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DS-DE 12 Miami Beach Advisory Council M2 Amended . . CAMPAIGN TREASURER'S REPORT SUMMARYP - • , .,. 1 (1) Miami Beach Advisory Council 2015 tlf°719E Y-0 Pl•ft,5" r,,,,:l Name _._ . (2) 2618 Centennial Place ti:: L.,i : , ,--• - - Address (number and street) --,-, ..- -,. k..0 f Tallahassee, FL 32308 ,..,.-•. ____1 , i City, State, Zip,Code ,—• ..,,,,,,...• , 0 Check here if address has changed (3) ID Number: ilt-' '• :::i (---) (..ii (4) Check appropriate box(es): r,- CD 0 Candidate Office Sought: El Political Committee(PC) CI Electioneering Communications Org. (ECO) Eil Check here if PC or ECO has disbanded 111 Party Executive Committee (PTY) El Check here if PTY has disbanded El Independent Expenditure(1E) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 02 / 01 / 15 To 02 / 28 / 15 Report Type: M02 0 Original 4 Amendment Ell Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 2 , 250 . 00 Expenditures $ , 1, 000. 00 Loans $ ' ' • Transfers to Office Account $ ' ' Total Monetary $ , 2 , 250 . 00 Total Monetary $ , 1 000 . 00 In-Kind ' $ , , , • (--) f-.) (=, __— (8) Other Distributions 2 (---) :-&--, - --- = $ 17 7 7 7-' ---- (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expendittiires To Date $ 6 , 000 , 00 $ 2 , 500 c:::, 00-'1- --17 , , --.--, •• :---3 (--.) -- (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 nam,-) Mat \-lerron (Type name) 0 Individu. (only foiIE 0 Treasurer 0 Deputy Treasurer 0 Candidate 0 Chairperson(only for PC and PTY) or election;.-ring corrm.) „ Signature Signature DS-DE 12(Re .11113 . SEE REVERSE FOR INSTRUCTIONS • CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Miami Beach Advisory Council (1) Name (2) D.D. Number • 02 01 15 02 28 15 1 (3) Cover Period / / through / / (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 02 02 15 Alexander I. Tachmes 5660 Collins Ave., #11C I Attorney Check $250.00 1 Miami Beach, FL 33140 West Flagler Assoc. 02 / 02 / 15 LTD P.O. Box 350940 Miami, FL 33135 B Gaming Check $1,000.00 2 Weiss Serot Helfman 02 / 23 /15 Cole Bierman & Popok, P.L. 2525 Ponce de Leon B Law Firm Check $1,000.00 3 Blvd. Ste 700 Coral Gables, FL 33134 • . • / / ,_a S _ lip 6a DS-DE 13(Rev.11/13) "SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Miami Beach Advisory Council (2) I.D. Number (3)Cover Period : 02 / O1 / 15 through 02 / 28 / 15 (4) Page 1 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 Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Triumph Fundraising Fundraising 02/04 /15 1619 Lenox Ave #8 Miami Beach, FL 33139 MON $1,000.00 1 • / • / '-f..E / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES