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DS-DE 12 Perez 2015-G1 CAMPAIGN TREASURER'S REPORT SUMMARY: l; "= ' "', (1) Elizabeth "Betsy" Perez oFFEletAtTogx Pill 3: if,O Name (2) 7605 Collins Ave Address (number and street) Miami Beach, FL 33141 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Commissioner - Group IV ❑ Political Committee(PC) El Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded El 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 09 / 01 / 20715 To 10 / 02 / 20715 Report Type: G1-2015 p.Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 1 ,900.00 Expenditures $ , 20,755.58 Loans $ , 0.00 Transfers to Office Account $ , , .0.00 Total Monetary $ , 1 ,900.00 Total Monetary $ 20,755.58 In-Kind $ (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 71,061;00 , $ 44,798;73 (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)Sanford B. Horwitz (Type name) Elizabeth "Betsy" Perez It ❑Individual(oily for IE i D Tre su r ❑D puty Treasurer 0 Candidate ❑Chairperson(only for PC and PTY) or electioneering corn X f / Signature Signet e DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS . 419'e 5 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name . (2) I.D. Number 09/01/2015 01/2015 10/02/2015 02/2015 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 Hill, Lee Retired 09/02/2015 9 Island Ave #2314 / / Miami Beach, FL 33139 1 I CHE 100.00 Buchanan, Robert Musician 09/04/2015 4042 Westland Ave / / Sherman Oaks, CA 91423 2 I CHE 100.00 Staff Art Publishing Publishing 09/05/2015 / 9840 SW 120th Street, Company Miami, FL 33176 3 B CHE 250.00 Kutun, Barry Realtor 9/18/2015 /015 5660 Collins Ave #6a Miami Beach, FL 33140 4 I CHE 100.00 Kadouri, Yehezkel Concert 09/18/2015 5860 Town Bay Dr Promoter / / Boca Raton, FL 33486 5 I CHE 100.00 Carricarte, Anne L. 09/18/2015 / / 445 Grand Bay Drive Apt 409 6 Key Biscayne, FL 33149 I CHE 50.00 Alvarez, Ana C. Singer 09/22/2015 / / 4400 Ridgefield Way Apt 301 7 Nashville, TN 37205 I CHE 200.00 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4;cae--- 2 oc *"..--- CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 09/01/2015 10/02/2015 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 Y Entertainment Group Entertain- 10/02/2015 LLC ment Agency / / _ 407 Lincoln Ln N 8 Miami Beach, FL 33139 B CHE 1,000.00 / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES rn''''. 1° e t' ' ,e-- 5- ......._.) CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number (3)Cover Period 09/01/015 / through to/o2/2o15 / (4) Page 1 of 2 (5) (7) (8) (9) (1 0) (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 Quinones, Monica Parking 09/01/201/ 1846 SW 177 Terr ,, / Miramar, FL 33029 RMB 15.00 1 09/01/2015 Quinones, Monica Administrative 1846 SW 177 Terr Services Miramar, FL 33029 MON 1,000.00 2 Perez, Elizabeth Yard Signs 09/02015 7605 Collins Ave Miami Beach, FL 33141 RMB 2,752.70 3 Perez, Elizabeth Letterhead and 09/02/2015 7605 Collins Ave Envelopes / / Miami Beach, FL 33141 RMB 587.09 4 USPS .. .. Postage 09/04/20151 1661 West Avenue !/ !/ Miami Beach, FL 33139 MON 1,323.00 5 Almodovar Music LLC Music for Event 09/09/2015 540 NW 166th Ave // Pembroke Pines, FL 33028 MON 500.00 6 City of Miami Beach Qualifying Fee 09/09/2015 1700 Convention Center Dr Miami Beach, FL 33139 MON 1,020.00 7 SunTrust Bank Bank Fees 09/10/2017 Nashville, TN PO Box I T 37230 MON 4.95 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (---pe._._'1.__Cr___ . (1 a C 5 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number (3)Cover Period 09/01/015 / through 10/o2/?o15 / (4) Page 2 of 2 (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 Quinones, Monica Administrative 09/18/201/ 1846 SW 177 Terr Services / Miramar, FL 33029 MON 1,000.00 9 09/22015, DRC Consulting Inc Direct Mail // 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 10,543.28 10 PayPal Merchant Card Fees 09/32015 PO Box 45950 Omaha, NE 68145-0950 MON 20.05 11 Quinones, Monica Administrative 10/02/2015 1846 SW 177 Terr Services / / Miramar, FL 33029 MON 1,000.00 12 Goldstein Schechter Koch Accounting Services 10/0J2o1y 2121 Ponce de Leon Blvd Ste 1100 // Coral Gables, FL 33134 MON 989.81 13 / / / / • / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Cp £ 5 1