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DS-DE 12 Elizabeth "Betsy" Perez 2015-M03 CAMPAIGN TREASURER'S REPORT SUMMARY, : (1) Elizabeth "Betsy" Perez ff1F5IcArlY9 °W Name (2) 7605 Collins Ave CITY CLL_;iii`S OFFICE A ddress (number and street) Miami Beach, FL 33141 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4)C heck appropriate box(es): 0 Candidate Office Sought: Commissioner - Group IV ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ 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 03 / 01 / 20715 To 03 / 31 / 20715 Report Type: M03-2015 Si Original ❑ Amendment ❑ Special Election Report (6)C ontributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 2,631 .00 Expenditures $ , , 190.66 Loans $ , ,2,000.00 Transfers to Office Account $ , , .0.00 Total Monetary $ , 34,63.1 .00 Total Monetary $ , 190.66 In-Kind $ , 0.00 (8) Other Distributions $ . (9)TOT AL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 50,781;00 $ 190.66, , (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) Sanford B. Horwitz (Type name) Elizabeth "Betsy" Perez ❑ Individual(oily for IE 0 reashrer ❑ •eputy Treasurer 0 Candidate ❑Chairpers.• only for PC and PTY) or electioneers g corrf ./ � 4 , __ ,T • ,-- X f"„/ X d, I p . Signature Sig-ure DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AIL / . i r CAMPAIGN LOANS REPORT ITEMIZED 1 Page of 1 (PLEASE TYPE) FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: Elizabeth "Betsy" Perez Bullseye Productions Inc 7605 Collins Ave 7605 Collins Ave Miami Beach, FL 33141 Miami Beach, FL 33141 OCCUPATION: Candidate OCCUPATION: Production AMOUNT OF LOAN: $1,000.00 AMOUNT OF LOAN: $1,000.00 DATE RECEIVED: 3/31/2015 DATE RECEIVED: 3/31/2015 FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: L 7 n] ^Yry OCCUPATION: OCCUPATION: o AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: �= 01 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) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 03/01/2015 03/31/2015 1 8 (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 Perez, Jennifer 3/03/2015 330 74th St / / Miami Beach, FL 33191 1 I Editor MO 1,000.00 Lombardi, David 3/03/2015 /015 167 NW 25th Street Miami, FL 33191 2 I Realtor CHE 250.00 Shane, Lloyd 3/3/2015 18555 NE 14th Ave / / Apt 506 3 Miami, FL 33179 I Ret.Investor CHE 100.00 Sampson, Margaret 3/3/2015 /15 817 Hoffman Ter Easton, PA 18042 4 I Teacher CHE 25.00 3/3/2015 Sampson, James / / 817 Hoffman Ter Easton, PA 18042 5 I Banker CHE 25.00 3/3/2015 Berger, Jacqueline 5225 Fisher Island Dr / Fisher Island, FL 6 33109 I Song Writer CHE 300.00 Chabot, Christopher 3/3/2015 / / 1900 N Bayshore Dr Suite 1002 7 Miami, FL 33132 I Investor Ct1E 200.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pail / CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 03/01/2015 03/31/2015 2 8 (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 Slotnik, Sandra 3/9/2015 7932 Fisher Island Dr / / Fisher Island, FL 8 33109 I Housewife CHE 30.00 Gonzalez, Elsa 3/9/2015 ,15 2501 SW 4th St Miami, FL 33135 9 I Office Clerk CHE 50.00 Gonzalez, Elsa 3/9/2015 2501 SW 4th St / / Miami, FL 33135 10 I Office Clerk CHE 50.00 Berman, Melinda 3/9/2015 / 1500 Ocean Dr Apt 901 Miami Beach, FL 33139 11 I Housewife CHE 100.00 3/9/2015 Nation, Noel H. / / 240 W San Marino Dr Miami Beach, FL 33139 12 I Ret. Atty CHE 100.00 Steinberg, Tamara 3/9/2015 111 Willits Street / #410 13 Birmingham, MI 48009 I Stock Broker CHE 150.00 Iglesias, Julio 3/9/2015 901 Surfside BLvd / / Surfside, FL 33154 14 I Entertainer CHE 1,000.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4 vtfivil CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 03/01/2015 03/31/2015 3 8 (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 3/11/2015 Zeilic, Mauricio 10000 W Bay Harbor DR / / Apt 204 15 Bay Harbor Island, FL I Ret.Entertai CHE 1,000.00 33154 Sheer, David 3/11/2015 /015 43 Garden Rd Scarsdale, NY 10583 16 I Stock Broker CHE 1,000.00 Sheer, Holly 03/11/2015 43 Garden Rd / / Scarsdale, NY 10583 17 I Housewife CHE 1,000.00 Rodgers, Thomas 3/16/2015 /015 10 Lacorce Circle Miami Beach, FL 33141 18 I Investor CHE 1,000.00 Hirsch, Dolores 3/16/2015 1365 Biscayne Point Rd / / Miami Beach, FL 33141 19 I Accountant CHE 100.00 3/16/2015 Katz, Joany 6039 Collins Ave Apt 312 20 Miami Beach, FL 33140 I Housewife CHE 100.00 Bossert, Nick 3/16/2015 4802 Peninsula Garden / / Way 21 Humble, TX 77396 I Office Clerk CHE 50.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P5f /I CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth " Betsy" Perez Campaign (1) Name (2) I.D. Number 03/01/2015 03/31/2015 4 8 (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 3/16/2015 Orosz, Kathryn 5025 Collins Avenue, / / Miami Beach, FL 33140 22 I Housewife CHE 300.00 Vassilev, Romy 3/16/2015 /015 511 W 25th St #508 New York, NY 10001 23 I Student CHE 950.00 DTR Art Holdings, LLC 3/16/2015 511 W 25th St #508 / / New York, NY 10001 24 B Art Broker CHE 950.00 Bacharach, Burt F. 3/17/2015 /015 10960 Wilshire Blvd 5th Floor 25 Los Angeles, CA 90024 I Music CHE 1,000.00 3/20/2015 Litvin, Rita / / 4779 Collins Ave Apt 3101 26 Miami Beach, FL 33140 I Housewife CHE 100.00 Cruise Control II 3/20/2015 / / Holding LLC 1425 North View Dr 27 Miami Beach, FL 33140 g Holding Co. CHE 1,000.00 Levine, Philip 3/20/2015 1425 N View Dr / / Miami Beach, FL 33140 28 I Media/Mktg CHE 1,000.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4 4l/ CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name _ (2) ID. Number 03/01/2015 03/31/2015 5 8 (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 Royal Media Partners 3/20/2015 900 Alton Rd / / Miami Beach, FL 33139 29 B Media/Mktg CHE 1,000.00 Media Holdings 3/20/2015 /015 960 Alton Rd Miami Beach, FL 33139 30 B R.E. Invest. CHE 1,000.00 Baron Corporation 3/20/2015 1425 North Vew Dr / Miami Beach, FL 33140 31 B Mgmt Co CHE 1,000.00 7th Street Partners 3/20/2015/015 LLC 30 5th Street 32 Miami Beach, FL 33139 B R.E. Invest. CHE 1,000.00 3/20/2015 Lindsay Holdings LLC / / 230 5th Street Miami Beach, FL 33139 33 B R.E. Invest. CHE 1,000.00 Ocean Washington 3/20/2015 Associates LTD / 230 5th Street 34 Miami Beach, FL 33139 B Real Estate CHE 1,000.00 Espanola Way 3/20/2015 Associates LTD / / 230 5th Street 35 Miami Beach, FL 33139 g Real Estate CHE 1,000.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES a1t 1 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez (1) Name (2) I.D. Number 03/01/2015 03/31/2015 6 8 (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 3/20/2015 8th Street Washington Partners / / 230 5th Street 36 Miami Beach, FL 33139 B R.E. Invest. CHE 1,000.00 Scott Robins Companies 3/20/2015/015 Inc 230 5th Street 37 Miami Beach, FL 33139 g Land Devel. CHE 1,000.00 421 Washington Avenue 3/20/2015 Associates LTD / / 230 5th Street 38 Miami Beach, FL 33139 B Business Svc CHE 1,000.00 Purdy Partners 1929, 3/20/2015/015 LLC 230 5th Street 39 Miami Beach, FL 33139 B R.E. Invest. CHE 1,000.00 3/20/2015 Bay Road Outparcel / / Partners, LLC 230 5th Street 40 Miami Beach, FL 33139 g R.E. Invest. CHE 1,000.00 Bay Road Partners LLC 3/20/2015 230 5th Street / / Miami Beach, FL 33139 41 B R.E. Invest. CHE 1,000.00 Bay Road Partners 1930 3/20/2015 LLC / / 230 5th Street 42 Miami Beach, FL 33139 g R.E. Invest. CHE 1,000.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4 s vKii CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 03/01/2015 03/31/2015 7 8 (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 3/20/2015 Purdy Partners 1787 LLC / / 230 5th Street 43 Miami Beach, FL 33139 B R.E. Invest. CHE 1,000.00 Purdy Partners 1919 3/20/2015/015 LLC 230 5th Street 44 Miami Beach, FL 33139 g R.E. Invest. CHE 1,000.00 Angel, Adolfo 3/30/2015 6301 Collins Ave / / Apt 3101 45 Miami, FL 33141 B Artist CHE 1,000.00 Paul, Deanna 3/30/2015 /015 1800 W 25th St Miami Beach, FL 33140 46 I Attorney CHE 500.00 3/30/2015 Giovanni, Mona / / 36 Evans Dr Brookville, NY 11545 47 I Housewife CHE 500.00 Pinon, Joseph 3/30/2015 555 NE 15th Street / / Miami, FL 33132 48 I Designer CHE 1.00 3/30/2015 Lee, Heather 6633 Roxbury Lane Miami Beach, FL 33141 49 I Housewife CHE 250.00 I DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ill 1 (4' CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez (1) Name (2) I.D. Number 03/01/2015 03/31/2015 8 8 (3) Cover Period / / through / / (4) Page of 1 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 3/30/2015 O'Donnell, Debra 640 Wheeler Hill Road / / Wrappingers Falls, NY 50 12590 I Housewife CHE 100.00 Kelsey, Dominique 3/30/2015 /015 1481 Stillwater Drive Miami Beach, FL 33141 51 I Housewife CHE 100.00 Braufman, Jill 3/30/2015 4 East 66 Street / / New York, NY 10065 52 I Fashion CHE 250.00 Le Liberte Inc 3/31/2015 / PO Box 18844 San Juan, PR 00908 53 B Jeweler CHE 1,000.00 3/31/2015 Perez, Elizabeth Betsy / / 7605 Collins Ave Miami Beach, Fl 33141 54 S Candidate LOA 1,000.00 Bullseye Productions 3/31/2015 Inc / / 7605 Collins Ave 55 Miami Beach, FL 33141 B Production LOA 1,000.00 / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4/0 df (l CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Elizabeth "Betsey" Perez Campaign (2) I.D. Number (3)Cover Period 03/O1/p15 / through 03/31/!2015 / (4) Page 1 of 1 (5) (7) (8) (9) (1 0) (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 Checks 3/04//015/ Deluxe / 3680 Victoria St N Saint Paul, MN 55126-2966 MON 167.83 03/3//2015 PayPal Inc Merchant Card Fees PO Box 45950 Omaha, NE 68145-0950 MON 22.83 / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Q,�( / C�