DS-DE 12 Rosen Gonzalez 2015-M05 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kristen Rosen Gonzalez OFFICE`l1SE ONLY
Name 2015 JUN ! 0 PM 2= 23
(2) 4618 Alton Road
Address (number and street)
CITY c'_i_I'ti4 J OFFICE
Miami Beach, FL 33140
City, State, Zip Code 1
❑ Check here if address has changed (3) ID Number: 1 V
(4) Check appropriate box(es):
® Candidate Office Sought:
❑ 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 5 / 1 / 15 To 5 31 15 Report Type: 70 L(-t1a
'fffOriginal ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary 7804 58
Cash & Checks $ , -) . 00 . Expenditures $ ,
Loans $ 25 200 00 Transfers to
Office Account $ •
Total Monetary $ , •
Total Monetary $ 7804 58
In-Kind $
0
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$
3n1576 0 0 $ ,7804. 58
(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) (Type name)
❑Individual(o ly f r IE Treasurer ❑Deputy Treasurer 'Candidate ❑Chairperson(only for PC and PTY)
or electionee co m.)
X X
Signature Signature
DS-DE 12(Rev. 11/13JU,,x,11 A, 1 0 2015 ., SEE REVERSE FOR INSTRUCTIONS
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1
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name (2) I.D. Number
5 1 2015 5 31 2015 1 4
(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
Chezzi, Giulio
05 01 2015 1791 NE Miami Gardens
/ / Dr.
1 Apt E402 I Jeweler CHE 250
Miami, FL 33179
Baby Dot Com, Inc.
05 03 ' 2015 515 NE 109th Street
/ / Miami, FL 33161
2 B CHE 15
Simin Curtis
05 03 2015 5 VonLent Place
/ / Pittsburgh, PA 15232
3 I Executive CHE 500
Greg Curtis
05 04 2015 5 VonLent Place
/ / Pittsburgh , PA 15232
4 I Finance CHE 500
Hernan Pisano
05 07 2015 265 3rd St. #2
/ / Jersey City, NJ 07302
5 I Tech CHE 100
Mile Tellez
05 09 2015 223 S. Grove Avenue
/ / Oak Park, IL 60302
6 I Real Estate CHE 100
Rajan Chopra
05 11 2015 6101 Aqua Avenue
/ / #301
7 Miami Beach, FL I Finance /'l,it 200
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Fc,za___ 3 e,r 7
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name 1 (2) I.D. Number
05/01/2015 05/31/2015 2 4
(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
Todd Sandova
05 12 2015 112050 SW 63rd Avenue --_-'•,
/ / Pinecrest, FL 33256
8 I Retail CHE 100
Zulie Delgado
05 13 2015 1865 Brickell Ave.
/ / #402
9 Miami, FL 33129 I Insurance CHE 50
Thomas Musca
05 20 2015 6365 Collins Ave. #908
/ / Miami Beach, FL 33141
10 I Professor CHE 100
Bar Brothers
05 15 2015 Purdy Lounge
/ / 1811 Purdy Avenue
11 MB, FL 33139 B Bar CHE 500
Aimee Kamat
05 15 2015 558 Hibiscus Lane
/ / Miami, FL 33137
12 I Doctor CHE 200
Claudia Jagid
05 15 2015 550 Bay Point Road
/ / Miami, FL 33137
13 I Management CHE 50
Marty Zaiac
05 17 2015 4308 Alton Road #750
/ / Miami Beach, FL 33140
14 I Doctor CHE 250
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Fee--(-1 of 7
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name (2) I.D. Number
05 01 2015 05 31 2015 3 4
(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
Dan Rivlin
05 19 2015 4308 Alton Road
/ / Ste. 510
15 Miami Beach, FL 33140 I Doctor CHE 500
Ricardo 011oqui
05 20 2015 1665 S. Miami Avenue
/ / Miami, FL 33129
16 I Telecom CHE 500
Tom Yazdgerdi
05 20 2015 Department of State
/ / Washington, DC 20520
17 I Diplomat CHE 500
RR Management
05 20 2015 17100 Collins Avenue
/ / Ste. 225
18 Sunny Isles, FL 33160 BUS Real Estate CHE 500
2241 Partners LLC
05 21 2015 5496 N Bay Road
/ / Miami Beach, FL
19 BUS Real Estate CHE 500
Kristen Rosen Gonzalez
05 15 2015 4618 Alton Road
/ / Miami Beach, FL 33140
20 LOA Real Estate CHE 200
Kristen Rosen Gonzalez
05 20 2015 4618 Alton Road
/ / Miami Beach, FL 33140
21 LOA Real Estate CHE 25000
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Pc--.4e_6-6,r 7
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name (2) I.D. Number
5 1 2015 5 31 2015 4 4
(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
Simring, Richard
5 30 2015 5400 LaGorce Drive
/ / MB, FL 33140
25 I Legal CHE 100
Courey, Trudy
5 30 2015 6470 Allison Island
/ / Rd.
Miami Beach, FL 33141 I Marketing CHE 100
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
60c7
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name Kristen Rosen Gonzalez (2)I.D. Number
05 01 015 5 31 015 1 1
(3)Cover Period /01 / /� (4)Page of
(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
DIAZ CONSULTING GROUP, INC. Consulting Services
05 /15 /2015 P.O. BOX 454351
MIAMI, FL 33245
MON 5000
1
Triumph Fundraising Consulting
05 15 2015 Miami Beach, FL 33140
MON 2000
2
DIAZ CONSULTING GROUP, INC. Consulting
05 15 2015 P.O. BOX 454351
MIAMI, FL 33245
MON 742.84
3
Merchant Card Fees
05 15 2015 Paypal Inc
PO Box 45950
Omaha NW 8145-0950 MON 61.74
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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