DS-DE 12 Q1-12 Roberts FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
0)" Sherry Roberts OFFICE USE ONLY°
Name -4
(2) `4 A�
(2) 100 Lincoln Road PH2
Address (number and street) Cl r y� D
�,�t f�i�'•j ll.
OrF!I;,c-
Miami Beach, FL 33139
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
® Candidate (office sought): Group IV
❑ 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 03 / 21 / 2012 To 03 / 31 / 2012 Report Type Q1_12
Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 0.00 Expenditures $ 0.00
Loans $ 1, 000.00 Transfers to Office
Account $ 0 .00
Total Monetary $ 0.00 Total
Monetary $ 0.00
In-Kind $ 0.00
(8) Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 1,000.00 $ 0.00
(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) Roberta S. Gould (Type name) Sherry Roberts
❑Individual(only for QTreasurer ❑Deputy Treasurer ✓❑Candid a Chairperson(only for PC,PTY&
electioneering commun.) ele ioneering ommun.organization)
X (7 X o
Signature Signature
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
1(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 03 21 2012 through 03 / 31 / 2012 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
Roberts, Sherry Licensed LOA $1000.00
03 / 28 /2012 100 Lincoln Road Real
Penthouse Two Estate
Miami Beach, FL Broker
33139
DS-DE 13(Rev.081103) SE VERSE FOR INSTRUCTIONS AND CODE VALUES
C 1