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DS-DE 12 Mosley 2015-G2 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Isaiah Mosley 'OFFICE USE ONLY Name 20150CT 23 Pil 3: 140 (2) 1038 11 Street#18 il .E OF F I Address (number and street) C Y C L Miami Beach, FL, 33139 City, State, Zip Code 0 Check here if address has changed (3) ID Number: _ _ (4) Check appropriate box(es): - - -12-Candidate Office Sought: Miami Beach City Commissioner, Group_4 _ 0 Political Committee(PC) El Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded D_Party Executive Committee(PTY) El 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 10 / 03 / 15 To 10 / 16 / 15 Report Type: G2-2015 51 Original El Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks , 626 . 45 Expenditures $ 0 . 00 Loans -$ , Transfers to -Office Account $ , • Total Monetary $_ , 0 .00 _ Total Monetary $ . 00 In-Kind — — , 80 . 00 _ _ (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date 2 , 377 . 45 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 o Individual(only for IE 0 Treasurer GI Deputy Treasurer MI Candidate 0 Chairperson(only for PC and PTY) or electioneering comm.) App ignature ature DS-DE 12(Rev.11/13) SEE REVERSE FOR I TRUCTIONS 1 cc I cpr CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Isaiah Mosley (1) Name (2) I.D. Number 10 03 15 10 16 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 Isaiah Mosley 10 08 15 1038 11 Street #18, / / Miami Beach, Florida 1 33139 I Scientist INK Marketing 80.00 Kaleb Bell 10 14 15 11092 Laurel Walk / / Road, 2 Wellington, Florida I Attorney CHE 100.00 33449 1 Leo Rodriguez 10 14 15 555 NE 30 Street, / / Miami, Florida 33137 3 I Broker CHE 30.00 Ingrid Savain 10 14 15 7451 NW 16th Street / / #506, 4 Fort Lauderdale, I Planner CHE 496.45 Florida 33409 / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES e Z®1 3 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Isaiah Mosley (2) I.D. Number_ (3)Cover Period 10 / 03 / 15 through 10 / 16 15 (4) Page 1 of 1 (5) (7) (8) (9) (10) (1 1) Date Full Name Purpose (Last,Suffix, First,Middle) (add office sought if (s) Street Address& contribution to a Expenditure Sequence Number City,State,Zip Code candidate) Type Amendment Amount N/A 0.00 / / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c::De nc r