Loading...
Form DS-DE 12 Campaign Treasurer's Report Summary CAMPAIGN TREASURER'S REPORT SUMMARY, (1) Citizens for Miami Beach's Future 2014 Dos FIDE USE 1):"H Name (2) 1920 Meridian Avenue 3rd Floor CITY LL.c-1;i; OFFICE Address (number and street) Miami Beach Florida 33139 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought: 0 Political Committee(PC) ❑ Electioneering Communications Org. (ECO) SI Check here if PC or ECO has disbanded ❑ Party Executive Committee(PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 12 / 01 / 14 To 12 I . 0 S / 14 Report Type:2c'i - H12, ■'41 Original ❑Amendment ❑ Special Election Report (6) Co 'butions This Report (7) Expenditures This Report Monetary Expenditures $ 460 . 00 Cash & Checks , Loans $ • Transfers to Office Account $ • Total Monetary $ • _ Total Monetary $ In-Kind $ • (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 500 00 $ 500 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, correct, and complete: (Type name) 6.1$T A� L AAo l /10 4 (Type name) /76,4 e£ )4 A P'/Gr 3 L�v ❑ Individual(only for IE ❑Treasurer Deputy Treasurer ❑Candi.: - !:I .-irperson(only for PC and PTY) or electioneering comm.) j;fr-..attingrA111111■,. X .14f074 Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Citizens for Miami Beach' s Future (2) I.D. Number (3) Cover Period 12 / 01 / 14 through 12 / 08 / 14 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number City, State,Zip Code Type Occupation Type Description Amendment Amount / / / / / / / / ,/ / / / DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Citizens for Miami Beach's Future (2) I.D. Number (3) Cover Period 12©/ 01 / 14 through 12 / 0$ / 14 (4) Page 1 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 Related Number City,State,Zip Code candidate) Expenditures Amendment Amount City National Bank Bank Charge MON $80.00 PO Box 025620 12 / 01 /14 Miami, Fl. 33102 Miami Beach Chamber Refund Loan REF $380.00 of Commerce 12 / 07 /14 / / / / / / / / / / / / DS-DE 14A(Rev.12/07) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES