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DS-DE 12 Mosley 2015-G1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Isaiah Mosley OFFICE USE ONLY Name FT? F. r; v n (2) 1038 11 Street#18 2015 Address (number and street) OCT -9 HI 3: 48 Miami Beach, FL, 33139 CITY CU' 'S OFF icE City, State, Zip Code El Check here if address has changed (3) ID Number: (4) Check appropriate box(es): t2 Candidate Office Sought: Miami Beach City Commissioner, Group 4 El Political Committee(PC) El Electioneering Communications Org. (ECO) I=1 Check here if PC or ECO has disbanded El Party Executive Committee(PTY) 1:] Check here if PTY has disbanded 1=1 Independent.Expenditure(1E)(also covers an CI Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 09 01 / 15 To 10 02 / 15 Report Type: 2015-G1 13 Original El Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks 0 .00 Expenditures $ 1 , 020 . 00 Loans Transfers to Office Account $ Total Monetary $ , 0 .00 Total Monetary $ 1 , 020 . 00 In-Kind (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date , 1 , 751 00 1 , 404 52 (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) Isaiah Mosley (Type name) Isaiah Mosley 0 Individual(only for IE 0 Treasurer MI Deputy Treasurer CI Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) / . e -ture •- 're DS-DE 12(Rev. 11/13) REVERSE,QF R INS CTIONS 1 a CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Isaiah Mosley (1) Name (2) I.D. Number 09 01 15 10 02 15 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 N/A / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1=4 .e.___ E__ 0c3 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Isaiah Mosley (2) I.D. Number (3)Cover Period 09 / 01 / 15 through 10 / 02 / 15 (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 Expenditure Sequence Street Address& contribution to a p Number City,State,Zip Code candidate) Type Amendment Amount 09j/11 /2015 City of Miami Beach Application Fee 1700 Convention Center Drive, CAN 1,020.00 Miami Beach, FL 33139 1 / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3 or