DS-DE 12 Betsy Perez 2015-G2-1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Elizabeth "Betsy" Perez OFFICE USE ONLY
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):
0 Candidate Office Sought: Commissioner - Group IV
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
0 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 10 / 03 / 20115 To 10 / 1 6 / 20115 Report Type: G2-2015
❑ Original 0 Amendment ❑ Special Election Report •
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , .(' 4 00 Expenditures $ , , _(�.� 0 6
Loans $ 0.00 Transfers to
Office Account $ , , .0.00
Total Monetary $ D •�
Total Monetary $ , , 0 1 0 0
In-Kind $ •
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 85,661;00 , $ 48,758;53
(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
❑Individual(only for IE Treas rer ❑Deputy Treasurer GI Candidate ❑Chairperson(only for PC and PTY)
or electioneing co m
X / 1, X
Signatur Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
10/03/2015 10/16/2015 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
Kenin, Josephine W. Retired
10/16/2015 5500 collins Ave #1503
/ / Miami Beach, FL 33140
8 I CHE DEL 1,000.00
Kenin, Josephine W. Retired
10/16/2015 / 5500 collins Ave #1503
Miami Beach, FL 33140
8 I CHE ADD 100.00
/ /
/ /
I
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
'-•-• ,-*— 2 0 F 3
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number
10/03/ 015 10/16/ 015 1 1
(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
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
/
I I
/
I
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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