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DS-DE 12 Samuelian 2015-G1-1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mark Samuelian 9 t OFFICE USE ONLY Name 2015 OC► 22 Ph Li: 58 (2) 10 Venetian Way#1502 i J; °c pr ' F. Address (number and street) Miami Beach, FL 33139 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 0 Candidate Office Sought: Miami Beach City Commission, Group 6 ❑ 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 ❑ 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 / 15 To 10 / 02 / 15 Report Type: 2015-G1 ❑Original SI Amendment ['Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , 3 , 595 . 00 Expenditures $ , 131 , 965 . 79 Loans $ , 50 , 000 . 00 Transfers to Office Account $ , , 00 . 00 Total Monetary $ , 53 , 595 . 00 Total Monetary $ , 131 , 965 . 79 In-Kind $ , 1 , 771 . 62 (8) Other Distributions $ , , 350 . 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 323 , 162 , 00 $ , 176 , 019 . 02 (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 151 Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X bilDN-;: X ffAl d- -Z■ 11/4Arksisit./// Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS ( f 0� CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Mark Samuelian (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) 1 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 DYAL Corp 10 02 15 4409 Alton Road / / 11 Miami Beach, FL 33140 B Business Sry REF ADD -$500.00 / / / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1 ie_____ Z._ en7 t b CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2)I.D. Number (3)Cover Period 09 / 01 / 15 through 10 / 02 / 15 (4) Page 1 of 1 (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 FedEx Mailed payment for 09 /10 /15 1617 Alton Road cable Miami, Beach, FL 33139 MON DELETE $23.21.00 22 09 10 15 FedEx Mailed payment for / / 1617 Alton Road cable Miami, Beach, FL 33139 MON ADD $23.31.00 22 Comcast Media Buy 09 / /23 15 1800 NW 49th Street Fort Lauderdale, FL 33309 MON DELETE $22,615.00 40 • Comcast Media Buy 09 23 15 1800 NW 49th Street / / Fort Lauderdale, FL 33309 MON ADD $22,615.10 40 Blueprint Consulting Campaign Admin 09 it 08/ 15 PO Box 310561 Miami, FL 33231 MON ADD $375.00 72 Anedot CC Processing Fee 09 3 0 15 555 Hilton Avenue / Baton Rouge, LA 70808 MON ADD $10.05 73 Latricia Ferguson Video Production 10 02 15 5815 NW 12th Avenue / / Miami, FL 33127 MON ADD $200.00 74 / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES "...P -3 4:550C 5 czle___ CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Mark Samuelian (2) I.D. Number (3) Cover Period 09 / 01 / 15 through 10 / 02 / 15 (4) Page 1 of 2 (5) (7) (8) (9) (10) (11) (12) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Related Distribution Number City,State,Zip Code candidate) Expenditures Amendment Amount Type Kozyak, Jeremy Campaign Manager 09 04 15 PO Box 310561 / / Miami, FL 33231 2015-G1-10 DELETE $1,200 PPD 1 Kozyak, Jeremy Campaign Manager 09 15 15 PO Box 310561 / / Miami, FL 33231 2015-G1-28 DELETE $1,200 PPD 2 Villalon, Isabel Administrative 09 15 15 PO Box 310561 Services / / Miami, FL 33231 2015-G1-28 DELETE $104 PPD 3 Shapiro, Stanley Event Planning 09 30 15 516 15th Street / / Miami Beach, FL 33139 2015-G1-58 DELETE $100 PPD 4 Shapiro, Stanley Event Planning 09 30 15 516 15th Street / / Miami Beach, FL 33139 2015-G1-58 ADD $125 PPD 1 Segarra, Mimi Event Planning 09 30 15 533 Collins Avenue / / Miami Beach, FL 33139 2015-G1-58 DELETE $100 PPD 5 Segarra, Blanca Event Planning 09 30 15 533 Collins Avenue / / Miami Beach, FL 33139 2015-G1-58 ADD $100 PPD 2 Pimentel, Mercedes Collateral 09 30 15 718 78th Street distribution at / / Miami Beach, FL 33141 multiple events 2015-G1-58 DELETE $100 PPD 7 DS-DE 14A(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ----. -to ____ 4- 005 CAMPAIGN TREASURER'S REPORT ER S EPORT - ITEMIZED DISTRIBUTIONS (1) Name Mark Samuelian (2) I.D. Number (3) Cover Period 09 / 01 / 15 through 10 / 02 / 15 (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) (12) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Related Distribution Number City,State,Zip Code candidate) Expenditures Amendment Amount Type Pimentel, Miriam Collateral 09 30 15 718 78th Street distribution at / / Miami Beach, FL 33141 multiple events 2015-G1-58 ADD $125 PPD 3 Villalon, Isabel Hispanic Outreach/ 09 30 15 PO Box 310561 Translations / Miami, FL, 33231 2015-G1-58 DELETE $400 PPD 8 / / / / / / / / / / / / DS-DE 14A(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES -.S—c2C