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DS-DE 12 Q3-11 Amended Tobin FLORIDA DEPARTMENT OF STATE DIVISION OF EL CT ONS CAMPAIGN TREASURER'S REPORT SUM R�Y� F (� (1) ED TOBIN 20f` RNUPF CMY6: 12 Name CITY CLEFWS OFFICE (2) 1800 SUNSET HARBOUR DR SUITE 2 Address (number and street) MB FL 33139 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): MB COMMISSION Uc� ❑ Political Committee ❑ CHECK IF PC HAS DISB NDED ❑ 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 3 � Cover Period: From 07 / 01 / 11 To o9 / 0 / 11 Report Type Q 3 ❑ Original © Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 750 . 00 Expenditures $ 1, 020 . 00 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 17, 025 . 00 $ 1, 785 . 89 (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) ED TOBIN (Type name) ED TOBIN ❑Individual (only for [Z]Treasurer eputy Treasurer [Z]Candidate ❑Chai r o onl for PC,PTY& electioneering commun.) ele - ei g om n.organ' ation) X X Signature Signature DS-DE 12(Rev.08/04) �� x CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name ED TOBIN (2) I.D. Number (3) Cover Period 7 / 01 / 11 through 9 / 30 / 11 (4) Page of (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 Occu ation T e Description Amendment Amount THELMAR CORP 500.00 09 / 08 /2011 9225 COLLINS AVENUE APT 402 SURFSIDE FLA 33154 SID GOLDIN 250.00 09 / 08 011 MB FL 33141 i DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P,466- a la X