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DS-DE 12 Betsy Perez 2015-G3 Pfl /0 30. CAMPAIGN TREASURER'S REPORT SUMMARY (1) Elizabeth "Betsy" Perez OFFICE USE ONLY ( ) Y 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) ❑ 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 ID / f / 20i5 To 10 / 26' / 2013 Report Type: E-j-16 0 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ ?j _ ISO • DO Expenditures $ , Lig , 1405. Z-1 Loans $ • Transfers to Office Account $ , • Total Monetary $ -KO 00 Total Monetary $ , Lc L5. 21 In-Kind $ , q1J• 00 (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date ..q v $ 123 r 9 00 . $ 48 , Z Co3 , 80 . (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) i;nford B. Horwitz (Type name) Elizabeth "Betsy" Perez ❑Individual(Fly for I J T easurer I ❑Deputy Treasurer 0 Candidate ❑Chairperson(only for PC and PTY) or electioneen(g o" ■,1 , 1 / . x . Signature Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS PA-eye l CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 1 7 (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 Catano, Adriana Singer 10/19/2015 14601 SW 113 Lane / / Miami, FL 33186 1 I CHE 100.00 Forte, Jose Realtor 10/20/2015 10373 SW 116th St. / / Miami, FL 33176 • 2 I CHE 1,000.00 LMNR Axis Properties Development 10/20/2015 / LLC 3050 Biscayne Blvd 3 PH# 1 B CHE 1,000.00 Miami, FL 33137 GT Construction and Construc- 10/20/2015 / Development Inc tion 400 S State Rd Company 4 Plantation, FL 33317 B CHE 1,000.00 Wolfson, Jonah Attorney 10/20/2015 / / Miami Beach, FL 33141 5 I CHE 1,000.00 Cook, Bradley E Paralegal 10/20/2015 2480 NE 200th St / / Miami, FL 33160 6 I CHE 1,000.00 ' Smulevich, Jonathan Attorney 10/20/2015 / / 2531 San Miguel Dr Tallahassee, FL 32304 7 I CHE 1,000.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 45,- el ,irli CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 2 7 (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 10/20/2015 Lowy, Ronald Attorney 5615 La Gorce Dr / / Miami Beach, FL 33140 8 I CHE 1,000.00 Rose, Jeffrey Realtor 10/20/2015 3630 Yatch Club Dr / / Apt 608 9 Aventura, FL 33180 I CHE 1,000.00 Jonah M. Wolfson P.A. Law Firm 10/20/2015 3399 SW 3rd Ave / / Miami, FL 33145 10 B CHE 1,000.00 G.T. McDonald Construc- 10/20/2015 / Enterprises, Inc tion 400 S State Rd 7 11 Plantation, FL 33317 B CHE 1,000.00 Muhlrad, Mark Hospitality 10/20/2015 3100 Prairie Ave / / Miami Beach, Fl 33140 12 I CHE 1,000.00 Percal, Esther Realtor 10/21/2015 / / 419 Arthur Godfrey Rd Miami Beach, FL 33140 13 I CHE 300.00 Kleter, Richard Banker 10/22/2015 165 West End Ave #15D / / New York, NY 10023 14 I CHE 1,000.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 3 ��. i CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 3 7 (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 Premium Contractors Contractors 10/22/2015 Inc Pastrana / / 12000 N Bayshore Drive 15 Unit #106 B CHE 650.00 Miami, FL 33181 Zlotchenko, Solomon Banker 10/22/2015 / 2211 Broadway #11C „ New York, NY 10024 16 I CHE 1,000.00 Zilberquit, Julia Pianist 10/22/2015 / 390 West End Ave #11C New York, NY 10024 17 I CHE 1,000.00 Snoep, Peer Business 10/22/2015 / 730 NE 2nd Street Developer Boca Raton, FL 33432 18 I CHE 1,000.00 10/22/2015 Snoep, Nicola Office / / 730 NE 2nd Street Manager Boca Raton, FL 33432 19 I CHE 1,000.00 Sokolovskaya, Marsha Exec. VP, 10/22/2015 165 West End Ave #15D Amerex / / New York, NY 10023 Group 20 I CHE 1,000.00 10/22/2015 Spahr, Aryn Financial 85 4th Ave Advisor / New York, NY 10003 21 I CHE 500.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES y l CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 4 7 (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 Srebrenik, Burt Restaurant 10/22/2015 20130 NE 23rd Ct Owner / / Miami, FL 33180 22 I CHE 1,000.00 Srebrenik, Pamela Housewife 10/22/2015 20130 NE 23rd Ct / / Miami, FL 33180 23 I 'CHE 1,000.00 Premium Contractors Contractors 10/22/2015 Inc Pastrana / / 12000 N Bayshore Drive • 24 #106 B CHE 350.00 Miami, FL 33161 Espinel, Roberto ITT 10/23/2015 / 6061 Collins Ave #19F Technician Miami Beach, FL 33140 25 I CHE 1,000.00 Espinel, Richard Aviation 10/23/2015 6061 Collins Ave #19F Sales / / Miami Beach, FL 33140 26 I CHE 1,000.00 Espinel, Rosa Housewife 10/23/2015 6061 Collins Ave #19F / / Miami Beach, FL 33140 27 I CHE 1,000.00 ZMG Media Inc Print and 10/23/2015 PO Box 661413 Design Firm / / Miami Springs, FL 28 33266 B INK Printing 975.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4ir-rI CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 5 7 (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 Soji Media LLC Broadcast 10/23/2015 155 South Court Avenue / / Unit 1408 29 Orlando, FL 32801 B CHE 1,000.00 NutriPurity Inc Dietary 10/23/2015 / 3400 Galt Ocean Dr Supplement Ste 409 Company 30 Fort Lauderdale, FL B CHE 1,000.00 33308 Shadefla Awning 10/26/2015 561 NE 79th St Lot 330 Supplier / / Miami, FL 33138 31 B CHE 1,000.00 Singer, Elissa Housewife 10/26/2015 / 2800 Island Blvd • Apt 407 32 Aventura, FL 33160 I CHE 1,000.00 Downey, John Building 10/26/2015 8715 SW 129 Terrace Material / / Miami, FL 33176 Company 33 I Owner CHE 1,000.00 Lowy, Ronald Attorney 10/26/2015 5615 La Gorce Dr / / , Miami Beach, FL 33140 34 I REF -1,000.00 Cruz, Simon Singer 10/26/2015 15064 La Mesa St / / Sylmar, CA 91342 35 I CHE 250.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES - P414 b ti CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 6 7 (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 Leyderman, Elena Retired 10/28/2015 2861 NE 185Th St / / Apt 302 36 Aventura, FL 33180 I CHE 1,000.00 Leyderman, Leon Retired 10/28/2015 2861 NE 185Th St / / Apt 302 37 Aventura, FL 33180 I CHE 1,000.00 Sawitz, Stephen Restaurant 10/28/2015 / 4474 Nautilus Dr Owner Miami Beach, FL 33140 38 I CHE 500.00 Edelstein, Howard Attorney 10/29/2015 / 590 Madison Ave 21st Floor 39 New York, NY 10022 I CHE 1,000.00 Fisher Cummings, Agricultur- 10/29/2015 Anthony alist / / 920 N Lake Way 40 Palm Beach, FL 33480 I CHE 1,000.00 Cauff, Brandon D. Real Estate 10/29/2015 / / 2601 South Bayshore Dr Miami FL 33133 41 I CHE 1,000.00 1413 Washstar LLC Real Estate 10/29/2015 2121 Ponce de Leon / / Blvd Ste 1250 42 Coral Gables, FL 33134 g CHE 1,000.00 DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Ap 4 rt( CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Elizabeth "Betsy" Perez Campaign (1) Name (2) I.D. Number 10/17/2015 10/29/2015 7 7 (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 Mark, Jamie Marketing 10/29/2015 1691 Michigan Ave / / Ste 345 43 Miami Beach, FL 33139 I CHE 1,000.00 Ross DePass Building Contractors 10/29/2015 Services / / 6560 W Rogers Cir 44 Boca Raton, FL 33487 B CHE 500.00 Bleemer, Garry Parking 10/29/2015 / 6381 N Bay Road Company Miami Beach, FL 33141 Owner 45 I CHE 1,000.00 Bleemer, Renee Pres., 10/29/2015 / 6381 N Bay Road Animal Miami Beach, FL 33141 Welfare 46 I CHE 1,000.00 / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES p 1, CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number 10/17/p15 10/29/ 015 J. 3 (3)Cover Period / through / (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (s) (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 Direct Mailers 10/19'2015/ 5001 SW 74th Court Suite 209 �� ll Miami, FL 33155 MON 7,882.26 1 10/21/,2015 DRC Consulting Inc TV Commercial ((// 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 19,000.00 2 Perez, Elizabeth Mail Chimp 10/21/2015 7605 Collins Ave // Miami Beach, FL 33141 RMB 150.00 3 The Rocket Science Group Mail Chimp 10/22/2015 675 Ponce De Leon Ave NE #5000 / / Atlanta, GA 30308 MON 150.00 4 • DRC Consulting Inc TV Commercial 10/2y2017 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 3,600.00 5 Perez, Elizabeth Parking 10/23/2015 7605 Collins Ave // Miami Beach, FL 33141 RMB 7.50 6 Quinones, Monica Yard Signs 10/23/,2015, 1846 SW 177 Terr Materials // // Miramar, FL 33029 RMB 87.60 7 Quinones, Monica Collateral 10/23G/201� 1846 SW 177 Terr Materials Miramar, FL 33029 RMB 34.26 8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Ay_ q Ij , CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name Elizabeth "Betsy" Perez Campaign (2)I.D. Number 10/17/ 015 10/29/ 015 2 3 (3)Cover Period / through /� / (4) Page of (5) (7) (8) (9) (10) (11) Date, Full Name Purpose (6) (Last,Suffix, First,Middle) (add office sought if Street Address & contribution to a Expenditure Sequence Type Number City,State,Zip Code candidate) Amendment Amount Kurkin Brandes Legal Fees 10/23/201/ 18851 NE 29th Ave Ste 303 ,, / Aventura, FL 33180 MON 883.03 9 10/23/2015 Custom Uniforms Campaign T-Shirts / 12401 SW 134th Ct #8 Miami, FL 33186 MON 197.95 10 DRC Consulting Inc Polling Place Cards 10/22015 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 175.00 11 DRC Consulting Inc Facebook Ad 10/25/2015 5001 SW 74th Court Suite 209 / / Miami, FL 33155 MON 1,000.00 12 DRC Consulting Inc Facebook Ad 10/2/201 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 1,000.00 13 DRC Consulting Inc Facebook Ad 10/25/2015 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 1,000.00 14 Monica Quinones Event Expenses 10/27/2015 1846 SW 177 Terr Miramar, FL 33029 RMB 57.99 15 DRC Consulting Inc TV Production 10/29 2015 5001 SW 74th Court Suite 209. 7 Miami, FL 33155 MON 6,000.00 16 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4-y-- t D ar CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES , (1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number (3)Cover Period lo/17/p15 / through 10/29/015 / (4) Page 3 of 3 (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 DRC Consulting Inc Phone Bank 10/29/201/ 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 4,750.00 17 10/22015, DRC Consulting Inc Phone Bank l/ 500.1 SW 74th Court Suite 209 Miami, FL 33155 MON 951.00 18 DRC Consulting Inc Phone Bank 10/29/2015 5001 SW 74th Court Suite 209 Miami, FL 33155 MON 1,949.96 19 Todo en Uno Meals for Workers 10/29/2015 6601 W Flagler St / / Miami, FL 33144 MON 126.00 20 Quinones, Monica Snacks for Workers 10/29/,/201 1846 SW 177 Terr Miramar, FL 33029 RMB 32.47 21 PayPal Merchant Card Fees 10/29/2015 PO Box 45950 / / Omaha, NE 68145-0950 MON 430.25 22 / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES '4t-f- " q `Q yp{�J T P--- Part#1S6a297-43? 6/1Yb►5 AnLOOL60410EsLr ;� it CD ICC 4D I umi W m MM O CD 1 ! o CO u_ 0 >- I_ 1CV O OJUJ I I 1- I # J CI V' d i� # LL N -= WO.. 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