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DS-DE 12 Samuelian 2015-M08
CAMPAIGN TREASURER'S REPORT SUMMARY (I) Mark Samuelian OFFICE USE ONLY Name (2) 10 Venetian Way#1502 r, Address (number and street) Beach, FL 33139 ,7 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): rEJ - SI Candidate Office Sought: Miami Beach City Commission, Group VI •• W ❑ Political Committee(PC) ; co ❑ 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 08 / 01 /2015 To 08 / 31 /2015 Report Type: 201 5-M08 12 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 4,605 . 00 Expenditures $ , 13,015 . 92 Loans $ , 50,000 . 00 Transfers to Office Account $ Total Monetary $ , 54, 605. 00 Total Monetary $ , 13, 015 . 92 In-Kind $ , 1, 640 . 29 (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 269 , 567 . 00 $ , 44, 053 . 23 (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 0 Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X -,0\-.-. Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS 1C&- CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number • 08 01 2015 08 31 2015 1 6 (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 08 01 2015 10 Venetian Way #1502 Miami Beach, FL 33139 I Private Fin INK coffee/pstry $6.74 1 LAVe6ior Thalheim, David 08 03 /2015 500 SE 5th Ave, Apt 801-S Boca Raton, FL 33492 I Bus Consult CHE $1,000.00 2 Oroza, Joseph 08 05 2015 4643 Prairie Avenue Miami Beach, FL 33140 I Retired CHE $50.00 3 Schmidt, Steven 08 05 /2015 1000 Michigan Avenue Miami Beach, FL 33139 I Hair Stylist CHE $50.00 4 Samuelian, Mark 08 08 2015 10 Venetian Way #1502 Miami Beach, FL 33139 I Private Fin INK Coff w/voter $8.55 5 IAV eNtor Lawrence, Dee 08 14 2015 / 16850 N Bay Road #1409 Sunny Isles Beach, FL 33160 I Retired CHE $50.00 6 Oconnor, Michael 08 15 2015 207 Pierce St, Unit 206 Houston, TX.77002 I Mgt Consult CHE $250.00 7 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 2.(0- CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian .(1) Name (2) I.D. Number 08 01 2015 08 31 2015 2 6 (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 Ploehn, Robert 08 16 2015 1450 Lincoln Road #805 I / Miami Beach, FL 33139 I Retired CHE $100.00 8 Liebman, Jill 08 18 2015 1800 Sunset Harbor Dr / / Miami Beach, FL 33139 I Physician CHE $100.00 9 Burstein, Harvey 08 25 2015 1775 Washington Avenue , / PH2 Miami Beach, FL 33139 I Retired CHE $100.00 10 Breslin, Ray 08 25 2015 255 W 24 St Box CU6 / / Miami Beach, FL 33140 I Prop Manager CHE $100.00 11 Ruiz, Henry 08 25 /2015 818 Michigan Avenue Miami Beach, FL 33139 I Hotel Mgr CHE $50.00 12 Heid, Christopher 08 25 2015 818 Michigan Avenue / / Miami Beach, FL 33139 I City Planner CHE $50.00 13 08 25 2015 Hoffman, Daniel 201 S. Biscayne Blvd / / Miami Beach, FL 33131 I Attorney CHE $100.00 14 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3 cip i 9 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 08 01 2015 08 31 2015 3 6 (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 Wright, Kathleen 08 25 2015 1300 Lincoln Road #204 / / Miami Beach, FL 33139 I Jewelry Sls CHE $50.00 15 Smarsh, Kathaleen 08 25 2015 1045 10th Street #201 / / Miami Beach, FL 33139 I Real Estate CHE $40.00 16 Acocella, Lucille 08 25 2015 1228 West Avenue #1415 / / Miami Beach, FL 33139 I Retired CHE $20.00 17 Probus, Carla 08 / 25 ,2015 2017 N Bay Road Miami Beach, FL 33140 I Retired CHE $1,000.00 18 08 26 2015 Bonessi, Brad / / 7330 Ocean Terrace Miami Beach, FL 33141 I Vis. Design CHE $100.00 19 Chouela, Alejo 08 26 2015 5875 Collins Avenue / / Miami Beach, FL 33140 I Economist CHE $250.00 20 Donnelly, James 08 29 2015 915 Jefferson Avenue / / Miami Beach, FL 33139 I Retired CHE $10.00 21 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 2-4 ce 19 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 08 01 2015 08 31 2015 4 6 (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 Walker, Waverly 08 29 2015 1300 Lincoln Road / / Miami Beach, FL 33139 I IT Consult CHE $10.00 22 Winitzky, Carlos 08 29 2015 2464 Prairie Avenue / / Miami Beach, FL 33140 I Graph. Des. CHE $100.00 23 Paul, Tracie 08 29 2015 7330 Ocean Terrace / / Miami Beach, FL 33141 I Ins Sales CHE $100.00 24 DiMatteo, Daniel 08 30 2015 940 W 48th Street / / Miami Beach, FL 33140 I Attorney CHE $50.00 25 1 Kilrain, Susan 08 / 31 /2015 1800 Purdy Ave Miami Beach, FL 33139 I Retired CHE $50.00 26 08 31 2015 Wohl, Mark 1688 West Avenue Miami Beach, Fl 33139 I Internet Sls CHE $25.00 27 l 08 31 2015 Weeks, Terry 1674 Bay Road #502 / / Miami Beach, FL 33139 I IT Consult CHE $25.00 28 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 5 ( ,- 11 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 08 01 2015 08 31 2015 5 6 (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 Turken, Dana 08 31 2015 108 4th Dilido Terrace / / Miami Beach, FL 33139 I Retired CHE $100.00 29 Carson, Sam 08 31 2015 1350 Lenox Avenue / / Miami Beach, FL 33139 I Retired CHE $500.00 30 Samuelian, Mark 08 31 2015 10 Venetian Way #1502 / / Miami Beach, FL 33139 I Private Fin LOA $50,000.00 31 1nJesfor Finglass, Jack 08 , 31 /2015 6001 N Bay Road Miami Beach, FL 33140 I Retired CHE $100.00 32 Lanzarotta, Jeff 08 / 31 /2015 4653 N Bay Road Miami Beach, FL 33140 I Hotel Sls CHE $50.00 33 Mouzon, Wanda 08 31 2015 744 10th Street #111 / / Miami Beach, FL 33139 I Designer CHE $25.00 34 Samuelian, Mark 08 31 2015 / 10 Venetian Way #1502 Miami Beach, FL 33139 I Private Fin INK Clean up fee $125.00 ,4. 3 5 A 4 P 0-o; DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (coc- 4 CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS Mark Samuelian (1) Name (2) I.D. Number 08 01 2015 08 31 2015 6 6 (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 08 31 2015 10 Venetian Way #1502 / / Miami Beach, FL 33139 o Ic,;ce I Private Fin INK campaign use $1,500.00 36 / / / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES —7 or (9 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 / 01 /2015 through 08 /31 / 2015 (4)Page of 6 (5) (7) (8) (9) (1 0) (11) Date Full Name Purpose (s) (Last,Suffix,First,Middle) (add office sought if Expenditure Sequence Street Address& contribution to a P Number City,State,Zip Code candidate) Type Amendment Amount MDW Communications Monthly digital 08 /01 /2015 601 NW 82nd Avenue #432 Plantation, FL 33324 MON $1,000.00 1 08 / 03/015 Anedot CC Processing Fee 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $39.30 2 Anedot CC Processing Fee 08 105 /015 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $2.25 3 Publix Food and Beverage 08 05/201° 1100 6th Street for event / © Miami Beach, FL 33139 MON $53.17 4 Anedot CC Processing Fee 08 /05 /015 5555 Hilton Ave #106 Baton Rouge, LA 70808 MON $2.25 5 MDW Communications Web and Facebook 08 /06 2015 601 NW 82ND Avenue #432 Ads Plantation, FL 33324 MON $1,250.00 6 Blueprint Consulting Campaign 08 07 201E PO Box 310561 Administrative Work / / ® Miami, FL 33231 MON $2,834.70 7 USPS Postage 1661 West Avenue 08 )/07 /201_c Miami Beach, FL ® 33139 MON $56.05 8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c5r ( 4 CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 /01 /2015 through 08 /31 /2015 (4)Page 2 of 6 (5) (7) (8) (5) (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 Whole Foods Food and Beverage 08 /08 /2015 1020 Alton Road for clean-up ® Miami Beach, FL 33139 MON $82.15 9 n08 /09/015 lgreene Office Supplies 4 Jefferson Avenue Miami Beach, FL MON $18.67 33139 $ 10 Blueprint Consulting Office Supplies 08 /109/015 PO Box 310561 Miami Beach, FL 33231 MON $126.98 11 USPS Postage 08 1�2015 1661 West Avenue / Miami Beach, FL 33139 MON $215.60 12 Physical Advertising Campaign Signs 08 10 201' PO Box 370366 it if i Miami, FL 33165 MON $2,024.04 13 Publix Food and beverage 08 /10 2 015 11495 Bird Road for events on 8/11 Miami, FL 33165 and 8/13 MON $130.38 14 Publix Supplies for events 08 12 201-° 1920 West Avenue / / © Miami Beach, FL 33139 MON $80.74 15 USPS Postage 1661 West Avenue 08 /13 /201E Miami Beach, FL 33139 MON $49.00 /16 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CI Cie ► Lt CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 /01 /2015 through 08 /31 / 2015 (4)Page 3 of 6 (5) (7) (8) (9) (10) (11) t ) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address 8 contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Blueprint Consulting Voter outreach, 08 /14 /2015 PO Box 310561 entry, campaign Miami, FL 33231 work MON $632.38 �7 08 /14 /015 Physical Advertising Balance for signs PO Box 370366 Miami, FL 33137 MON $300.00 19 Messer Caparello, P.A. Election Consulting 08 /14 /015 2618 Centennial Place Tallahassee, FL 32308 MON $705.00 lq Blueprint Consulting Office Supplies 08 1 4 201 ° p0 Box 310561 / © Miami, FL 33231 MON $70.06 10' Anedot CC Processing Fee 08 /15 /015 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $10.05 21 Anedot CC Processing Fee 08 18 2 015 5555 Hilton Avenue #106 / Baton Rougue, LA 70808 MON $4.20 2L Publix Food and beverage 08 /18 /015 1045 Dade Boulevard for voter event Miami Beach, FL 33139 MON $80.88 2,3 Publix Food for voters 08 /19 X2015 1045 Dade Boulevard / Miami Beach, FL 33139 MON $18.01 Ly DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �-i' 1 9 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 /01 /2015 through o8 /31 / 2015 (4)Page 4 of 6 (5) (7) (8) (9) (10) (1 1) Date Full Name Purpose (s) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Publix Postage; Food for 08 /20 /2015 1920 West Avenue voter event Miami Beach, FL 33139 MON $85.92 as 08 21 1 015 David's Bakery Cake for event / f 7423 Collin's e Avenue Miami Beach, FL 33141 MON $60.00 2(0 Publix Postage 08 /22 p015 1920 West Avenue Miami Beach, FL 33139 MON $39.20 21 Office Depot Office Supllies 08 24 2015 1771 West Avenue / // Miami Beach, FL 33139 MON $367.58 2e Publix Food and Beverage 08 /25 /201! 1045 Dade Boulevard for voter event ® Miami Beach, FL 33139 MON $184.44 Anedot CC Processing Fee 08 /25/015 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $39.30 Anedot CC Processing Fee 08 /26 1015 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $10.05 A1 1 Publix Food and beverage a 1045 Dade Boulevard for voter events 08 /271n 20 Miami Beach, FL 33139 ii MON $415.21 3,4 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES t k eA, t 9 CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 /01 12015 through 08 /31 /2015 (4)Page 5 of 6 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (8) (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 Catering for voter 08 /29)6015 919 Alton Road event Miami Beach, FL 33139 MON $389.95 33 08 /29 015 Blueprint Consulting Campaign PO Box 310561 Administrative Miami, FL 33231 Supplies MON $424.79 34 Publix Supplies for voter 08 /20 /015 1045 Dade Boulevard event Miami Beach, FL 33139 MON $131.30 35 Anedot CC Processing Fee 08 2�2015 5555 Hilton Avenue #106 / Baton Rouge, LA 70808 MON $0.69 3b Anedot CC Processing Fee 08 /29/015 5555 Hilton Avenue #106 • Baton Rouge, LA 70808 MON $0.69 31 Anedot CC Processing Fee 08 29 2 2015 5555 Hilton Avenue #106 / Baton Rouge, LA 70808 MON $4.20 3g Anedot CC Processing Fee 08 29 201E 5555 Hilton Avenue #106 / / Baton Rouge, LA 70808 MON $4.20 3 Anedot CC Processing Fee 08 /30 p�015 5555 Hilton Avenue #106 / Baton Rouge, LA 70808 MON $2.25 • DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 12-- e fi N • CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name Mark Samuelian (2)I.D.Number (3)Cover Period 08 / 01 12015 through 08 131 / 2015 (4)Page 6 of 6 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Expenditure Sequence Street Address& contribution to a p� Number City,State,Zip Code candidate) Type Amendment Amount Anedot CC Processing Fee 08 /31 Pais 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $2.25 08 31 2015 Anedot CC Processing Fee / / ® 5555 Hilton Avenue #106 Baton Rouge, LA 70808 MON $1.27 4L Anedot CC Processing Fee 08 /31)7015 5555 Hilton Avenue #106 Baton Rogue, LA 70808 MON $4.20 y3 Anedot CC Processing Fee 08 31�201! 5555 Hilton Avenue #106 / ® Baton Rogue, LA 70808 MON $19.80 lfy Anedot CC Processing Fee 08 /31 /015 5555 Hilton Avenue #106 Baton Rogue, LA 70808 MON $2.25 't5 Anedot CC Processing Fee 08 / 31 2015 5555 Hilton Avenue #106 Baton Rogue, LA 70808 MON $ 5 ItL MDW Communications Digital Advertising 08 /10)7015 601 NW 82ND Avenue #432 Plantation, FL 33324 MON $900.00 H7 I Love Pizza Pizza for clean up 08 /25 X2015 7105 Collins Avenue / Miami Beach, FL 33141 MON $137.98 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 13 I �� CAMPAIGN LOANS REPORT ITEMIZED Page 1 of 1 (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: $50,000.00 AMOUNT OF LOAN: DATE RECEIVED: 8/31/2015 DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: OCCUPATION: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: OCCUPATION: OCCUPATION: AMOUNT OF LOAN: AMOUNT OF LOAN: DATE RECEIVED: DATE RECEIVED: DS-DE 73A(Rev.08/03) /z-f too- (�