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DS-DE 12 G3-13 S. Kaplan Roberts FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ) 4 n Robe�A*_s OFFICE USE ONLY Name (2) X10 L i n c-ok,n Q6 Ske 4L 1= Address (number and street) NOV 1":_ 203 lU1 c4 yyn: e5e-0 c In o City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): " y y i aCandidate (office sought): C s r Y(50 F1'Political Committee ❑ CHECK IF PC HA 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 / _ / ®1,3 To l O / / Cj 13 Report Type G3 - ❑ Original [Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS.THIS REPORT (7) EXPENDITURES THIS REPORT . 0 Monetary Cash &Checks $ Expenditures $ ` ( 10 . 9- Loans $ o Transfers to Office 00 Account $ �-- Total Monetary d Total 00 Monetary $ In-Kind $ .�� (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ g01 gis. tp '-7� $ :30, 91.90w 99 (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) �ZAVI'�S -(Type name) �t f ❑Individual(only for Treas rer Deputy Treasurer 19candidate Chai erson(only for PC,PTY& electioneerin mmun.) electioneering commun.organization) •� ® (.CG Signature Signature FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) S1NerY QA k�Cjoer' S OFFICE USE ONLY Name C= (2) L101 \-i Inc okn (A She 0 Address (number and street) City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4). Check appropriate box(es): ..-1- 5(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 /5% / ��� To !C) / I 1 / Report Type Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 00 Monetary Cash & Checks $ 3(a,'Sc Expenditures $ I 1 1(3 $ Q. Loans $ Transfers to Office 00 Account $ Total Monetary $ ���5� Total �O Monetary In-Kind (8) Other Distribu-Lions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9 $ (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) (Type name) Individual(only for Q Treasurer ERDeputy Treasurer SCandidate ❑Chairperson(only for PC,PTY& electi ee ing commun.) electioneerin mmu n.or anization) X Signature Signature DS-DE 12(Rev.08/04) 1 u CAMPAIGN THE - URER°S REPORT - ITEMIZED 11ONTRIBUTIONS (1) Name Sherry Kaplan Roberts (2) I.D. Number 00000 (3)Cover Period 09/28/2013, —_ ©— rr — 3 (4) Page 1 of 2 (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 Amendmen Amount 10/04/2013 Breslin, Ray E. I Retired CHE $ 100.00 2395 Lake Pancoast Dr Apt 4 Miami Beach, FL 33140-0000 1 10/04/2013 Bims, Bradley I Dentist CHE $100.00 2657 NW 84th Way Cooper City, FL 33024-0000 2 10/04/2013 Durham, Gayle I �1es CHE $ 100.00 1455 West Ave Apt 804 Miami Beach, FL 33139-0000 3 10/04/2013 Burke, Michael I Retired CHE $50.00 329 Jefferson Ave Apt 7 Miami Beach, FL 33139-0000 4 10/04/2013 Brown,Joyce I Attorney CHE $500.00 3159 NW 59th St Boca Raton, FL 33496-0000 5 10/04/2013 Nakash,Ariel I Executive CHE $500.00 1400 Broadway 15th Floor New York„ NY 10018-0000 6 10/04/2013 Antar, Gabrielle I Romema CHE $500.00 515 Park Ave. ker New York, NY 10022-0000 7 10/04/2013 Nakash, Deborah I Homema CHE $500.00 1460 East 8th St ker Brooklyn, NY 11230-0000 8 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc. Camnaian(Toglgox I 1 _ CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name kan lRalok-YA-S (2) I.D. Number (3) Cover Period 09 13 through 10 / It / ►3 (4) Page <D_ of c� (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 / Lj 13 4V-4 AIo G � g N y N y IcxY45 N alp Gsh (�rl0'r;G- sty ;st C ,.Soo a,►{ E CaS�'�5 k L 10 N y N y 1cocas / 13 r'/Qe„nat 80 I�cch; Ch OCR 1 a co B'c ic'�e.`l M j 1 ,nn � I FL 33131 J0 / ,A / N1c+n cy Q V1 9 Z51ci nd 33 139 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASUF�R'S REPORT- ITEMIZED EXPENDITURES (1) Name Y y Raxo1Gn 1 c)�j e s (2) I.D. Number (3)Cover Period 9 3 through (4) Page of (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 10 Lc) "T Qk �d --*e a. Sh►r�s I�o� \�7. 4►as cxn Q 14 Good Mon 3." 10/11 13 b713 N L 3`d l�vc VL 0 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P �