DS-DE 12 Cynamon 2015 - M05 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jeff Cynamon for Miami Beach Commission OiF-16 •6 Sio.IVL.Y
Name 2615 ,113,' -9 PH 1: i 7
(2) 300 Seventy-First Street, Suite 300
Address (number and street)
CITY OFF ICE
Miami Beach, Florida 33141
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
D Candidate Office Sought: Miami Beach Commission Group 6
❑ 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 05 / 01 / 2015 To 05 / 31 / 2015 Report Type: 2015-M05
12 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 2,350 . 00 Expenditures $ , , 877 . 26
Loans $ , , 0 . 00 Transfers to
Office Account $ , , 0 . 00
Total Monetary $ , 2 ,350 . 00
Total Monetary $ , , 877 . 26
In-Kind $ , 0 . 00
(8) Other Distributions
$ , 0 . 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 6 , 300 . 00 $ , , 923 . 69
(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)Jeff Cynamon (Type name)Jeff Cynamon
❑Individual(only for IE D Treasurer ❑Deputy Treasurer o - ndidate ❑Chairperson(only for PC and P
or electioneering comm.)
X X
Sig•ature Sign ure
DS-DE 12(R- . 11/13) SEE REVERSE FOR INSTRUCTIONS
PC1&. OCS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Jeff Cynamon for Miami Beach Commission
(1) Name (2) I.D. Number
05 01 2015 05 31 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& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
Jason Alderman, P.A.
05 15 2015 9999 N.E. 2nd Avenue
/ / Suite 211
001 Miami Shores, FL 33138 g Law Firm Check 1000.00
Vicente Roger, M.D.,
05 15 2015 P.A.
/ / 1069 Kane Concourse
002 Bay Harbor Island, FL g Pediatrician Check 1000.00
33154
Annette Canon
05 15 2015 103 - 7th Terrace
/ / Miami Beach, FL 33139
003 I Attorney Check 50.00
Legacy Acquisitions 1,
05 15 2015 LLC
/ / 18701 S.E. Federal
004 Highway, B Marina Check 100.00
Jupiter, FL 33469
Chepenik and Trushin,
05 15 2015 LLP,
/ / 12550 Biscayne Blvd.,
005 Suite 904 B Law Firm Check 200.00
Miami, FL 33181
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
cu e. 2 0 5
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Jeff Cynamon for Miami Beach Commission (2) I.D. Number
(3) Cover Period 05 / 01 / 2015 through 05 / 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
Miami Beach Chamber of Commerce Gala
05 if 01/2015 1920 Meridian Avenue
Miami Beach, Florida 33139
Mon 325.00
001
Discovercard Letterhead and
05 13 2015
/ / for Union Printering, Inc. envelopes
2321 Pembroke Road
Hollywood, FL 33020 Mon 552.26
002
552.26 /
/ /
/ /
/ /
/ /
/ /
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
y m(2,3 i 5
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
Jeff Cynamon for Miami Beach Commission
(1) Name (2) I.D. Number
(3) Cover Period 05 / 01 /2015 through 05 31 /2015 (4) Page 1 of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Sequence Street Address& contribution to a Related Distribution
Number City,State,Zip Code candidate) Expenditures Amendment Amount Type
Nothing to Report on
this Form.
/
I I
I I
/ /
I I
DS-DE 14A(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1
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CAMPAIGN TREASURER'S REPORT— FUND TRANSFERS
(1) Name Jeff Cynamon for Miami Beach Commission (2) I.D. Number
(3) Cover Period 05 X01 ?015 through 05 X31 ?i015 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Name of Financial
(6) Institution
Sequence Street Address& Transfer Nature of
Number City,State,Zip Code Type Account Amendment Amount
Nothing to Report on this Form.
/
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1
1
I I
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7
DS-DE 13A(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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