DS-DE 12 Betsy Perez 2015-M05 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Elizabeth "Betsy" Perez OFFICE USE ONLY
Name
(2) 7605 Collins Ave
Address (number and street) �� `x
r-:• 71
Miami Beach, FL 33141 -if —
City, State, Zip Code �_, cn ,-:71
[1] Check here if address has changed (3) ID Number: r °7 9,,
(4) Check appropriate box(es): -7- r•
SI 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
El 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 / 20115 To 05 / 31 / 20115 Report Type: M05-2015
NI Original ['Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 1,855.00 Expenditures $ , , 4.95
Loans $ , _ 0.00 Transfers to
Office Account $ , , .0.00
Total Monetary $ , , 1 ,855.00
Total Monetary $ 4.95
In-Kind $ , , 0.00
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 54,161;00 , $ 225.56, , •
(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(only for IE 0 Treasurer ❑Deputy Treasurer E3 Candidate ❑ r airperson(only for PC and PTY)
or electioneeri comm.)
/ 1 r'
,4-. '''i' x / Ay• .., 61D—?)(
Signature ' Si atu
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
S)(11 . \ 0C- r)
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
° 05/01/2015 05/31/2015 1 3
(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
05/05/2015 Charity Bids LLC
210 W 90th St, Apt 12B
/ / New York, NY 10024
1 B Social Media CHE 500.00
II
Archilla, Rogelio
05/18/2015 / 500 Bishop St Ste A-5
Atlanta, GA 30318
2 I Attorney CHE 300.00
Grondin, Marjolaine
05/18/2015 107 Bal Cross Dr
/ / Bal Harbour, FL 33154
3 I Retired CHE 25.00
Fox-Johnson, Jane
05/18/2015 / 2753 Unicorn Ln NW
Washington, DC 20015
4 I Retired CHE 25.00
Bajandas,Teresa
5/18/2015
669 NE 60th St
/ /
Miami, FL 33137
5 I Interior Dec CHE 30.00
Cerpa, Lydia
5/18/2015
PO Box 415634
/ /
Miami Beach, FL 33141
6 I Retired CHE 100.00
Shapiro, Stanley
5/27/2015
/ / 516 15th St Apt 103
Miami Beach, FL 33139
7 I Retired CHE 25.00
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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I
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
05/01/2015 05/31/2015 2 3
(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
Capote, Carlos
05/27/2015 109 E Rivo Alto Dr
/ / Miami Beach, FL 33139
8 I Retired CHE 250.00
Bobet, Luz
05/27/2015 / 218 NW 12th Ave
Apt 509
9 Miami, FL 33128 I Housewife CHE 500.00
Szkolnik, Jaime
05/27/2015 218 NW 12th Ave
Apt 509
10 Miami, FL 33128 I Retired CHE 500.00
I
Weyers, Marisela
05/28/2015 5959 Collins Ave
/ / Apt 1103
11 Miami Beach, FL 33140 I Housewife CHE 100.00
05/29/2015 Depasquale, Stephen
400 Alton Rd #1608
/
Miami Beach, FL 33139
12 I Fin. Const. CHE 500.00
05/19/2015 R.D and B Properties
1228 Alton Road
Miami Beach, FL 33139
13 B RE Devel. CHE -300.00
05/19/2015 Dyal Corp
4409 Alton Rd
Miami Beach, FL 33140
14 B Prop. Mgmt CHE -400.00
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Ot V, 30-(5
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
05/01/2015 05/31/2015 3 3
(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
05/19/2015 ASR Berwick Family LTD
Partnership
/ / 1228 Alton Road
15 Miami Beach, FL 33139 g RE Devel. CHE -300.00
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
u0e1-k 05
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number
(3)Cover Period 05/01/015 / through 05/311/2015 / (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
SunTrust Bank Bank Fees
05/1/201/ PO Box 305183
/ Nashville, TN 37230-5183
MON 4.95
1
/
/ /
/
/ /
/
/ /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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