~ 3 -U9 ~MIv~ l) FLORIDA DEPARTMENT OF STATE DIVISION OF ELEC ONS ` ~~ °~- CAMPAIGN TREASURER'S REPORT SUM ~• (~) Maria Mayer OFF ~ 4SE QNLy Name (z) 4500 N. Jefferson Ave. ~ ^, Address (number and street) -, o Miami Beach, F1. 33140. 1 a ~., 0 1 City, State, Zip Code `- `~ ^ CHECK IF ADDRESS HAS CHANGED ~:: m (3) ID Number: (4) Check appropriate box(es): v~ ~ © Candidate (office sought): Miami Beach Commissioner Group II -, ^ Political Committee ^ CHECK IF PC HAS DISBANDED ~ w ^ Committee of Continuous Existence T, ^ 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 / 30 / 09 To 11 / 12 / 09 Report Type G1-09 (~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 25, 020.00 Expenditures $ 21,160.41 Loans $ Transfers to Office Account $ Total Monetary $ 25, 020.00 Total Monetary $ 21,160.41 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 80 966.00 $ 58,498.94 (17) 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 true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Maria Mayer (Type name) Maria Mayer Individual (only for ~/ Treasurer ^ Deputy Treasurer Q/ Candidate ~ Chairperson (only for PC PTY & electione 'ng wmmun.) , electi Bering wmmun, organization) X ~~ X Signa re Signatur Q `?. t'1 ~. .l -'7 us-Ut 7Z iKev. 06/04) ~ (,. P ~ ~ " U CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (7) Name Maria Mayer (2) I.D. Number (3) Cover Period 1o / 30 ~ 09 through 11 / 12 / 09 (4j Page of ~ ) (6) (7) (8) - (9) (10) (11) (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 Amendmen+ Amount 88 La Gorce LLC B Real Che 500.00 11 ~,9 X09 p.0. Box 402249 Estate Miami Beach, F1 33140 1 Todd Glaser i Real Che 500.00 11 ~ 9 ~ 09 p,0. Box 402249 Estate Miami Beach, F1 2 33140 Regents Park B Apartmen Che 500.00 11 / 6 / 09 Trust is 5020 S. Lake Shore Dr. 3 Chicago, I11 60615 p Daniel Rivlin I ~Physicia Che 500.00 11 ~ 6 ~ 09 4302 A1tonRd. - n Miami Beach, F1 33139 4 Daniel Rivlin MD B Physicia Che 500.00 11 ~ 6 ~ 09 pA n office 4302 Alton Rd. Miami Beach, F1 5 33139 Alan Potamkin I Executiv Che 500.00 11 ~ 6 ~ 09 1 Casuarina e Concourse 6 Coral Gables, F1 33143 Tralfamadore LLC B Apartmen Che 500.00 11 ~ 6 ~ 09 260 Greentree is Drive #101 ~ - 'Dover, De 19904 Camp. Acct. B Law Firm Che 500.00 11 ~ 6 ~ 09 Carlton Fields C.C.E. 8 PO Drawer 190 Tallahassee, F1 32303 p o5-DE 73 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~ a ~" II CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) I.D. Number (3) Cover Period 10 / 30 / 09 through 11 / 12 / 09 (4) Page 3 of (5) f7)~~ (8). (g) (10) (>>) (f 2). Date - Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Cdntribulor Contribution In-kind Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendmem Amount Noah Fox I Real Che 500.00 11 ~ 6 X09 500 Lakeview Ct. Estate Miami Beach, Fl 33140-2628 9 Compass Health B Medical Che 500.00 11 ~ 6 ~ 09 Systems - 1065 NE 125 St 10 #409 N Miami, F1 33161 Alton JAL B Property Che 500.00 11 / 6 / 09 523 Michigan Ave Manageme Miam Beach, F1 nt 33139 11 LPZ Inc., B Frangran Che 500.00 11 ~ 6 ~ 09 3711 Sheridan St ~ce Miami Beach, F1 Distrib. 33139 12 Austin Harrelson I Interior Che 500.00 11 ~ 6 ~ 09 4955 Lakeview Dr. Design Miam Beach, F1 33140 13 Nicolas Swerdloff I Che 50.00 11 ~ 6 ~ 09 3860 Battersea Road 14 Miami, F1 33133 Willy Perez de I Logistic Che 500.00 11 ~ 6 ~ 09 Corcho s 935 S Shore Dr. 15 Miami Beach,~Fl 33141 Miriam Zadok I Jeweler Che 500 00 11 ~ 6 09 8800 SW 105th St . Miami, F1 33176 16 us-oe'13 (Rev. OS/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~u~ 3 ~1 I CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) I.D. Number (3) Cover Period to / 30 / 09 through 11 / 12 / 09 (4) Page ~ of 1 (5) (~) (8) (9) (10) (~~) (t 2) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution fn-kind Number Cit ,State, Zi Code T e Occu ation T e Descri lion Amendment Amount Dror Zadok I Jeweler Che 500.00 11 ~ 6 X09 8600 SW 105th St Miami, F1 33176 17 1234 Partners I Real Che 500.00 11 ~ 6 ~ 09 Ltd. - Estate 523 Michigan 18 Avenue Miami Beach, F1 33139 Jonathan Beloff B Law Che ~ 500.00 11 / 6 / 09 1111 Lincoln Rd. Office #400 Miami Beach, F1 19 33139 Bester Management B Property Che 500.00 11 ~ 6 ~ 09 Inc. Manageme 523 Michigan Ave. nt Miami Beach, F1 20 33139 Jefferson Plaza B Real Che 500.00 11 ~ 6 ~ 09 partners LTD Estate 523 Michigan Ave Miami Beach, F1 21 33139 Iani Records Inc B Entertai Che 500.00 11 ~ 9 ~ 09 900 Ocean Dr. nment Miami Beach, F1 22 33139 Norman Braman I Executiv .Che 500.00 11 ~ 9 ~ 09 2060 Biscayne e Blvd 23 Miami, F1 33137 Irma Braman I Homemake Che 500.00 11 ~ 9 ~ 09 2060 Biscayne r Blvd Miami, F1 33137 24 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~ p~ d - ~ ~~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) I.D. Number (3) Cover Period to / 30 / 09 through 11 / 1z / 09 (4) Page .5 of ~~ (s) (~> (B) (9> (to> (t~) (t 2). 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 64 La Gorce LLC B Real Che 500.00 11 ~ 9 X09 PO Box 402249 Estate Miami Beach, F1 33140 25 Ian Kaplan I Business Che 250.00' 11 ~ 10 ~ 09 305 N Hibiscus man Dr. 26 Miami Beach, F1 33139 Alfredo M B Engineer Che 170.00 11 / 11 / 09 Carbonell PE Inc. 12355 Sw 129th Ct #04 27 Miami, F1 33186 Blooming Design & B Florist Che 100.00 11 ~ 11 ~ 09 Events Inc. 2291 NW 82 Ave Miami, F1 33122 28 Hialeah Fee B Real Che 500.00 11 ~ it ~ 09 Commons Ltd. Estate 1800 Sunset Harbour Dr #2 ~~ 29 M. Bch, F1 33139 , West Flagler B Real Che ~ 500.00 11 ~ 11 ~ 09 partners LTD. Estate 1800 Sunset '~ 30 Harbour Dr. #2 M. Bch, F1 33139 Zed Condorousis I Manager Che I 500.00 11 ~ 11 x,09 1040 10th St #303 Miami Beach, F1 '~ 31 33139 Lori Laquatra I Hospital Che 500.00 11 ~ 11 ~ 09 3530 Mystic Pt Dr ity #1503 32 Aventura, F1 33180 DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pike ~~/1 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) I.D. Number (3) Cover Period to / 30 / 09 through 11 / 12 / 09 (4) Page ~ of I (6) (7) (8) (9) (t 0) (~~) (t 2) 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 Robert Henry Jr I Physicia Che 500.00 11 ~ 11 X09 MD n 2030 N Bay Rd Miami Beach, F1 33 33140 Thomas Wilcox I Hospital Che 500.00 11 ~ 11 ~ 09 3451 NE 1st Ave ity #M902 34 Miami,Fl 33137 Cesar Albanez I Hospital Che ~ ', 500.00 11 / 11 ~ 09 7441 Wayne Ave ity #7P Miami beach, F1 35 33141 Jacqueline I Hospital Che 500.00 11 ~ 11 ~ 09 Mansfield ity ~~ 2301 Collins Ave. Miami beach, F1 36 33139 ~ ~ Crown Inspections B Inspecto Che ~i 250.00 11 ) 12 ) 09 571 Westwood Lane rs ~ i Weston, F1 33326 37 A & W Annuals B Florist Che 200.00 11 ~ 12 ~ 09 inc. 9885 Palomino Dr. 38 Lake Worth, F1 i 33467 i Masterpiece B Flooring Che 500.00 11 ~ 12 ~ 09 Industries Inc. ' 4010 W Ali Baba , 39 Ln Ste F Las Vegas, Nv ' 89118 p Miami Marketing B Entertai Che 500.00 11 ~ 12 ~ 09 Group LLC nment '~ 1000 Lincoln Rd #200 40 MiamiBeach, F1 33139 p us-De 73 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~fif pp ~n ~ l l CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) I.D. Number (3) Cover Period to / 30 / 09 through 11 / 12 / 09 I (4) Page ~ of f 1 (5) (7) (8) (9) x,(10) (~~) (72) Date Full Name ~, (6) (Last, Suffix, First, Middle) l Sequence Street Address & Contributor Contribution I n-kind Number Cit ,State, Zi Code T e Occu anon T e Descri lion Amendmem Amount Clear Title Group B Title Che ' 100.00 11 ~ 12 X09 1691 Michigan Ave Company 'i #320 41 ~ John S. Karlton I Business Che I 500.00 71 ~ 12 ~ 09 9999 Collins AVe man I #14A 42 Bal Harbour, F1 ~ ~ '~ 33154 Pamela Kirchner I Business Che 500.00 11 /. 12 / 09 7965 SW 173 Terr. worman Miami, F1. 33157 43 Edward Harris I Insuranc Che 500.00 11 ~ 12 _~ 09 4800 NE 2 Ave e Miami, F1 33137 94 Complete Collect. B Collecti Che i 500.00 11 ~ 12 ~ 09 Service ons i 4833 N Dixie Hwy Ft Lauderdale, F1 45 33334 - Ossip Harris B Insuranc Che ~. 500.00 11 ~ 12 ~ 09 Insurance, Inc. a ~~ - 4800 NE 2nd Ave 46 Miami, F1 Darla Karlton L Retired Che 500.00 11 ~ 12 ~ 09 9999 Collins AVe #19A 47 Bal Harbour,Fl ~, 33154 SEIU Florida B Union Che 500.00 11 ~ 12 ~ 09 State Council CCE ~,. 14645 NW 77 Ave #201 I 48 Miami Lakes, F1 33014 p DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND~CODE VALUES ~~ ~ ~,I CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (7) Name Maria Mayer (2) I.D. Number (3) Cover Period to / 30 / 09 through 11 / 1z / 09 (4) Page ~ of (5) ~ (7) (8) .(9) (10) (11) (12) Date Ful! Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Cit ,State, Zi Code T e Occu anon T e Descri lion nmenament Amount Ty Ty & Ty B Linen Che 500.00 11 ~ 12 X09 10800 NW 103 St #1 Miami, F1 33178 49 Ronald H Kauffman I Attorney Che 500.00 11 ~ 12 ~ 09 1270 Stillwater Dr 50 - Miami Beach, F1 33141 Priority B Appraisa Che 100.00 11 / 12 ~ 09 Appraisals Inc. is 777 Arthur Godrey Rd 2nd Fl 51 Miami Beach, F1 33140 p GAT Investments B Real Che 100.00 11 ~ 12 ~ 09 300 W 41st St Estate #213. Miami Beach, F1 g2 33140 Edward Jackson I Business Che 250.00 11 ~ 12 ~ 09 19151 SW 54 P1 man - Ft. Lauderdale, F1 33332 53 Dean Hoffman I Business Che 100.00 11 ~ 12 ~ 09 400 S Pointe Dr man - #1108 54 Miami beach, F1 33139. John Hardin _ I Professo Che 500.00 11 ~ 12 ~ 09 4931 St Croix Dr r Tampa, F1 33629 55 Darryl Fox I Realtor Che 100 00 it ~ 11 ~ 09 2001 Meridian Ave . . PH 2 56 Miami Beach, F1 33139 u~-ue is tKev. ostos7 SEE REVERSE FOR INSTRUCTIONS AND'CODE VALUES ~~ fl (~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Maria Mayer (2) LD. Number p (3) Cover Period to / 30 / 09 through 11 / lz / 09 (4) Page ~) of (6) Date C7) Full Name (8) (9) (t 0) (>>) (t 2) (6) 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 gmount 11 ~ 12 X09 Brett Harris PA 4800 NE 2nd Ave. B Insuranc e Che 500.00 57 Miami, F1 33137 11 ~ 12 ~ 09 Jeoff Harris 20950 NE 27th Ct I Surveyor Che 500.00 58 Aventura, F1 33180- , 11 / 12 / 09 David Lombardi 1601 W 28th St I Realtor Che 250.00 59 Miami Beach, F2 33140 / / f / / / / / / / os-oe'13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name _ Maria Mailer (2) LD. Number (3) Cover Period 10 ~ 30 ~ 09 through 11 ~ 12 ~ 09 (4) Page .w of ` ) (5) (TI (8) (9) It D) (~U Date ~ Fuil Name Purpose (8) 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 30 09 Frank Fitzgerald 1404 Collins Ave. Event Entertainment Mon $15.00 Miami beach, F1 33139 1 10 30 09 Daniel Gilbert/Memory Lane Event Planning Election day expenses Mon $1,355.00 7601 SW 16 T err Miami, F1. 33155 2 Claudia Newman Reimbursement Mon - $60.00 10 30 09 - 15400 SW 62 Ct for event i i 1 M am , F 33157 3 10 30 09 Daniel Gilbert/memory Lane Event Planning Election day expenses Mon $2,500.00 7601 Sw 16 Terr. Miami, F1 33155 4 Miriam Pimental Pollworker Mon $850.00 10 30 09 700 77 St Mi i B h F1 am eac , 33141 5 10 30 09 Christopher Surridge 812 NE 19 Ave Consulting Mon $410.00 Fort-Lauderdale, F1 33304 6 11 2 09 Miriam Pimental 700 77 St Pollworker Mon $320.00 Miami Beach, F1 33141 7 11 02 09 The Donner Group 7525 SW 54 Ct Advertising Mon $639.00 Miami F1 33157 , 8 DS-DE 14 (Rev, 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ i v CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Maria (2) I.D. Number (3) Cover Period 10 ~ 30 ~ 09 through 11 ~ 12 ~ 09 (4) Page ~ ~ of ~~ (6) (~) - (8) (9) (10) (11) Date Full Name ~ Purpose., .. ls) Sequence - Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) ~ - Expenditure TYPe , - Amendment Amount 11 06 09 Comcast Spotlight 3350 SW 148th Ave #401 Advertising Mon $5,000.00 Miramar, FL 33027 9 11 06 09 Comcast Spotlight 3350 SW 148th Ave #401 Advertising Mon $3,000.00 Mi F 33027 ramar, L 10 - .. ~ .. Maria Mayer Return of Loan Dis $5,500.00 11 11 09 4500 N. Jefferson Ave i h M am Beac , F1 33140 11 11 12 09 Maria Mayer 4500 N. Jefferson Ave Event supplies reimbursment Mon ~ $161.41 i M am Beach, F1 33140 12 City Debate Advertising Mon $350.00 11 12 09 6538 Collins Ave. #113 Miami Beach F1 33141 , 13 11 12 09 5th and Ocean Productions 1602 Alton Rd #414 TV Procluction~ Mon $1,000.00 Miami Beach, FL 33139 24 DS•DE 14 (Rev. OB/03) SEE REVERSE FOR INSTRUCTIONS AND CODEVALUES ~~~r~~~