DS-DE 12 Weithorn 2015-G3 FLORIDA DEPARTMENT OF STATE DIVISION QF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Mark Weithorn for Miami Beach Commission OFFICE USE ONLY
Name
(2) 1130 Stillwater Drive
Address(number and street)
Miami Beach,FL 33141-0000
City,State,Zip.Code
Check box if address has changed
(3) I.D. Number 00000
(4) Check appropriate box(es):
X Candidate(office sought): Miami Beach Commission Group 5
Political Committee Check if PC has DISBANDED
Committee of Continuous Existence
Party Executive Committee Check if CCE has DISBANDED
Electioneering Communication Check if no other electioneering communication reports will be filed
(5) REPORT IDENTIFIERS
Cover Period: From 10/17/2015 To 10/29/2015 Report Type:
X Original Amendment Special Election Report Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks }"� $5,500.00 Expenditures $16,332.40
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $5,500.00 Total Monetary $16,332.40
In-Kind $0.00 (8) Other Distributions • $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$112,133.00 $105,473.89
(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 I certify that I have examined this report and it is
true,correct and complete true, correct and complete
Mark Weithorn Mark Weithorn
Individual(only for Treasurer Deputy Treasurer Candidate Chairman(only for PC,PTY&
electioneering X X electioneering commun.organization)
commun.)
Signature Signature
DS-DE 12(Rev.08/04) Adjutant Software-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
(3)Cover Period 10/17/2015- 10/29/2015 (4) Page 1 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle)
Sequence Street Address& Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
10/19/2015 Zichella,Amy Sayfie I Teacher CHE $ 1,000.00
2635 Tigertail Ave
Miami, FL 33133-0000
000001
10/20/2015 Pan, Natalie I Retired CHE $500.00
2401 Collins Ave
Miami Beach, FL 33140-0000
000002
•
10/21/2015 Bleemer, Gary I Car CHE $ 1,000.00
6381 N. Bay Rd Parking
Miami Beach, FL 33141-0000 Service
000003
10/21/2015 Rovelli, Renee I Homema CHE $ 1,000.00
6381 N. Bay Rd ker
Miami Beach, FL 33141-0000
•
000004
10/21/2015 Sunshine, Morris I CHE $ 100.00
465 Ocean Dr
Miami Beach, FL 33139-0000
000005
10/21/2015 Kingston, Leo I Real CHE $500.00
PO Box 12920 Estate
Oklahoma City, FL 73157-0000
000006
10/21/2015 Gelber, Barbara I CHE $ 100.00
801 Arthur Godfrey Rd
Miami Beach, FL 33140-0000
000007
10/22/2015 Denny, Grace I CPA CHE $300.00
2500 Alcazar Dr
Miramar, FL 33023-0000
000008
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
(3) Cover Period 10/17/2015- 10/29/2015 (4) Page 2 of 2
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name Contributor
(6) (Last,Suffix,First,Middle)
Sequence Street Address& Contribution In-kind
Number • City,State,Zip Code Type Occupation Type Description Amendment Amount
10/26/2015 Pulaski,James I Investor CHE $500.00
2520 Coral Way
Miami, FL 33145-0000
000009
•
10/26/2015 Eyssen,Anton I Investor CHE $500.00
3640-B3 N. Federal Hwy
Lighthouse Point, FL 33064-0000
000010
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
•
(3) Cover Period 10/17/2015- 10/29/2015 (4) Page 1 of 2
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
10/19/2015 Arango, Nicole Campaign Worker MON $200.00
22018 SW 89th Ct.
Cutler Bay, FL 33186-0000
000001
•
10/19/2015 Rodriguez,Zoe Campaig Worker MON $200.00
14624 SW 95th Lane
Miami, FL 33186-0000
000002
10/19/2015 Diaz Consulting Campaign Consultant MON $ 1,142.85
PO Box 454351
Miami, FL 33245-0000
000003
10/19/2015 Zhitov, Dmitry TV Production MON $985.00
850 N. Miami Ave
Miami, FL 33136-0000
000004
10/19/2015 Image Plus Graphics Direct Mail MON $2,484.20
1440 NE 131st Street
North Miami, FL 33161-0000
000005
10/19/2015 Armona, Margarita Advertising MON $250.00
727 Collins Ave
Miami Beach, FL 33139-0000
000006
10/20/2015 Comcast Spotlight TV Airtime MON $5,902.40
1800 NW 49th Street
Ft. Lauderdale, FL 33309-0000
000007
•
10/22/2015 Paypal Processing Fee MON $3.20
2211 North First Street
San Jose, CA 95131-0000
000008
DS-DE 14(Rev.08/03) Adjutant Software-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
(3) Cover Period 10/17/2015- 10/29/2015 (4) Page 2 of 2
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
10/26/2015 Diaz Consulting Political Consulting MON $ 1,482.14
PO Box 454351
Miami, FL 33245-0000
000009
10/26/2015 Arango, Nicole Campaign Worker MON $200.00
22018 SW 89th Ct.
Cutler Bay, FL 33186-0000
000010
10/26/2015 Rodriguez,Zoe Campaign Worker MON $200.00
14624 SW 95th Lane
Miami, FL 33186-0000
000011
10/26/2015 Image Plus Graphics Direct Mail MON $3,282.61
1440 NE 131st Street
North Miami, FL 33161-0000
000012
•
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CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
THIS FORM APPLIES TO POLITICAL COMMITTEES,COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY.
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
•
(3) Cover Period 10/17/2015- 10/29/2015 (4) Page 0 of 0
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address& (add office sought if Related
Number City,State,Zip Code contribution to a candidate) Expenditures Amendment Amount
Nothing to report on this form
•
•
•
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DS-DE 14A(Rev.08/03) Adjutant Software-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Mark Weithorn for Miami Beach Commission (2) I.D. Number 00000
(3) Cover Period 10/17/2015- 10/29/2015 (4) Page 0 of 0
(5) (7) (8) (9) (10) (11)
Date
Name of Financial
(6) Institution Transfer Nature of
Sequence Street Address&
Number City,State,Zip Code Type Account Amendment Amount
Nothing to report on this form
•
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