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DS-DE 12 G2-11 Crystal -4. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMM tFC; DYED (1) Dave Crystal OFFICE USE ONLY Name 2011 OCT -7 AM 10: 5 5 (2) PO Box 416151 CITY CLERK'S OFI: ICE Address (number and street) Miami Beach, FL 33141 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): Mayor of the City of Miami Beach ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication El CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From o9 / 24 / 11 To 10 / 07 / 11 Report Type .43'3 Gx ❑ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 245.00 Expenditures $ 146.30 Loans $ Transfers to Office Account $ Total Monetary $ 245.00 Total Monetary $ 146.30 In -Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 17,644.00 $ 14,578.71 (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 true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Isaac Rosenblum (Type name) Dave Crystal ❑Individual (only for El Treasurer ❑ Deputy Treasurer 0 Candidate Chairperson (only for PC PTY & electioneer g comm .) I - - • tioneering commun. organization) X vi , x `- Signature Signature DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Dave Crystal (2) I.D. Number (3) Cover Period 09 9 / 24 / 11 through 10 / 0 7 / 11 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Holder, Aaron I CAS 25.00 09 / 24 / 11 3303 Flamingo Drive Miami Beach, FL 33140 1 Barnick, Carl I CAS 25.00 09 / 24 / 11 1000 5th Street Ste 228 Miami Beach, FL 2 33139 Asly, Darius I CAS 20.00 09 / 24 /11 19 W. Flager Street Suite 211 Miami, FL 33130 3 Zelcer, Geoff I CAS 50.00 09 / 24 / 11 5600 Collins Ave Unit 6s Miami Beach, FL 33140 4 Morgan, Jason CAS 30.00 09 / 24 / 11 P.O. Box 402903 Miami Beach, FL 33140 5 Mormon, Daniel I CAS 25.00 09 / 24 / 11 5055 Collins Ave Miami Beach, FL 33140 6 09 / 24 / 11 Munoz, Margene I CHE 50.00 1150 Biscayne Point Rd Miami Beach, FL 33141 7 Sterling, Rebecca 1 CAS 20.00 09 / 24 / 11 9061 SW 156th St. Apt 122 Miami, FL 33196 8 DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES '/(-e2Se 3 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Dave Crystal (2) I.D. Number (3) Cover Period 09 / 24 / 11 through 10 / 07 / 11 (4) Page 1 of (5) ( ( ( ( 0 ) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount Rodriguez, Barbara Event work MON $60.00 09 /24 /11 7811 Carlyle Ave. Miami Beach, FL 33141 1 Salinas, Andrea Event work MON $60.00 09 /24 /11 13541 NE 1st Ave. Miami, FL 33161 2 Kimball Political Robo -calls MON $26.30 10 /04 /11 Consulting, LLC 101 State Street, Suite 708 Springfield, MA 01103 3 / / / / / / / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Agee