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DS-DE 12 G2-13 Citizens for Miami Beachs Future FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Citizens for Miami Beachs Future OFFICE USE ONLY c cam) Name t ,� (2) 3.920 Meridian Avenue Address (number and street) �.y Miami Beach, Florida 33139 - � t 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 o7 l of I 13 To 9 1 30 I 13 Report Type Q3 © Original ❑Amendment E] Special Election Report Q Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 500 . 00 Expenditures $ 40 . 00 Loans $ Transfers to Office Account $ Total Monetary $ 500 . 00 Total Monetary $ 40 .00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 500 . 00 $ 40 . 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. I correct, and complete. (Type name) Adam Cedrat i (Type name) ❑Individual(only for [Z]Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC,PTY a electioneering com n.) electioneering commun.organization) X X S i g naZr e Signature DS-DE 12(Rev.08104) CAMPAIGN TREASURER'S REPORT-- ITEMIZED EXPENDITURES (1) Name Citizens for Miami Beachs .Future (2)I.D. Number (3) Cover Period ' I 01 / 13 through 9 30 / 13 (4) Page 1 of 1 (6) (7) (8) (9) (1 0) (11) Date Full Name Purpose (8) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Board of County registered MON $40.00 09 13 13 Commissioners voters with 2700 NW 87th Avenue history 1 Miami, Florida 33172 DS-DE 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4