DS-DE 12 Rosen Gonzalez 2015-M07 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Kristen Rosen Gonzalez OFFICE USE ONLY
Name -ii cr' -
(2) 4618 Alton Road x LL,
Address(number and street)
Miami Beach, FL 33140 - �'
City, State, Zip Code ;_,-) 7:-.,--
--,:,- ..
❑Check here if address has changed (3) ID Number: - ® -
(4) Check appropriate box(es): - 7-� --. co
GI Candidate Office Sought: COi,,,,,,,,,■ss 10 nes- Gro� ..=--l5Z
❑ 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 J-011
Cover Period: From 7 / 1 / IS- To '1 / I / I S— Report Type: A40-7
riginal ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary - ,,;•,
Cash &Checks $ , ,2525. 00 Expenditures $ , , _ _ _ .
4140 c, -27y .
Loans $ Transfers to
Office Account $ , ,
Total Monetary $ , ,2525 00 ._.
Total Monetary $ , '
In-Kind $ Ll Lior
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , ,34840 . 00 $ , . 8
(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) In ,J:1y. o ` AJkL. (Type name Gam& c vi- 1 1 1 v
❑Individual(. .4 E :. reasurer ❑ Deputy Treasurer P'andid. : I ❑Chairperson(only for PC and PTY)
or electioneeri 1 1 .)
1 / r
X A / / X
Signature r Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
4- l rr- ‘
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name (2) I.D. Number
7 1 2015 7 31 2015 1 2
(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
Marie Svoboda
7 10 2015 2831 Arthur Street
/ / Hollywood, FL 33021
1 I Retired CHE 500
Cesar Sandoval
7 15 2015 13800 SW 102nd Avenue
/ /
Miami, FL 33176
2 I Retired CHE 500
Mike Gauthier
7 10 2015 73 Rutland #5
/ / Boston, MA 02118
3 I Consultant CHE 100
Dr. Carol Hoffman
7 / 10 /2015 4740 Alton Road
Miami BEach, FL 33140
4 I Retired CHE 50
Roger Baumann
7 10 2015 5025 North Bay Road
/ / Miami Beach, FL 33140
5 I Business CHE 250
Anick Vorbe
7 16 2015 305 W Dilido Drive
/ / Miami Beach, FL 33139
6 I Realtor CHE 250
7 25 2015 Sidney Goldin
5415 Collins Avenue
/ / #PHA
7 Miami Beach, FL 33140 I Retired CHE 100
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
PA-51 a4--.44
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Kristen Rosen Gonzalez
(1) Name (2) I.D. Number
7 1 2015 7 31 2015 2 2
(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
Holly Wallack Siegel
7 28 2015 333 W Rivo Alto Drive
/ / Miami Beach, FL 33139
8 I Medical CHE 75
Emilio Gonzalez
7 / 28 /2015 9300 Bay Harbor
Terrace
9 Bay Harbor, FL 33154 I Restauranteu CHE 500
CI
R.A. Hansford & Co.
7 30 2015 Inc
/ / 5632 LaGorce Drive
10 Miami Beach, FL 33140 BUS Finance CHE 100
R.H. Hansford & Co.
7 30 2015 (Sheila Jaffe)
/ / 5632 LaGorce Drive
11 Miami Beach, FL 33140 BUS Finance CHE 100
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name Kristen Rosen Gonzalez (2)I.D.Number
(3)Cover Period 7 / 1 /2015 through 7 / 31 / 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
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
Diaz Consulting Group print materials
7 /7 )65 2525 Ponce de Leon Boulevard
Coral Gables, FL 33134
3650.00
1
7 20 15 Diaz Consulting Group print materials
/ /
2525 Ponce de Leon Boulevard
Coral Gables, FL 33134
742.84
2
Paypal fees
7 20 /15 P.O.Box 45950
/
Omaha, N @8145-0950
12.50
3
/ 1
/ /
/ /
/ /
/ /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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