Loading...
DS-DE 12 MB Resident First Q4-12 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUM, IV�A-IYI i - (1) Miami Beach Residents First OFFICE USE ONLY Name 2013 JAN -9 PH 3= 52 (2) 2121 Ponce de Leon Blvd, #1100 CITY CL�.I�[k (ii° iL-1":- 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 lo / 01 / 12 To 12 / 31 / 12 Report Type Q4-12 Q Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 0 . 00 Expenditures $ 499 . 00 Loans $ 0 . 00 Transfers to Office Account $ 0 . 00 Total Monetary $ 0 . 00 Total Monetary $ 499 . 00 In-Kind $ 0 . 00 (8) Other Distributions $ 0 . 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 21, 550 . 00 $ 21, 389 . 90 (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) Gloria Maggiolo (Type name) Tovah Goldfarb ❑In i i u I( ly for ❑✓ Treasur r ❑Deputy Treasurer ❑Cand e ✓ Chairperson(only for PC,PTY& electio a in o mun.) f electioneering commun.organization) X ture Sign to Vv U DS-DE 12(Rev.08104) CAMPAIGN TREASURER'S REPORT--ITEMIZED EXPENDITURES (1) Name Miami Beach Residents First (2) I.D. Number (3) Cover Period 10 / 01 / 12 through > 12 / 31 / 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 Impact Politics research mon $474.00 10 1 12 16740 Waters Edge Drive Weston, FL 33326 1 Wells Fargo bank fee mon $5.00 10 5 12 750 Arthur Godfrey Rd Miami Beach, FL 33140 2 Wells Fargo bank fee mon $10.00 11 7 12 750 Arthur Godfrey Rd Miami Beach, FL 33140 3 Wells Fargo bank fee mon $10.00 12 7 12 750 Arthur Godfrey Rd Miami Beach, FL 33140 4 DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Miami Beach Residents First (2) I.D. Number (3) Cover Period 10 / 01 / 12 through 12 / 31 / 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 Type Occupation Typ e Description Amendment Amount DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3