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Miami Beach Homeowners' Coalition Q1-12 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMA,W (1) Miami Beach Homeowners ' Coalition K k".k 'rOFFICE USE ONLY Name 2012 APR 10 PM 2' 52 (2) 7525 SW 54th Ct Address (number and street) CITY CLE' OFFICE Miami, FL 33143 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 of / of / 2012 To 03 / 31 / 2012 Report Type Q1 0 Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ 53 . 51 Loans $ 2, 500 . 00 Transfers to Office Account $ i Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date 1 (10) TOTAL Monetary Expenditures To Date $ 2 , 500 . 00 $ 53 .51 (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) (Type name) ❑Individual(only for ✓0 Treasurer [:]Deputy Treasurer ❑Candidate ❑✓ Chairperson(only for PC,PTY& election ee�i commun.) electioneer' g commun.organization) X rte✓, X Signature Signature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Miami Beach Homeowners ' Coaltion (2) I.D. Number (3) Cover Period 01 / 01 / 2012 through 03 / 31 / 201 (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 Tvoe Occu ation Type Description Amendment Amount The Donner Group B Consulti LOA $2,500.00 01 / 30 /2012 7525 SW 54th Ct ng Miami, FL 33143 DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES O� ­) r -5 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Miami Beach (2)I.D. Number (3)Cover Period 01 / 01 / 2012 through 03 / 31 / 2012 (4) Page 1 of 1 (5) (7) (8) (9) (10) (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 Wells Fargo Bank fees Mon $51.01 02 07 12 1541 Sunset Dr Coral Gables, FL 33143 Wells Fargo Bank fees Mon $2.50 03 21 12 1541 Sunset Dr Coral Gables, FL 33143 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES