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DS-DE 12 Q2-12 Preserve Miami Beach ECO AMENDED
q- 10 -01.x. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Preserve Miami Beach OFFICE USE ONLY Name (2) 1-921 Alton Road #61 Address (number and street) Miami Beach, FL 33139 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: E IN# 80-0812658 (4) Check appropriate box(es): ❑ Candidate (office sought): ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Parry Executive Committee © Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 04 / 01 / 12 To 06 / 30 / 12 Report Type Q2 - 12 ❑ Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 100, 000 . 00 Expenditures $ 46 . 00 Loans $ 0 . 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 $ 100, 000 . 00 $ 46 . 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) Jeffrey Garcia (Type name) Jeffrey Garcia r7/1 Individual(only for [:]Treasurer [:]Deputy Deputy Treasurer ❑Candidate Chairperson(only for PC,PTY& election g c m u .) electioneering commun.organization) X e X Signa r Signatur DS-DE 12(Rev.08/04) CAMPAIGN TREAS 'S REPORT— ITEMIZED CONTRIB3 IONS (1) Name Preserve Miami Beach (2) I.D. Number EIN# 80-0812 (3)Coder Period 04 / 01 / 12 through 06 / 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 Type Occupation Type Description Amendment Amount AP City B CHE DE $100,000. OS 17 X12 Construction 00 1 /� �p Cam' � Ccve�ruc.�-ibn b 5 1-7 ! Cow, �� 160,Coo.ern Gor�sfirucf-ro✓1 �`� 5�►,1 K D 6 v- e 14-� 4;c4 k la rid I N l a- .'� C_ 3=, 1 co .t -� DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES / l