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DS-DE 12 Samuelian 2015-M07
CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mark Samuelian OFFICE USE ONLY Name = �T' (2) 10 Venetian.Way#1502 ' = -` Address (number and street) r- ) Miami Beach, FL 33139 _ _ • 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 VI ❑ 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 07 /01 /2015 To 07 /31 /2015 Report Type: 2015-M07 p Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , 1, 135 . 00 Expenditures $ , 8 ,651 . 37 Loans $ , 25 , 000 . 00 Transfers to Office Account $ Total Monetary $ , 26 , 135 . 00 Total Monetary $ , 8 651 . 37 In-Kind $ , , 299. 51 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 214 , 962 . 00 $ , 31 , 037 . 31 (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) Laura Dominguez (Type name) Mark Samuelian ❑Individual(only for IE ®Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) )L_2X69202 X ('-i-Mcfra Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 07 01 2015 07 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 Samuelian, Mark 07 01 2015 10 Venetian Way #1502 / / Miami Beach, FL 33139 I Priv Fin Inv INK stamps,coffe $38.99 1 Mena, Frank 07 01 2015 1621 Collins Avenue / / #907 Miami Beach, FL 33139 I Attorney CHE $25.00 2 Serfass, Amy 07 01 2015 5 Clover Lane , / Quakertown, PA 18951 I Per Trainer CHE $50.00 3 Doebler, David 07 / 03 /2015 33C Venetian Way Miami Beach, FL 33139 I Dir of Sales CHE $200.00 4 Samuelian, Mark 07 ! 04 /2015 10 Venetian Way #1502 Miami Beach, FL 33139 I Priv Fin Inv INK webmail $8.33 5 07 07 2015 Kipnis, Dan / 3156 Royal Palm Avenue Miami Beach, FL 33140 I Retired CHE $25.00 6 07 07 2015 Jaime's Rescue 13715 NW 2nd Avenue / Miami, FL 33168 B Pet Rescue CHE $50.00 7 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 2., - I � 1 CAMPAIGN EASURER'S REPORT—ITEMIZED #NTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 07 01 2015 07 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 Sunshine, Morris 07 08 2015 465 Ocean Drive #807 1 / Miami Beach, FL 33139 I Retired CHE $100.00 8 Frank, Herb 07 / 13 /2015 10 Venetian Way #2201 Miami Beach, FL 33139 I Retired CHE $250.00 9 Samuelian, Mark 07 / 17 /2015 10 Venetian Way #1502 Miami Beach, FL 33139 I Priv Fin Inv INK Brkfst Mtg $48.97 10 I Thaw, Nicholas 07 18 2015 20 Island Avenue #202 / / Miami Beach, FL 33139 I Arts Admin CHE $25.00 11 07 20 2015 Samuelian, Mark /10 Venetian Way #1502 / / Miami Beach, FL 33139 I Priv Fin Inv INK Lunch mtg $62.04 12 Samuelian, Mark 07 21 2015 / 10 Venetian Way #1502 Miami Beach, FL 33139 I Priv Fin Inv INK Postage $122.50 13 Samuelian, Mark 07 23 2015 / 10 Venetian Way #1502 Miami Beach, FL 33139 I Priv Fin Inv INK Coffee Mtg $18.68 14 DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3cc_ i CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 07 01 2015 07 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 Thaw, Nicholas 07 24 2015 20 Island Avenue #202 I / Miami Beach, FL 33139 I Arts Admin CHE $50.00 15 Liebman, Nancy 07 29 2015 9 Island Avenue / Miami Beach, FL 33139 I Retired CHE $100.00 16 Donnelly, James 07 30 2015 915 Jefferson Avenue / / Miami Beach, FL 33139 I Retired CHE $10.00 17 Frank, Barbara 07 / 30 ,2015 10 Venetian Way #2201 Miami Beach, FL 33139 I Retired CHE $50.00 18 Poswistilo, Margaret 07 30 2015 401 E 83 St 4B / / New York, NY 10028 v' I Bu s Advisor CHE $50.00 19 Sleeper, Jon 07 31 2015 901 10th St #2 / / Miami Beach, FL 33139 I Retired CHE $50.00 20 Dominguez, Laura 07 31 2015 / / 10 Venetian Way #1502 Miami Beach, FL 33139 I Sales Mgr CHE $100.00 21 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4 6-- 1 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 07 01 2015 07 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 Samuelian, Mark 07 31 2015 10 Venetian Way #1502 / / Miami Beach, FL 33139 I Priv Fin Inv LOA $25,000.00 22 / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 5-, If CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D. Number (3) Cover Period 07 / 01 /2015 through 07 / 31 / 2015 (4) Page 1 5 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 MDW Communications Digital 07/ 01015 601 NW 82 Avenue #432 Communications Plantation, FL 33324 MON $1,000.00 1 07 101015 Anedot credit card 5555 Hilton Avenue #106 processing fee Baton Rouge, LA 70808 MON $3.52 2 Anedot credit card 07/03 /015 5555 Hilton Avenue #106 processing fee Baton Rouge, LA 70808 MON $8.10 3 Blueprint Campaign manager & 07 03 2015 PO Box 310561 office supplies if / Miami, FL 33231 MON $1,568.42 I 4 Anedot credit card 07/04 /015 5555 Hilton Avenue #106 processing fee Baton Rouge, LA 70808 MON $1.27 5 Blueprint Campaign manager 0706 2 015 PO Box 310561 / Miami, FL 33231 MON $1,200.00 6 Anedot credit card 07/07 //015 5555 Hilton Avenue #106 processing fee Baton Rouge, LA 70808 MON $2.25 7 Physical Advertising name badges 07/08 /015 FL PO Box 370366 Miami, FL 33137 MON $35.31 8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Or- CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name.Mark Samuelan (2) I.D. Number (3)Cover Period 07 ,/ 01 /2O15 through 07' 31 / 2015 (4) Page ,2 of 5 (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 Fedex Office Event flyers • ,07./10 /2015 1617 Alton Road • / Miami Beach, FL 33.139 f ' _ . MON - $162:43 - • •Messer=Caparello, P .A 07 10 / 015 Campaign legal 2618 Centennial Place services •Tallahassee, FL 32308 MON $300.00 • 10 Blueprint '' research 07/10 015 PO Box 310561. '" • Miami, FL 33231 • MON $322:.00 11 Anedot credit card 07 13 2015 5555 Hilton Avenue #106 processing fee Baton Rouge., LP,.70808 • 12 MON $10.09 Puerto Sagua campaign meeting , • 07/15 /015 700 Collins Avenue / Miami Beach, FL 33139 • MON $60 55 13 Miami Beach Bar candidate forum on 07 16 2015 1620 Drexel Avenue 9/1 / / Miami Beach, FL 33139 MON $105.00 1.4 David's Cafe event catering 07/16 //015 919 Alton Road Miami Beach, FL .33139. ' MON. 805.90` Walgreen's. beverages, cups for 07/16 015 4049 Pine Tree Drive: ' • event Miami Beach;--FL":33140. - - • MON $37.80 _ 16 DS-DE 14(Rev 11/13) SEE REVERSE FOR-INSTRUCTIONS AND CODE VALUES • CAMPAIGN TREASURER'S REPORT!- ITEMIZED EXPENDITURES .: (1) Name Mark Samuelian : '. (2) I.D:'Number (3)Cover Period 07`_1 01 /2°.15 through h 07 1 31 :2015, , 3 . 5 O 9 _ (4) Page - of (5) (7) (8)° (9) (10) (11) Date 1. , . 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 - Fedex Office Event flyers 07/17 /2015 1617 Alton Road Miami Beach, FL•-33139 MON. ,, ,$104.27 [ 7 ! 17 • ` 07 -18• r 015 •Margarita.Armona Newspaper ads / 5.00 ,13 Street #5 -• ', . - Miami Beach, FL 3.313.91,‘','• _ MON. $.600;.00 18 .. ' . Publix • J Food & Beverage for• . • 07/20 p015 1920 West Avenue'; event_, • Miami Beach, FL 33139;' $53.59 Publix Event supplies., 07 23 2015 1100 6th Street' fi / / Miami Beach, FL 33139;,-1 ` t • MON: $64.01 - 20 ;• •,' Anedot _ . credit card 07/24 2015 5555 Hilton Avenue #106 _ processing-fee , , Baton Rouge,. LA 170808 MON $2:25 21 ,�"�•` Publix Food& Beverage for 07 24 2015 1920.-',West`Avenue^ - event �' Miami'Beach, FL 33139 '.•- x MON $117.68 22.._ Elections Department.. voter-data' - - = - 07/24 /015 2700 NW 87 Avenue / Miami, FL 33172 •\, MON $69.00 '1. 23 . Blocks Pizza ' Pizza after 07 25 O15 1447 Washington Avenue`.-. Samuelian Clean Up / Miami•Beach', FL 33139 on 5th and Ocean MON' $105.00 24 = :• ' • _ _ DS-DE 14(Rev..11/13) *SEE REVERSE FOR INSTRUCTIONS A ND CODE VA LUES I _ CAMPAIGN TREASURER'S.REPORT- ITEMIZED EXPENDITURES - (1) Name Mark :Samuelian (2) I.D Number , • 07 •. O1 2015• 07: 31- 2015 ' (3)Cover Period / / through. / / (4) Page 4 , of 5 (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 David's Cafe ,,-.. ' ' ', - -",'.- Coffee for voters -. 07j/25 /2015 919 Alton Road - Miami Beach, FL.33139 . - MON � , „ $15.36 • 25 , • , . , 07 27 015 MDW Communications Photo shoot & ' / 601 NW 82nd Avenue, .. Facebook ads Plantation; FL 33324 . MON $1,000 • 26 MDW Communications Ad designs 07 )7 20/5 601 NW 82nd Avenue #432 - , Plantation, FL 33324 .. MON $175.00 27 Publix - Food•& Beverage for ' 07 28 2015 1920 West Avenue event " / / Miami Beach; FL. 33139 MON $39.24 28 Pixabite Polo shirts • 0728/28 /2015 4262 SW 140th Street, Unit •120 ,,.. N . Miami, FL _33186:- MON $171.41-. 29 Anedot ' credit'Card 07 29 2015 5555 Hilton Avenue #1'06 processing fee _ - / 'I Baton'Rouge, LA•70$08 ; MON $4.20 ' 30 • Anedot credit card 07/30 //015 5555 Hilton Avenue' #106 processing fee Baton Rouge, LA-70808 MON .$5.19 31 Anedot credit card r " 07j/31 015 `- 5555:":Hilton Avenue #106 processing fee _ Baton'Rouge, LA 70808 MON. $2.25 , 32 ,' , - DS-DE 14(Rev 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . � f' Tc-', CAMPAIGN TREASURER'S REPORT.- ITEMIZED EXPENOITURES (1) Name"Mark 'Sa nuean • (2) I Dr Number • 07 O1' 2015 OZ, 31 2015,. 5 5 (3)Cover Period / /,0: through ?/ % (4) Page, ,.. ,. of (7) "(8) :(9). (10) (11) • Date � Full Name Purpose • (Last,Suffix;-First,Middle) ` (add office sought if • (s) Street Address& contribution to a Expenditure . ' Sequence C State Zi Code 'candidate TYPe Amendment Amount Number tY> P ) r� Pixabite campagn't-shirts 07/31 2015 4262 SW 140th Street, Unit 120 Miami, FL 3.3186`r , '• MON. ;$509.32 L} t r C •�, fir' 1* t f - - - • • . / / •,l - r �, - yr 1 ': `^ • • DS-DE 14(Rev 11/13) w; SEE REVERSE FOR INSTRUCTIONSsAND CODE VALUES! • - - • CAMPAIGN LOANS RE PORT ITEMIZED Page 1. of • (PLEASE TYPE) FULL NAME AND ADDRESS OF LENDER ; FULL NAME AND.ADDRESS.OF.LENDER: ,` Mark Samuelian. 10 Venetian.Way#1502 • : .Miami Beach, FL'33139 OCCUPATION: Private Financial Invst OCCUPATION • ,AMOUNT OF LOAN _ $25,000:00 AMOUNT OF LOAN: • • DATE RECEIVED 7/31/2015` DATE, :RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND'ADDRESS-OF LENDER: OCCUPATION OCCU PATION. AMOUNT OF LOAN: AMOUNT OF LOAN. •DATE RECEIVED. - DATE`RECEIVED: • - = FULL NAME AND ADDRESS OF LENDER ,FULL NAME AND ADDRESS?OF.LENDER:_ � ��• - -_ .. OCCUPATION:.„ 'OCCUPATION: A MOUNTOF LOAN:',.-' - : AMOUNT OF LOAN:: • :' DATE RECEIVED DATE RECEIVED; DS-DE.73A'(Rev.:08/03).` • • V •