DS-DE 12 2015-M02 SamuelianCAMPAIGN TREASURER'S REPORT (1) Mark Samuelian SUMMARY, r OFFIC43.1SUNILY, " "Ilr u AM 9: 1s t CITY Li. ' .1 Name (2) 10 Venetian Way #1502 Address (number and street) Miami Beach, FL 33139 City, State, Zip Code 0 Check here if address has changed (4) Check appropriate box(es): City (3) ID Number: Commissioner, Group VI 1 Candidate Office Sought: Miami Beach q Political Committee (PC) q Electioneering Communications Org. (ECO) q Check here if PC or ECO has disbanded El Party Executive Committee (PTY) q Check here if PTY has disbanded q Independent Expenditure (1E) (also covers an q Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 02 /25 /2015 To 02 28 /2015 Report Type: 2015- tio2, Election Report i Original q Amendment q Special (6) Contributions This Report Cash & Checks $ 495 .00 Monetary Expenditures Transfers Office Account Total Monetary (7) Expenditures This Report $ , ,139.30 Loans $ , 25,000.00 to $ . Total Monetary $ , 28,495.00 $ , 139.30 In-Kind $ , , • (8) Other $ Distributions , . (9) TOTAL Monetary Contributions To Date $ , 28 , 495 . 00 (10) TOTAL $ Monetary Expenditures To Date , , 139 . 30 (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, (Type name) Laura Dominguez to falsify a public record (ss. 839.13, F.S.) and complete: (Type name) Mark Samuelian 0 Individual (only for IE El Treasurer III Deputy Treasurer or electioneering comm,) X 0 Candidate 0 Chairperson (only for PC and PTY) X ti4_,. Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 02 25 2015 02 28 2015 1 2 (3) Cover Period through (4) Page of (5 ) Date (7 ) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Type Contributor (8) Occupation (9 ) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 02 / 25 2015 / Samuelian, Mark 10 Venetian Way #1502 Miami Beach, FL 33139 Pr i \Ict-le-PinatttiCt s Th48$kor LOA $25,000.00 1 Welty, Carl 02 25 2015 4825 Adams Road / / Dunwoody, GA 30338 I. Engineer CHE $10.00 2 Manda, Peter 02 26 2015 444 Washington Blvd / / #2528 Jersey City, NJ 07310 I Attorney CHE $50.00 3 Glatzer, Benjamin 02 26 2015 2930 Day Avenue #102 / / Coconut Grove, FL Execi.i live 33133 1 Recruiter CIO $100.00 4 Blumberg, David 02 26 2015 235 Ravenscliff Road / / Wayne, PA 19087 I Retired CBE $1,000.00 5 131,4Si AcQS Consul-WI Kester, Steven 02 26 2015 2892 Darlington Run / / Duluth, GA 30097 91011+COVe I Business CHE $1,000.00 6 ExeciAt -We Geiger, Christopher 02 26 2015 2995 Stanfield Avenue / / Orlando, FL 32814 I Engineer CBE $25.00 7 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Mark Samuelian (1) Name (2) I.D. Number DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS 02 25 (3) Cover Period 02 28 15 through (4) Page 2 of 2 (5 ) Date (7 ) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Type Contributor (8) Occupation (9 ) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 02 / 26 2015 / Sulyevich, Alexander 63 Schermerhorn Street Apt 5E Brooklyn, NY 11201 I Operational Riste.11-Or. CHE $50.00 8 02 / 27 2015 / Gazzoni, Judith 528 Meridian Avenue #502A Miami Beach, FL 33139 I Realtor CBE $10.00 9 02 / 27 2015 / Dominguez, Laura 10 Venetian Way #1502 Miami Beach, FL 33139 I Sales Mgr CHE $250.00 10 02 / 28 2015 / Kester, Kristine 2892 Darlington Run Duluth, GA 30097 I Triathlon Coach CHE $1,000.00 11 / / / / / / 15
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2) I.D. Number (3) Cover Period 02 / 25 / 2015 through 02 / 28 2015 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Expenditure (8) Purpose (add office sought if contribution to a candidate) (9) Type (10) Amendment (11) Amount (6) Sequence Number 02 /25 A015 Anedot 5555 Hilton Avenue Suite 106 Baton Rouge, LA 70808 Credit card processing fee MON $.69 02 /1 26/015 Anedot 5555 Hilton Avenue Suite 106 Baton Rouge, LA 70808 credit card processing fee MON $88.57 02 )7 /I 015 Anedot 5555 Hilton Avenue Suite 106 Baton Rouge, LA 70808 Credit card processing fee MON $10.74 02 28 2015 / / Anedot 5555 Hilton Avenue Suite 106 Baton Rouge, LA 70808 Credit card processing fee MON $39.30 / 1 1 / / / / / DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN LOANS (PLEASE REPORT ITEMIZED Page 1 of I TYPE) FULL NAME AND ADDRESS OF LENDER: Mar K Satvw el; an FULL NAME AND ADDRESS OF LENDER: ) o Ve he -ti cm loci :-Tr t5M. ri) i Com Bach FL 3313 0 i OCCUPATION: PriVCI4e li:invockil .Ii esVor OCCUPATION: AMOUNT OF LOAN: 4 R5 ) 000 , 0 0 AMOUNT OF LOAN: DATE RECEIVED: 2 . A 5 . ao I. DATE DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: 1' -.L- C.) .,_, 4 La_ FULL NAME AND ADDRESS OF LENDER: - -, i:7_, • ;,-) . i,... . r.z , >-- OtCUge‘TIQN: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: OCCUPATION: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: DS-DE 73A (Rev, 08/03)