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DS-DE 12 MB Residents First Q3-12 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUM 1 1 ��121�CT�0 o P�i (1) Miami Beach Residents First 12 Name (2) 2121 Ponce de Leon Blvd, #1100 C 1 I Y C L 3_R K"S OFFICE Address (number and street) Coral Gables, FL 33134 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 08 / 10 / 12 To o 9 / 30 / 12 Report Type Q3-12 ❑ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 0 . 00 Expenditures $ 1, 008 . 00 Loans $ 0 . 00 Transfers to Office Account $ 0 . 00 Total Monetary $ 0 . 00 Total Monetary $ 1, 008 . 00 In-Kind $ 0 . 00 (8) Other Distributions $i (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 21, 550 . 00 $ 20, 890 . 90 (11) CERTIFICATION It:s 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) Gloria Maggiolo (Type name) Tovah Goldfarb [:]I ndi 'du ( nl for ❑✓ Treasurer Deputy Treasurer E]Candidat ✓ hairperson(only for PC,PTY& election in c un.) el ioneering commun.organization) X °Sign re Sign ure DS-DE 12(Rev.08104) Pky- CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Miami Beach Residents First (2) I.D. Number (3) Cover Period 08 / 10 / 12 through 09 / 30 / 12 (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 Tovah F. Goldfarb reimb. for mon $3.00 08 13 12 801 Arthur Godfrey Rd, #401 check order Miami Beach, FL 33140 1 Alas Consulting Group consulting mon $1,000.00 08 16 12 13899 Biscayne Blvd. services Suite PH12 North Miami Beach, FL 33181 2 Wells Fargo bank fee mon $5.00 09 10 12 750 Arthur Godfrey Rd Miami Beach, FL 33140 3 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 5 f CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Miami Beach Residents First (2) I.D. Number (3) Cover Period 0' / 10 / 12 through 01 / 30 / 12 (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 -T a Occupation Type Description Amendment Amount DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � 3 3