DS-DE 12 Sherry Roberts FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS R F G V
CAMPAIGN TREASURER'S REPORT SUMMARY
Sherry Roberts OFFICE u�94NVL —9
(1) Name CITY CLE���''''S Off IC
(2) 100 Lincoln Road PH 02
Address(number and street)
Miami Beach,FL 33139
City,State,Zip Code
El Check box if address has changed
(3) I.D.Number. 00000
(4) Check appropriate box(es):
X Candidate(office sought): Commissioner
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 04/01/2012 To 06/30/2012 Report Type: Q2 — 12_
aX Original Fl Amendment n Special Election Report Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks $2,350.00 Expenditures $17.00
Transfers to Office
Loans $0.00
s
Total Monetary $2,350.00 Total Monetary $17.00
In-Kind (8)Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
i / e
$17.00
(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 I certify that I have examined this report and it is
true,correct and complete true,correct and complete
Roberta Gould Sherry Roberts
Individual(only for Chairman(only for PC.PTY&
F etac[ioneeri ❑Treasurer Deputy Treasurer Candidate
ng X X electioneering oommrm.organ®tion)
common.)
X X m
Signature Signature
This form is based on DS-DE 12(Rev.08/04) AcWtard Software.Ira.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 04/01/2012-06/3012012 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11) (12)
Date -
Full Name Contributor
(6) (Last.Sufro(.First,Middle) In-kind Contribution
Nunes city slater de Type Occupation Type Description Amendmeni Amount
04/16/2012 Shapiro,Stanley I Retired CHE $100.00
1940 Palk Ave Ste117
Miami Beach,FL 33139-0000
1
04/18/2012 Graham, Diane Connolly I Advertisi CHE $100.00
6515 Sw 26th St ng
Miramar, FL 33023-0000
2
05/03/2012 Levitan, Harvey I Physician CHE $500.00
100 Lincoln Rd Apt 942
Miami Beach, FL 33139-0000
3
05/03/2012 Levy, Raquel I Retired CHE $500.00
100 Lincoln Rd Apt 348
Miami Beach, FL 33139-0000
4
05/18/2012 Zemo, Dona M. I tourism CHE $150.00
3101 Indian Creek Dr#104 promotio
Miami Beach, FL 33140-0000 ns
5
05/18/2012 Tbs Realty,llc Dba Dream South B hotel CHE $500.00
Beach manager
1111 Collins Ave
Miami Beach, FL 33139-0000
6
06/25/2012 Romanello,Madeleine I Real CHE $500.00
890 Ne 72 Terr Estate
Miami,FL 33138-0000 broker
7
06/26/2012 Roberts,Sherry 1 Candidat $330.63
100 Lincoln Rd PH2 e
Miami Beach, FL 33139-0000
8
This forth is based on DS-DE 13(Rev.08103) AcrAA@M Software.Inc.-Campaign ToolBox
Pe'� a Q� 5
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 04/01/2012-06/30/2012 (4)Page 1 of 1
5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Sufrnc.FM Middle) Purpose
Sequence Street Address& (add office sough)if Expendbre
Number City,State,Zip Code contribution to a cmdidate) Type Amendmeni Amount
05/31/2012 BANK OF AMERICA BANK FEE MON $17.00
407 LINCOLN ROAD
MIAMI BEACH, FL 33139-0000
1
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox