DS-DE 12 Betsy Perez 2015-M04 CAMPAIGN TREASURER'S REPORT SUMMAFW '; : — i ' ° ,:---: n
(1) Elizabeth "Betsy" Perez oFFECIAtioKY Pil 3: 1 I
Name
(2) 7605 Collins Ave Li i ,,i,. i,.i.‘ '3 OH' ICE
Address (number and street) •
Miami Beach, FL 33141
City, State, Zip Code
0 Check here if address has changed (3) ID Number:
L .. .
(4) Check appropriate box(es):
SI Candidate Office Sought: Commissioner - Group IV --,, ...„.. ---.
____
D Political Committee(PC) ,
D Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded — '
,...„.
El Party Executive Committee (PTY) El Check here if PTY has disbanded (j- -0 -
[' Independent Expenditure (1E) (also covers an El Check here if no other IE or EC reports:-will b-e-filedi--,
individual making electioneering communications) -1-,----,,
(5) Report Identifiers
Cover Period: From 04 / 01 / 20/15 To 04 / 30 / 20/15 Report Type: M04-2015
51 Original 0 Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 1 ,525.00 Expenditures $ , 29.95
Loans $ , , 0.00 Transfers to
Office Account $ , , .0.00
Total Monetary $ , , 1 ,525.00
Total Monetary $ , 29.95
In-Kind $ , , 0.00
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 52,306;00 $ 220.61
, • 220.61,
(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
D Individual(only for 1 El Treasurer 0 Deputy Treasurer 0 Candidate 0 Chairperson(only for PC and PTY)
or electioneeri
Iltioi
rl go
1
— ■, _
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
04/01/2015 04/30/2015 1 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& Co ntributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
04/08/2015 Goldberg, Linda L
4430 Sabal Palm Rd
/ / Miami, FL 33132
1 I CHE 25.00
Harris, Mel
04/08/2015 / 10800 Biscayne Blvd
#750
2 Miami, FL 33161 I Insurance Ex CHE 1,000.00
Hertzberg, Robert D
04/09/2015 / 1620 Northview Drive
Miami Beach, FL 33140
3 I Lawyer CHE • 250.00
Goldberg & Hirsh, P.A.
04/09/2015 / 1 S.E. 3rd Ave
/
Suite 3020
4 Miami, FL 33131 B Law Firm CHE 100.00
04/21/2015 Martin, Nicole
/ / 1000 South Pointe Dr
Apt 2302
5 Miami Beach, FL 33139 I Retired CHE 100.00
Pekor, Barbara B
04/21/2015
/ / 9 Island Ave Apt T2
Miami Beach, FL 33139
6 I CHE 50.00,
/ / .
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ,
. c---- 4- e_ Z_ey ES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Elizabeth "Betsy" Perez Campaign (2)I.D. Number
(3)Cover Period 04/01/015 / through 04/30/, 015 (4)Page 1 of 1
(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
SunTrust Bank Bank Fees
3/04/.4015/ PO Box 305183
,, Nashville, TN 37230-5183
MON 29.95
1
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DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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