DS-DE 12 Perez 2015-R1 _,._,,
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Elizabeth "Betsy" Perez 20WraiAE 6Lc;
Name , , ,---,
CIT'Y Ll -_H ,
(2) 7605 Collins Ave
(--: f---.)
Address (number and street)
---1
Miami Beach, FL 33141
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City, State, Zip Code i---- -.. -1
• •
III Check here if address has changed (3) ID Number:
,_,.----
(,. -10
(4) Check appropriate box(es):
._
SI Candidate Office Sought: Commissioner - Group IV
--,-, •• ,—;
;----- CO
0 Political Committee(PC)
0 Electioneering Communications Org. (ECO) E]Check here if PC or ECO has disbanded
El Party Executive Committee (PTY) El Check here if PTY has disbanded
El Independent Expenditure(IE) (also covers an D Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From (0 / 30 / )5 To 1 D / 30 / ( 15 Report Type: R 1 I c
GI Original 0 Amendment 1:1 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0 . DO Expenditures $ , , 0 • OD
Loans $ , , 0 • DO Transfers to
Office Account $ , , 0 . 0 0
Total Monetary $ , , 0 • _Q9
Total Monetary $ , 0 • () 3
In-Kind $ , ' 0 • L)-1
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ u3_i, gi 1 , _op_ . $ , 9.g ,,(P-63 .. YO
(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) Elizabeth "Betsy" Perez
0 Individual(Al for IE 151 Treasurer 0 Deputy Treasurer 51 Candidate 0 Chairperson(only for PC and PTY)
or electioneenae cm . . .
r
• ,
O.F ., ..
x x • .4'_i4 -,
t
Signature Signa Se f
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
I c, f3
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Elizabeth "Betsy" Perez Campaign (2)I.D. Number
(3)Cover Period 10/30/015 / through 10/30/015 / (4) Page 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
/
l /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
04:-3
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
10/30/2015 10/30/2015
(3) Cover Period / / through / / (4) Page J 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
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
a
f- 3