DS-DE 12 Q1-13 -1 Gongora FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
MbFFICEiUSEIONLYP
(1) Michael Gongora for Mayor 2013
Name 2013 W —2 AH 11: 40
(2) 326 71 Street
Address(number and street) i,l r 1,L E F,'ti 5 0 r l�
Miami Beach,FL 33141
City, State, Zip Code
Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate(office sought): Miami Beach Mayor
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: Ql
❑ Original ❑X Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks $100,813.65 Expenditures $4.120.00
Transfers to Office
Loans $25,000.00 Account $0.00
Total Monetary $12 ,813.65 Total Monetary $4,120.00
In-Kind $500.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$125-813.65 $4.120.00
(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
Laurence-A711en-up Michael Gongora
❑ Individual(only for Chairman(only for PC,PTY&
election reaSUrer Deputy Treasurer a Candidate electioneering commun-organization)
commu
X 1A
X
Signatu Signa re
This form is based on DS-DE 12(Rev.08/04) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Michael Gongora for Mayor 2013 (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) (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
02/02/2013 Kaine, Lawrence F. I Attorney CHE DEL $ 500.00
170 NE 29th Street
Miami, FL 33137-0000
1
02/22/2013 Kaine, Lawrence F. I Attorney CHE ADD $ 500.00
170 NE 29th Street
Miami, FL 33137-0000
1
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
r
(1) Name Michael Gongora for Mayor 2013 (2) I.D. Number 00000
(3) Cover Period 01/01/2013-03/31/2013 (4) Page 0 of 0
(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
Nothing to report on this form
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Michael Gongora for Mayor 2013 (2) I.D. Number 00000
(3) Cover Period 01/01/2013-03/31/2013 (4) Page 0 of 0
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Related
Number City,State,Zip Code contribution to a candidate) Expenditures Amendment Amount
Nothing to report on t is form
This form is based on DS-DE 14A(Rev.08/03)[Note about Committees has been removed.] Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Michael Gongora for Mayor 2013 (2) I.D. Number 00000
(3) Cover Period 01/01/2013-03/31/2013 (4) Page 0 of 0
(5) (7) (8) (9) (10) (11)
Date
Name of Financial
(6) Institution Transfer Nature of
Sequence Street Address 8
Number City,State,Zip Code Type Account Amendment Amount
Nothing to report on th s for
This form is based on DS-DE 94(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox