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DS-DE 12 Levine 2015-G1 CAMPAIGN TREASURER'S REPORT SUMMARY P n A¢Z Gam.., I 0 Iry:. fyn. (1) Philip Levine For Mayor OFFICE USE ONLY Name 2015 OCT -9 11: OO (2) 1425 N. View Drive CITY 11 ., OFF Ir�l L� C L� 11 4 E Address (number and street) Miami Beach, FL 33140 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 0 Candidate Office Sought: Mayor of Miami Beach ❑ 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 El 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 09/01/2015/ To 10/02/2015/ Report Type: G1-2015 SI Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 500.00 Expenditures $ , 41 ,131 .65 Loans $ , 350,000.00 Transfers to Office Account $ , , .0.00 Total Monetary $ , , 350,5.00.00 Total:Monetary $ , 341 ,131 .65 In-Kind $ 2Q0.00 (8) Other Distributions $ . , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 600,500.00 , $ 341,131.65 , (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) Philip Levine ❑Individual only f• IE Treasu ❑Deputy Treasurer D Candidate Chair : �on 1: ,i mod PTY) orelectionee • c• ;m.) X ,�_ \ X Signature \ Signature ir' DS-DE 12(Rev.11/13), S•, ; ERSE FOR INSTRUCTIONS ( cc /6 CAMPAIGN LOANS REPORT ITEMIZED Page 1 of 1 (PLEASE TYPE) FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER: Philip Levine Philip Levine for Mayor 1425 North View Drive 1425 North View Drive Miami Beach, FL 33140 Miami Beach, FL 33140 OCCUPATION: Media Co. - Owner OCCUPATION: Media Co. - Owner AMOUNT OF LOAN: $150,000.00 AMOUNT OF LOAN: $200,000.00 DATE RECEIVED: 9/28/2015 DATE RECEIVED: 10/2/2015 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) CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Philip Levine For Mayor (1) Name (2) I.D. Number 09/01/2015 10/02/2015 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 Colin, Lawrence 09/14/2015 2570 Flamingo Dr / / Miami Beach, FL 33140 1 I CHE 100.00 Roth & Scholl 09/25/2015 / 866 South Dixie Hwy Coral Gables, FL 33146 2 B CHE 100.00 Levine, Philip Media Co. - 09/28/2015 1425 N. View Drive Owner Miami Beach, FL 33140 3 S LOA 150,000.00 Jill Hertzberg P.A. 09/28/2015 1620 Northview Drive / / Miami Beach, FL 33140 4 B CHE 100.00 Hertzberg, Robert D. 09/28/2015 1620 Northview Drive / / Miami Beach, FL 33140 5 I CHE 100.00 Williams, Judy 09/28/2015 152 Morningside Drive / / Coral Gables, FL 33133 6 I CHE 100.00 10/02/2015 Levine, Philip Media Co. - 1425 N. View Drive Owner / / Miami Beach, FL 33140 7 S LOA 200,000.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES .---- .....ze_..._ 3 of 16 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Philip Levine For Mayor (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 Hernandez, Kiley entertainer 10/02/2015 500 NW 36 Street / / Apt 302 9 Miami, FL 33127 I INK entertainmen 200.00 / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES q 'Cie- te" CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2)I.D. Number (3)Cover Period 09/01/2015 / through 10/02//2015 / (4) Page 1 of 12 (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 BB&T Bank Fees 09/03/201/201 2000 Ponce de Leon Blvd !! / Coral Gables, FL 33134 MON 30.00 1 09/10/2015 Metro PCS Telephones // 742 Alton Road Miami Beach, FL 33139 MON 477.01 2 City of Miami Beach Qualifying Fee 09/09/2015 1700 Convention Center Dr / / Miami Beach, FL 33139 MON 1,360.00 3 Life in Colors printing 09/14/2015 2050 Coral Way, Suite 602 / / Coral Gables, FL 33145 MON 266.80 4 Milekic, Djordje Ishere Marketing 9/15)015/ 1200 West Ave, #503 Consultant / Miami Beach, FL 33139 MON 1,250.00 5 Hernandez, Leonor Campaign Consultant 9/15/2015/ 9128 SW 227th Lane Cutler Bay, FL 33190 MON 2,250.00 6 Ferrer, Erika Administrative 9/15)/015/ 1627 Brickell Avenue Apt 703 Services Miami, FL 33129 MON 1,750.00 7 Bonvoix, Inc. Campaign 9/15/x015/ 15610 Bull Run Rd, #512 Coordinator / Miami Lakes, FL 33014 MON 600.00 8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES —5—CX (6 ■ CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period 09/01/015 / through 1o/02/1,2015 / (4) Page 2 of 12 (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 Am endment Amount t Sam Ash Music audio equipment for 09/15/201 / 5360 NW 167 Street events �� // Miami Lakes, FL 33014 MON 549.13 9 09/15/2015 Costco event supplies 14585 Biscayne Blvd North Miami Beach, FL 33181 • MON 61.18 10 Office Depot Office Supplies 09/16/2015 1771 West Avenue Miami Beach, FL 33139 MON 255.15 11 Office Depot Office Supplies 09/16/2015 1771 West Avenue / / Miami Beach, FL 33139 MON 74.77 12 Michaels Decoration for 09/17/201 800 Bent Branch Dr Event Irving, TX 75063 MON 23.46 13 Manolo Restaurant Food for Event 09/17/2015 7330 Collins Avenue Miami Beach, FL 33141 MON 859.83 14 USPS Postage 9/17/2015/ 1661 West Avenue Miami Beach, FL 33139 MON 637.00 15 Life in Colors Printing 09/1y201)/ 2050 Coral Way Suite 602 Coral Gables, FL 33145 MON 173.88 16 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c"."4:--- -7 6' 0-C V, 4<=nr--- I CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2)I.D. Number (3)Cover Period o9/01/pls / through 10/02//2015 / (4) Page 3 of 12 (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 Levine, Philip reimb of consultant 09/17/201/ 1425 N. View Drive pmt for Sept �/ Miami Beach, FL 33140 services (Edge RMB 2,500.00 Communications) 17 09/18/2015//, Deluxe checks/endorsement 3680 Victoria Street North stamp Shoreview, MN 55126-2966 MON 264.24 18 Almodovar Musica LLC Advertising 09/21/201/ 540 NW 166th Avenue Pembroke Pines, FL 33028 MON 2,000.00 19 Office Depot Office Supplies 09/21/2015 1771 West Avenue / / Miami Beach, FL 33139 MON 69.07 20 Levine, Philip var.reimb. expenses 09/2//201 1425 N. View Drive (letterhead, Miami Beach, FL 33140 envelopes, RMB 2,141.00 supplies) 21 Baron Corp reimb. mailchimp 09/2//2015 1425 N View Dr Miami Beach, FL 33140 RMB 125.00 22 Gateways Unlimited, Inc. promotional items 09/2//2015 9990 SW 77th Ave., PH-11 (T-shirts/stickers) Miami, FL 33156 MON 2,737.83 23 The Victory Group media production 9/21/x015/ 1220 Hillshire Rd. / Baltimore, MD 21222 MON 9,000.00 24 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (---- ,e___. '---(o-C) /6 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period o9/ol/cols / through to/o2//zols / (4) Page 4 of 12 (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 Sunset Harbor Garage Parking 09/21/201 1900 Bay Road /� Miami Beach, FL 33139 MON 4.00 25 09/21/,2015, Office Depot Office Supplies // // 1906 Ponce de Leon Blvd Coral Gables, FL 33134 MON 170.10 26 Publix Postage 09/21/2015 134 SW 13 Street // Miami, FL 33130 MON 490.00 27 Publix Postage 09/21/2015 134 SW 13 Street / / Miami, FL 33130 MON 490.00 28 Costco Event Supplies 09/21/,201 14585 Biscayne Blvd //// North Miami Beach, FL 33181 MON 120.99 29 Dollar Tree Stores Inc Event Supplies 09/22/2015 9360 Miller Road // Miami, FL 33165 MON 80.25 30 USPS Postage 09/22/2015 1661 West Avenue Miami Beach, FL 33139 MON 735.00 31 Levine, Philip Reimb. for facebook 09/2y207 1425 N. View Drive ads Miami Beach, FL 33140 RBM 2,252.32 32 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c"--P ? 0 C v 16 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2)I.D. Number (3)Cover Period 09/01/015 / through l0/02//2015 / (4) Page 5 of 12 (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 Publix Event Supplies 09/23/201/ 1100 6th Steet �/ Miami Beach, FL 33139 MON 127.40 33 09/23/2015 Amazon.com Event Supplies 1200 12th Ave. South, Ste. 1200 Seattle, WA 98144 MON 281.60 34 Mentzer Media Services, Inc. Media (cable/tv) 09/24/2015 600 Fairmount Ave, Suite 306 / Towson, MD 21286 MON 100,000.00 35 The Continuum refundable security 09/24/2015 100 South Pointe Dr. deposit for event / / Miami Beach, FL 33139 location MON 2,500.00 36 Publix Postage 09/2/201 134 SW 13 Street Miami, FL 33130 MON 1,225.00 37 Costco Event Supplies 09/24/2015 14585 Biscayne Blvd . / / North Miami Beach, FL 33181 MON 89.97 38 Publix Event Supplies 09/25/2015 134 SW 13 Street Miami, FL 33130 MON 31.94 39 Facebook.com Advertising 09/22015, 1601 Willow Road !/ Menelo Park, CA 94025 MON 750.20 40 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES , c':74G'�:::;';e_. (:7 Cro-C 14; CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period 09/olq015 / through 10/02/015 / (4) Page 6 of 12 (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 Centerplate catering - Fiesta 09/25/201f 1 Independence Pointe Bowl Event �/ Suite 305 Greenville, SC 29615 MON 58,381.99 41 09/17/2015 Continuum North Tower Association room rental fee for 50 South Pointe Drive event Miami Beach, FL 33139 MON 1,000.00 42 Hernandez, Leonor Campaign Consultant 09/28/2015 9128 SW 227th Lane Cutler Bay, FL 33190 MON 2,250.00 43 Ferrer, Erika Administrative 09/28/2015 1627 Brickell Avenue Consultant / / Apt. 703 Miami, FL 33129 MON 1,750.00 44 Milekic, Djordje Ishere Marketing 09/28/2015, 1200 West Ave, #503 Consultant !!// Miami Beach, FL 33139 MON 1,250.00 45 Bonvoix Inc Campaign 09/28/2015 15610 Bull Run Rd, #512 Coordinator // Miami Lakes, FL 33014 MON 600.00 46 Edge Communications LLC Campaign Consultant 09/28/2015 PO Box 310760 Miami, FL 33231 MON 2,500.00 47 Continuum North Tower Association Cleaning Fee for 09/28/,2015, 50 South Pointe Drive Event // // Miami Beach, FL 33139 MON 300.00 48 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ID of 14' CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2)I.D. Number • (3)Cover Period o9/01/p1s / through to/oz/ols / (4) Page 7 of 12 (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 Life in Colors printing 09/24/201 / 2050 Coral Way, Suite 602 Coral Gables, FL 33145 MON 64.20 49 09/28/2015 US Parking parking fees for 1221 Brickell Avenue event _ Miami, FL 33131 MON 80.00 50 Miami Beach Convention Center insurance for 09/22015_ 1901 Convention Center Drive Fiesta Bowl Event // Miami Beach, FL 33139 MON 660.00 51 La Voz De Miami Beach advertising 09/28/2015 PO Box 140585 / / Coral Gables, FL 33114 MON 800.00 52 Party City event supplies 09/282017 3401 N Miami Ave Ste 126 Miami, FL 33127 MON 471.48 53 Party City event supplies 09/28/2015 3401 N Miami Ave / / Ste 126 MON 12.80 Miami, FL 33127 54 DRC Consulting, Inc. phone bank 09/28/2015 6401 SW 113th Place Miami, FL 33173 MON 3,539.00 55 DRC Consulting, Inc. yard signs 09/22015, 6401 SW 113th Place !/ Miami, FL 33173 MON 4,322.80 • 56 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ( --Ge___. 0 ern6 1 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period 09/01/015 / through 10/0202015 / (4) Page 8 of 12 (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 DRC Consulting, Inc. collateral 09/2/201 / 6401 SW 113th Place materials // / Miami, FL 33173 MON 1,936.70 57 09/22015 DRC Consulting, Inc. professional / 6401 SW 113th Place services Miami, FL 33173 MON 5,500.00 58 DRC Consulting, Inc. direct mail 09/28/2015 6401 SW 113th Place / / Miami, FL 33173 MON 12,103.71 59 The Victory Group media production 09/28/2015 1220 Hillshire Rd. / / Baltimore, MD 21222 MON 22,500.00 60 The Victory Group media production 09/22015, 1220 Hillshire Rd. !/ Baltimore, MD 21222 MON 24,500.00 61 Office Depot office supplies 09/28/2015 1906 Ponce de Leon Blvd / / Coral Gables, FL 33134 MON 323.58 62 Todo en uno catering for event 09/28/2015 6601 W Flagler St Miami, FL 33144 MON 99.51 63 Miami Parking Authority parking 09/2y2017 40 NW 3rd Street Miami, FL 33128 MON 7.00 64 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES --- ":::2-e._ Ca- 0 C 16 r CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period 09/01/015 / through 1o/o2/o15 / (4) Page 9 of 12 (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 Todo en uno catering for event 09/29/201/201 6601 W Flagler St / / Miami, FL 33144 MON 560.91 65 09/29/2015 facebook.com advertising 1601 Willow Road Menelo Park, CA 94025 MON 750.15 66 US Parking parking services 09/29/2015 1221 Brickell Avenue for event Miami, FL 33131 MON 100.00 67 DRC Consulting, Inc. direct mail 09/29/2015 6401 SW 113th Place / / Miami, FL 33173 MON 12,118.71 68 City of Miami Beach parking passes for 09/22015' 1700 Convention Center Dr. event `/ Miami Beach, FL 33139 MON 1,000.00 69 Miami Beach Convention Center event services - 09/29/2015 1901 Convention Center Drive fiesta bowl / / Miami Beach, FL 33139 MON 1,038.00 70 Hernandez, Leonor reimb. event 09/30/201 9128 SW 227th Lane supplies (Michaels // Cutler Bay, FL 33190 - decorations) B 74.83 71 Caiola, Raul event services/ 09/30/2017 6965 Harding Ave Apt 204 coordinator Miami Beach, FL 33141 MON 120.00 72 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Wv.....2:2_. (3 o-C 1-c. CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3) Cover Period 09/01/015 / through 10/021/2015 / (4) Page 10 of 12 (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 Rodriguez, Lynnette event services 09/30/201/ 911 Alton Road (bartender) ,, Miami Beach, FL 33139 MON 550.00 73 09/30/2015 Signs Now advertising / / 6838 Stirling Road Hollywood, FL 33024 MON 3,591.28 74 Publix event supplies 09/30/2015 / / 134 SW 13 Street Miami, FL 33130 MON 147.62 75 Ferrer, Erika Administrative 10/01/2015 1627 Brickell Avenue Consultant / / Miami, FL 33129 MON 3,500.00 76 Milekic, Djordje Ishere Marketing 10/01/,201 1200 West Ave, #503 Consultant Miami Beach, FL 33139 MON 2,500.00 77 Bonvoix, Inc. Campaign 10/0//201 Alejandra Avellanet Coordinator 15610 Bull Run Rd, #512 MON 1,200.00 Miami Lakes, FL 33014 78 Hernandez, Leonor Campaign Consultant 10/0//2015 9128 SW 227th Lane Cutler Bay, FL 33190 MON 4,500.00 79 Miami Beach Convention Center event services - 10/01�201� 1901 Convention Center Drive fiesta bowl // Miami Beach, FL 33139 MON 1,446.00 80 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES "--- .-- 3, 9,2_ (Li dyf 16 ,......_.) CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2)ID. Number (3)Cover Period 09/01/015 / through 10/02/015 / (4) Page 11 of 12 (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 facebook.com advertising 10/01/201/ 1601 Willow Road �� / Menelo Park, CA 94025 MON 262.21 73 10/0//2015 Publix catering for event 134 SW 13 Street Miami, FL 33130 MON 348.57 74 Life in Colors printing 10/01/2015 / / 2050 Coral Way, Suite 602 Coral Gables, FL 33145 MON 149.80 75 Metro PCS campaign telephones 10/01/2015 742 Alton Road / / Miami Beach, FL 33139 MON 215.86 76 Signs Now advertising 10/01/201y 6838 Stirling Road (banners) Hollywood, FL 33024 MON 19,603.11 77 Edge Communications, LLC Campaign Consultant 10/02/2015 P.O. Box 310760 / / Miami, FL 33231 MON 2,500.00 78 Ace Hardware audio cables for 10/02/,201 1668 Alton Road event // Miami Beach, FL 33139 MON 31.01 79 Michaels Store Inc decorations for 10/02/2017 800 Bent Branch Dr event Irving, TX 75063 MON 80.13 80 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES r_ / ID F16 1 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Philip Levine For Mayor (2) I.D. Number (3)Cover Period 09/01/015 / through 10/02/015 / (4) Page 12 of 12 (5) (7) (8) (9) (10) (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 USPS postage 10/02/201/ 1661 West Avenue /! Miami Beach, FL 33139 MON 490.00 81 10/02/2015 Rice House of Kabob catering for event 1318 Alton Road Miami Beach, FL 33139 MON 111.27 82 Fabulous Design & Decor decoration for 10/02015. 7150 NW 36th Avenue event J/ Miami, FL 33147 MON 203.30 83 City of Miami Beach security for event 10/02/2015 1700 Convention Center Drive / / Miami Beach, FL 33140 MON 192.00 84 / / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 17 _e__ 16 a 1.6 L\)