DS-DE 12 S. Roberts Q1-13 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SIJI&WRY,'!
(1) Sherry Roberts
2013 QrN!"UsE/;°rl`5: 53
Name
(2) 100 Lincoln Road 407 Lincoln Rd Suite 2 E C I T Y `L'' ';"° 0._': I i is
Address(number and street)
Miami Beach,FL 33139
City, State,Zip Code
❑ Check box if address has changed
(3) I.D.Number: 00000
(4) Check appropriate box(es):
X Candidate(office sought): Commissioner Group III
Political Committee ❑ Check if PC has DISBANDED
Committee of Continuous Existence
Party Executive Committee ❑ Check if CCE has DISBANDED
Electioneering Communication ❑ Check if no other electioneering communication reports will be filed
(5) REPORT IDENTIFIERS
Cover Period: From 01/01/2013 To 03/31/2013 Report Type: Q1
❑X Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash 8 Checks $8,025.00 Expenditures $40.10
Transfers to Office
Loans $10,000.00 Account $0.00
Total Monetary $18,025.00 Total Monetary $40.10
In-Kind $0.00 (8)Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$21,955.63 $404.73
(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
f'
Roberta Gould Sherry Roberts
Individual(only for Chairman(only for PC,PTY&
❑
electioneering Treasurer ❑ Deputy Treasurer Lx] ❑
9 }( �( electioneering organization)
commun.)
Sigrl1{4re Signature
This forth is based on DS-DE 12(Rev.08104) Adjutant Software,Inc.-Campaign ToolBox
9
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3) Cover Period 01/01/2013-03/31/2013 (4) Page 1 of 6
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address& Contribution
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
03/13/2013 Manning, Josephine 1 CHE $25.00
1460 Ocean Dr#408
Miami Beach, FL 33139-0000
1
03/13/2013 Losson, Jane Pierce I CHE $ 100.00
1810 Jefferson Ave
Miami Beach, FL 33139-0000
2
03/13/2013 Oramas, Joseph I CHE $ 100.00
100 Lincoln Road #510
Miami Beach, FL 33139-0000
3
03/25/2013 Coppola, Gladys I Insuranc CHE $ 100.00
1717 N Bayshore Dr#2151 a Sales
Miami, FL 33132-0000
4
03/27/2013 Sims, Michael I Student CHE $ 100.00
8201 cattail dr
Nirvat, CO 80503-0000
5
03/27/2013 Sims,Vicki I Student CHE $ 100.00
8201 cattail dr
Nirvat, CO 80503-0000
6
03/27/2013 Gould, Roberta I Real CHE $500.00
6585 Allison Rd Estate
Miami Beach, FL 33141-0000 Sales
7
03/27/2013 Margolis, Gwen I State CHE $200.00
2 Grove Isle Dr#209 Senator
Coconut Grove, FL 33133-0000
8
This form is based on DS-DE 13(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01/01/2013-03/31/2013 (4) Page 2 of 6
(6) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address& Contribution
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
03/27/2013 Lipman, Martin I Retired CHE $ 100.00
31701 Daniel Dr
Willowick, OH 44095-0000
9
03/27/2013 Stolar, Suzanne I Retired CHE $500.00
1500 Ocean Dr#803
Miami Beach, FL 33139-0000
10
03/27/2013 Stolar, Henry I Retired CHE $500.00
1500 Ocean Dr#803
Miami Beach, FL 33139-0000
11
03/27/2013 Sims, Jacob I Student CHE $ 100.00
8201 cattail dr
Nirvat, CO 80503-0000
12
03/27/2013 Langer, Ira I CHE $ 100.00
2206 Charleston
Weston, FL 33326-0000
13
03/28/2013 Shullman, Sandra I Retired CHE $500.00
268 Croswell Rd
Croswell, OH 43214-0000
14
03/28/2013 Nemitz, David I Retired CHE $ 100.00
268 Croswell Rd
Colombus, OH 43214-0000
15
03/28/2013 Roses, Gloria Romero I Consulta CHE $250.00
13431 Old Sheridian St nt
Sw Ranches, FL 33330-0000
16
This ions is based on DS DE 13(Rev.08!03) Adjutant Software,Inc.-Campai ToolBox/4
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01/01/2013-03/31/2013 (4) Page 3 of 6
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address& Contribution
Number City,State,Tip Code Type Occupation Type Description Amendment Amount
03/28/2013 Sims, Marilyn R. I Retired CHE $ 100.00
456 Muirfield Dr
Cleveland, OH 44143-0000
17
03/28/2013 Malakoff, Joy I Retired CHE $250.00
6415 Pinetree Dr
Miami Beach, FL 33141-0000
18
03/28/2013 Mangos Tropical Cafe B Restaura CHE $500.00
900 Ocean Dr nt
Miami Beach, FL 33139-0000
19
03/28/2013 Del Vecchio, Marian I Retired CHE $ 100.00
301 Ocean Dr#604
Miami Beach, FL 33139-0000
20
03/28/2013 Del vecchio, Frank I Retired CHE $ 100.00
301 Ocean Dr#604
Miami Beach, FL 33139-0000
21
03/28/2013 Burstein, Harvey I Foundati CHE $200.00
1775 Washington Ave on
Miami Beach, FL 33139-0000 Director
22
03/28/2013 Zemo, Dona M. I tourism CHE $ 100.00
3101 Indian Creek Dr#104 promotio
Miami Beach, FL 33140-0000 ns
23
03/2812013 Tropical Tours B Tour CHE $ 100.00
3101 Indian Creek Dr Company
Miami Beach, FL 33139-0000
24
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01/01/2013-03/31/2013 (4) Page 4 of 6
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address& Contribution
Number city,state,zip Code Type Occupation Type Description Amendment Amount
03/28/2013 Grant, Barbara I Insuranc CHE $300.00
100 Lincoln Rd#910 a Sales
Miami Beach, FL 33139-0000
25
03/28/2013 Minnie's Management Services B Retail CHE $ 100.00
11 Island Ave#602
Miami Beach, FL 33139-0000
26
03/28/2013 Miss Naomi International LLC B Museum CHE $ 100.00
300 S Pointe Dr#3801
Miami Beach, FL 33139-0000
27
03/28/2013 Garcia, Jorge Luis I Travel CHE $ 100.00
520 Sw 21 Rd Consulta
Miami, FL 33129-0000 nt
28
03/28/2013 Garcia,jr., Luis R. I Politian CHE $250.00
520 Sw 21 st Rd
Miami, FL 33129-0000
29
03/28/2013 Showcase Websites Inc B Web CHE $500.00
1130 Stillwater Dr Designer
Miami Beach, FL 33141-0000 s
30
03/28/2013 Golden, Sidney I Retired CHE $200.00
5415 Collins ave
Miami Beach, FL 33140-0000
31
03/28/2013 Browwning, Mary-Leggett I Retired CHE $ 100.00
5255 Collins Ave#8g
Miami Beach, FL 33140-0000
32
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01101/2013-03/3112013 (4) Page 5 of 6
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address 8 Contribution
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
03/28/2013 Wihi, Lloyd 1 Engineer CHE $250.00
100 Lincoln Rd
Miami Beach, FL 33139-0000
33
03/28/2013 Entin, Richard I Attorney CHE $ 100.00
110 Se 6 Street
Ft. Lauderdale, FL 33301-0000
34
03/28/2013 Remington, Laura I Retired CHE $ 100.00
3945 Lower Waterford Rd
Waterford, VT 05819-0000
35
03/28/2013 Cano, Laura I CHE $ 100.00
2038 Sw 19 Terr
Miramar, FL 33027-0000
36
03/28/2013 Esposito,Tanya I CHE $ 100.00
1829 Sw 11 Ct
Ft Lauderdale, FL 33312-0000
37
03/28/2013 Ross, Neil I Mortgage CHE $250.00
100 lincoln rd ph 5 Broker
Miami Beach, FL 33139-0000
38
03/29/2013 Roberts, Sherry I Candidat LOA $
100 Lincoln Rd PH2 a 10000.00
Miami Beach, FL 33139-0000
39
03/29/2013 Raney, Michael I Exec CHE $ 100.00
395 E Broad Street Director
Columbus, OH 43215-0000 Ohio
Psych
40 Assoc
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01/01/2013-03/31/2013 (4) Page 6 of 6
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle) In-kind
Sequence Street Address& Contribution
Number City,State,Tip Code Type Occupation Type Description Amendment Amount
03/29/2013 Kaplan, Gloria I Retired CHE $ 100.00
1709 E Beaubien
Phoenix,AZ 85024-0000
41
03/29/2013 Rivera, Sol I Housewif CHE $ 100.00
13960 Lake Placid Ct#c28 e
Miami Lakes, FL 33014-0000
42
03/30/2013 Randolf, Douglas I Retired CHE $50.00
9368 Ivory Isle Rd
Boyton Beach, FL 33473-0000
43
03/30/2013 DeMaille, Leon I President CHE $300.00
Q Bridge 129 Church St#511 co
new haven, CT 06510-0000
44
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
4 -�4q 0 v-
I
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Sherry Roberts (2) I.D. Number 00000
(3)Cover Period 01/01/2013-03/31/2013 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
03/13/2013 Paypal Paypal charge MON $3.20
2216 N. First Street
San Jose, CA 95131-0000
1
03/13/2013 Paypal Paypal charge MON $3.20
2216 N. First Street
San Jose, CA 95131-0000
2
03/13/2013 Paypal Paypal charge MON $3.20
2216 N. First Street
San Jose, CA 95131-0000
3
03/16/2013 Paypal Paypal charge MON $3.20
2216 N. First Street
San Jose, CA 95131-0000
4
03/24/2013 Paypal Paypal charge MON $ 14.80
2216 N First St
San Jose, CA 95131-0000
5
03/27/2013 Paypal Bank Charges MON $ 1.75
2211 N. First Street, CA 95131-0000
6
03/28/2013 Paypal Paypal fee MON $7.55
2211 N. First Street, CA 95131-0000
7
03/28/2013 Kaplan, Gloria business expense MON $3.20
1709 E Beaubien.
Phoenix,AZ 85024-0000
8
This form is based on DS-DIE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN LOANS REPORT ITEMIZED
Page of
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
kt-V\ As -e rk
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: /Ui o o d AMOUNT OF LOAN:
DATE RECEIVED: 3 /a 9 //-) DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03)