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DS-DE 12 Rosen Gonzalez 2015-M06 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Kristen Rosen Gonzalez OFFiCEiJSE¢ONLYr i'''',1 Name 2 i5 JUL 10 PM 3: 55 (2) 4618 Alton Road Address (number and street) Y L',L.Ei-a 'S OH iUr= Miami Beach, FL 33140 City, State, Zip Code . ❑Check here if address has changed (3) ID Number: IV (4) Check appropriate box(es): 0 Candidate Office Sought: MB Commission, 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 6 / 1 / 15 To 6 / 30 / 15 Report Type: 2015-Mo6 Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary 2895 . 90 Cash &Checks $ , 1550. .00 Expenditures $ , , Loans $ Transfers to Office Account $ , . Total Monetary $ , IV • 0 0 Total Monetary $ , , 2895. 90 In-Kind $ (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 32 , 315 . 00 $ , , 10699.. 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-th's report and it is true, correct, and complete: 1 i r t lei . • (Type name) ,.I 14 °so.) IoVIZCt. e-i-- (Type name) ',. kn -(e,rt OS,,� k--t4.,et.„ ❑Individual(o �� 1r- 19 Treasurer ❑Dep Treasurer 11 Candidat:, In ❑Chairpe on(only for PC and PTY) X + r X _ Signature Signature •� DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS I CYC 3 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Kristen Rosen Gonzalez (1) Name (2) I.D. Number __LA L. 6 1 2015 6 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& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount Justin Burkholder 6 3 2015 1501 71st Street / / Miami Beach, FL 33141 1 I Doctor CHE 100 Alton Road Animal 6 10 2015 Hospital / / 1828 Alton Road 2 Miami Beach, FL 33139 B Hospital CHE 100 222 Consulting Group 6 10 2015 3452 N. Miami Avenue / / Rear 3 Miami, FL 33127 B Consulting CHE 250 Eva Dalda 6 19 2015 63350 Allison Island / / Rd. 4 MB, FL 33141 I Housewife CHE 500 Jack Coden 6 20 2015 1800 NE 114th St. / / Miami, Fl 33181 5 I Realtor CHE 300 Jon Sleeper 6 20 2015 Miami Beach, FL 33139 / / 90i 1D 5 2_ 6 I Retired CHE 100 IIN\B, FL_ 33) .3c1 Mike Gauthier 6 20 20155a11CI ' ;.— / / J 7 I Consultant CHE 200 azI1 � DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 2 0-F3 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name Kristen Rosen Gonzalez (2)I.D.Numberiv (3)Cover Period 06 / 01 /2015 through 06 / 30 / 2015 (4)Page 1 of 1 (5) (7) (8) (9) (1 0) (1 1) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Street Address 8 contribution to a Expenditure Sequence City,State,Zip Code candidate) Type Amendment Amount Number Diaz Consulting Group print materials 6 /15 /15 2525 Ponce de Leon Boulevard Ste. 300 MON 395.90 Coral Gables, FL 33134 6 15 15 Diaz Consulting Group print materials / // 2525 Ponce de Leon Boulevard Ste. 300 MON 1500.00 Coral Gables, FL 33134 Margarita Armona newspaper ad 6 /29 /15 500 13st Apt. 5 Miami Beach, FL 33139 MON 500.00 Paypal fees 6 30 15 / / P0 11 S 1E 0 MON 6.40 / / / / / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES j-1-5