DS-DE 12 G4-13 S.K. Roberts FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIO,NS
CAMPAIGN TREASURER'S REPORT SUMMARY
I tlSE`ONL 5
(1) Sherry Kaplan Roberts
Name
(2) 407 Lincoln Rd. Suite 2 E
Address(number and street)
Miami Beach,FL 33139
City, State,Zip Code NOV 4 2 013
❑ Check box if address has changed (3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate(office sought): Commissioner Groups
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 10/12/2013 To 10/31/2013 Report Type: G4 — 13
❑
X Original Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
00' Monetary
Cash&Checks ��"`- $6 0 Expenditures $37,674.67
Transfers to Office
Loans $0.00 Account $0.00
0 d.
Total Monetary ;iio.00 Total Monetary $37,674.67
In-Kind $0.00 (8)Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
.63 $67,965.65
lol-
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report an I certify that I have examined this report and it is
true,correct ��^-PL �� true,correct and complete
Sherry Roberts
Individual(only for Chairman(only for PC,PTY&
❑
electioneering reasurer, eputy Treasurer ❑ Candidate ❑
9 X el i /e/ering commun.organization)
commun.)
X � �
Signature Signature
This form is gassed on DS-DE 12(Rev.08/04) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name C4L" � oh .� (2) I.D. Number 0 o 6 0
(3) Cover Period through fa (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
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DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
FLORIDA DEPARTMENT OF STATE DIVISION OF ELI C iON t VF 0
CAMPAIGN TREASURER'S REPORT SUMMARY
ICS US N
(1) Sherry Kaplan Roberts
Name 0,1T LL t; \f`� (BFI"JCL
(2) 407 Lincoln Rd. Suite 2 E
Address(number and street)
Miami Beach,FL 33139
City,State,Zip Code a�W� �oi3
Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate(office sought): Commissioner Group. _ rte= C=
Political Committee ❑ -G `r 7
r_'$Check if PC has DISBANDED �
Committee of Continuous Existence � C5 �.
Party Executive Committee ❑ Check if CCE has DISBANDED ,_ 1
Electioneering Communication ❑ Check if no other electioneering communicatiorfjepofrss will bra filed
(5) REPORT IDENTIFIERS
Cover Period: From 10/12/2013 To 10/31/2013 Report Type: G4- I --
o0
❑X Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks $6,150.00 Expenditures $37,674.67
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $65,150.00 Total Monetary $37,674.67
In-Kind
$0.00 (8)Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$97,125.63 $67,965.65
(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 1 have examined this report and it is
true,correct and comul�lete true,correct and complete
r
She "Q P Shegy Roberts
❑ Individual(only for Chairman(only for PC,PTY&
electioneeri Treasurer Deputy Treasurer Can 1 electioneering commun.organization)
commun.
Signature Signs u-re
This form is based on DS-DE 12(Rev.08104) Adjutant Software,Inc.-Campaign ToolBox
1
CAMPAIGN TREASURER'S REPORT - ITEMIZED:CONTRIBUTIONS
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3)Cover Period 10/12/2013-10/31/2013 (4) Page 1 of 3
(5 (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (L. suffix,First,muddle) In-kind
Sequence Street Address 8 Contribution
Number City,state,Zip code Type Occupation Type Description Amendmeni Amount
10/15/2013 Floret,Christine I Re�)Ye� CHE $100.00
800 West Ave Apt 241
Miami Beach, FL 33139-0000
1
10/21/2013 Zehavahc and Associates_ B Property CHE $200.00
984 Apple Blossom Lane Manage
Milford,OH 45150-0000 ment
2
10/21/2013 Kipnis,Captain., Dan I Retired CHE $ 100.00
3156 Royal Palm Ave
Miami Beach, FL 33140-0000
3
10/21/2013 Escallon,Roberto I Retired CHE $ 100.00
1800 Purdy Ave Apt 2007
Miami Beach, FL 33139-1459
4
10/22/2013 Sunshine, Morris I RQ �teC1 CHE $ 100.00
2216 N First St
San Jose,CA 95131-0000
5
10/22/2013 Gindi,Jeffrey I Hotel CHE $500.00
2089 East 3rd St Manage
Brooklyn, NY 11223-0000 ment
6
10/22/2013 Gindi, Eli I Hotel CHE $500.00
15 West 34th St Floor 8 Manage
New York, NY 10001-0000 ment
7
10/24/2013 Altini Realty Group B Real CHE $500.00
760 Ocean Drive Estatel
Miami Beach, FL 33139-0000
8
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
w'
CAMPAIGN TREASURER'S REPORT - ITEMIZED. CONTRIBUTIONS
(1)Name Sherry Kaplan Roberts .(2) I.D. Number 00000
(3)Cover Period . 10/1212013-10/31/2013 (4) Page 2 of 3
(6) (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 Amendmeni Amount
10/24/2013 MB Natural Sports Medicine-Inc B Doctor CHE $150.00
7820 Noremc Ave
Miami Beach, FL 33141-0000
9
10/24/2013 Gumenick Management Co LLC' B Real CHE $300.00
PO Box 17038 Estatel
Richmond,VA 23226-0000
10
10/24/2013 Cohen, Elyahu I Hotel CHE $500.00
1400 Broadway 15th Floor Executive
New York, NY 10018-0000
11
10/30/2013 Von Storch, David I Business CHE $500.00
100 Lincoln Rd PH 3 Owner
Miami Beach, FL 33139-0000 Fitness
Clubs
12
10/30/2013 Gomez, Michael . I Attorneyyl CHE $400.00
920 Polk St ey-
Hollywood, FL 33019-0000
13
10/31/2013 Hoser,Albert I Retired CAS $50.00
100 Lincoln Rd Apt 948
Miami Beach, FL 33139-0000
14
10/31/2013 Hoser,Albert I Retired CHE $150.00
100 Lincoln Rd Apt 948 _
Miami Beach, FL 33139-0000
15
10/31/2013 Gindi, Sheri I Hommem CHE $500.00
2089 East 3rd St aker
New York, NY 11223-0000
16
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3) Cover Period 10/12/2013- 10/31/2013 (4) Page 3 of 3
(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
10/31/2013 Braha,Jaime I Homema CHE $500.00
263 Whalepond ker
Oakhurst, NJ 07755-0000
17
10/31/2013 Karlton, Frederic N. I Property CHE $500.00
2344 Bay Drive Manage
Miami Beach, FL 33140-0000 ment
18
10/31/2013 West Flagler Partners B Property CHE $500.00
1800 Sunset Harbour Drive Suite 2 Manage
Miami Beach, FL 33139-0000 ment
19
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3)Cover Period 10/12/2013-10/31/2013 (4) Page 1 of 4
(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 Amendmed Amount
10/13/2013 Publix Campaign Meet n MON $443.45
6876 Colllins Ave Greet
Miami Beach, FL 33139-0000
1
10/13/2013 Strategic Consultants Consulting and list MON $2850.00
7524 Adventure Ave
N Bay Village, FL 33141-0000
2
10/13/2013 Image Plus Printing and mailing MON $6974.40
1440 NE 131
Miami, FL 33161-0000
3
10/13/2013 Cakov Group Language Solutions Transilation MON $280.26
2600 South Douglas Road
Coral Gables,FL 33134-0000
4
10/13/2013 Campos,Gloria Event Coordination MON $150.00
3800 Collins Ave
Miami Beach, FL 33139-0000
5
10/13/2013 Almodovar, Melina Event MON $150.00
2775 NE 187th St#605
Aventura, FL 33180-0000
6
10/14/2013 Campos,Gloria Event Planning MON $150.00
3800 Collins Ave
Miami Beach, FL 33139-0000
7
10/15/2013 Strategic Consultants list MON $350.00
7524 Adventure Ave
N Bay Village, FL 33141-0000
8
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Ina-Campaign ToolBox
5 cy" ?
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3) Cover Period 10/12/2013- 10/31/2013 (4) Page 2 of 4
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,Firms,Middle) Purpose
Sequence Street Address& (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendmeni Amount
10/15/2013 Almodovar, Melina Event MON $ 150.00
2775 NE 187th St#605
Aventura, FL 33180-0000
9
10/16/2013 Publix supplies MON $90.80
6876 Colllins Ave
Miami Beach, FL 33139-0000
10
10/16/2013 Image Plus Mailer MON $4577.01
1440 NE 131
Miami, FL 33161-0000
11
10/16/2013 Image Plus Mailer MON $3242.38
1440 NE 131
Miami, FL 33161-0000
12
10/16/2013 Campos,Gloria Event Coordination MON $ 150.00
3800 Collins Ave
Miami Beach, FL 33139-0000
13
10/16/2013 Almodovar, Melina Event MON $150.00
2775 NE 187th St#605
Aventura, FL 33180-0000
14
10/17/2013 Paypal bank fee MON $12.00
2211 N. First Street,CA 95131-0000
15
10/1812013 Parker Consulting Group GOTV Callers MON $1800.00
4274 Cahaba Hts Ct
Vestavia,AL 35243-0000
16 ;
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This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox,
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3)Cover Period 10/12/2013-10/31/2013 (4) Page 3 of 4
(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 Amendmeni Amount
10/18/2013 Unicomm GOTV Phones MON $392.45
742 Alton Rd
Miami Beach, FL 33139-0000
17
10/18/2013 Miranda,Olga Campaign Work EV MON $550.00
5555 Collins Ave
Miami Beach,FL 33139-0000
18
10/22/2013 Pizza Dude Event MON $302.55
451 W 41 St
Miami Beach, FL 33140-0000
19
10/22/2013 Parker Consulting Group GOTV Calls MON $2600.00
4274 Cahaba Hts Ct
Vestavia,AL 35243-0000
20
10/22/2013 Image Plus mailers MON $4853.07
1440 NE 131
Miami, FL 33161-0000
21
10/23/2013 Almodovar, Melina Event MON $150.00
2775 NE 187th St#605
Aventura, FL 33180-0000
22
10/24/2013 Rivera, Edith EV Poll Work MON $480.00
1040 Collins
Miami Beach, FL 33140-0000
23
10/24/2013 Perez, Robert Campaign Work MON $320.00
234 E 13st
Hialeah, FL 33010-0000
24
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Sherry Kaplan Roberts (2) I.D. Number 00000
(3)Cover Period 10/12/2013- 10/31/2013 (4) Page 4 of 4
(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 Amendmeni Amount
10/25/2013 Ramirez,Jesus Campaign Work MON $70.00
7630 Dixon Ave Apt 3
Miami Beach, FL 33141-0000
25
10/25/2013 Sece, Mable Campaign Work MON $70.00
66078 NE 38th St
Miami, FL 33138-0000
26
10/25/2013 Batchelder,Matthew Campaign Work MON $60.00
10190 E Bay Harbor Rd 1 O
Miami, FL 33154-0000
27
10/25/2013 Navarro, Louis Campaign Work MON $ 156.00
100 Lincoln Rd
Miami Beach, FL 33139-0000
28
10/26/2013 Image Plus Mailers MON $4594.76
1440 NE 131
Miami,FL 33161-0000
29
10/28/2013 TODO En Uno Event MON $1202.83
6601 Flagler
Miami, FL 331440000
30
10/30/2013 Image Plus Printing MON $313.51
1440 NE 131
Miami, FL 33161-0000
31
10/30/2013 Pay Pal Fees MON $39.20
2216 N First St
San Jose,CA 95131-0000
32
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox