DS-DE 12 Samuelian 2015-G3-1 CAMPAIGN TREASURER'S REPORT SUMMARY
_.,
(1) Mark Samuelian OFFICE USE ONLY 28
Name 2016 _° 1 2:
(2) 10 Venetian Way#1502
CITY Address (number and street) r-
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
El 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 / 17 / 15 To 10 / 29 / 15 Report Type: 2015-G3
❑Original SI Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ , 6 , 630 . 00 Expenditures $ , 39 , 363 . 50
Loans $ , 50 , 000 . 00 Transfers to
Office Account $ ,
Total Monetary $ , 56 , 630 . 00
Total Monetary $ , 39 363 . 50
In-Kind $ , , 13 . 02
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 432 , 810 . 00 $ , 293 , 684 . 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) Laura Dominguez (Type name) Mark Samuelian
❑Individual(only for IE 0 Treasurer ❑Deputy Treasurer fl Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X �
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Mark Samuelian
(1) Name (2) I.D. Number
10 17 2015 10 29 2015 1 4
(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
Oroza, Joseph
10 18 15 4643 Prairie Avenue
Miami Beach, FL 33140
1 I Retired CHE $50.00
Aronson, Michael
10 19 15 1900 Sunset Harbor Dr
/
Miami Beach, FL 33139
2 I Business CHE $100.00
Consultant
. .
Stardust Coffee
10 20 15 775 17th Street
/ / Miami Beach, FL 33139
3 B Restaurant INK Water for $13.02
Poll Workers
Haley, Barry
10 ! 22 , 15 5750 Rose Terrace
Plantation, FL 33317
4 I Attorney CHE $500.00
Pinsky, Steve
10 23 15 147 Sutton Drive
Plainview, NY 11803
5 I CFO CHE $50.00
10 24 15 Turken, Dana
108 - 4th Dilido
Terrace
6 Miami Beach, FL 33139 I Retired CHE $100.00
Renovation Dream Team
10 25 15
505 W 31 Street
/ /
Miami Beach, FL 33140
7 B Construction CHE $100.00
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Mark Samuelian
(1) Name (2) I.D. Number
10 17 2015 10 29 2015 2 4
(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
Finkel, Mark
10 27 15 7300 Ocean Terrace
/ / Miami Beach, FL 33141
8 I Retired CAS $20.00
Samuelian, Mark
10 , 28 1 .15 10 Venetian Way #1502
Miami Beach, FL 33139
9 LOA Private Fin CHE $50,000.00
Investor
Donnelly, James
10 29 15 915 Jefferson Avenue
/ / Miami Beach, FL 33139
10 I Retired CHE $10.00
Dominguez, Laura
10 29 15 10 Venetian Way #1502
/ / Miami Beach, FL 33139
11 I Sales CHE $25.00
Manager
Lewis, Harold
10 29 15 10343 SW 126th Street
/ / Miami, FL 33176
12 I Retired CHE $500.00
Realtors Political
10 29 15 Activity Committee
/ / Florida
13 200 Monroe Street F Real Estate CHE $1,000.00
Tallahassee, FL 32301
Realtors Political
10 29 15 Action Committee
/ / Florida
14 200 Monroe Street F Real Estate CHE $1,000.00
Tallahassee, FL 32301
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CN V )-)of:- I(
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Mark Samuelian
(1) Name (2) I.D. Number
10 17 2015 10 29 2015 3 4
(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
Realtors Political
10 29 15 Advocacy Committee
/ / 7025 Augusta National
15 Drive F Real Estate CHE $1,000.00
Orlando, FL 32822-5017
PMC, LLC
10 29 15 6200 NW 167 Street
/ /
Miami Lakes, FL 33014
16 B Automotive CHE $1,000.00
Industry
Aviv, Irit
10 29 15 1530 West 22nd Street
/ / Miami Beach, FL 33140
17 I Property CHE $50.00
Owner
Aberbach, Beverly
10 29 15 911 West 47 Court
/ /
Miami Beach, FL 33140
18 I Retired CHE $100.00
Mouzon, Wanda
10 29 15 744 10th Street 111
/ / Miami Beach, FL 33139
19 I Designer CHE $50.00
Bacon, Evan
10 29 15 1100 11th Street #406
/ / Miami Beach, FL 33139
20 I Real Estate CHE $25.00
Broker
10 29 15 Heid, Christopher
818 Michigan Ave.
/ /
Miami Beach, FL 33139
21 I City Planner CHE $100.00
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1
'PAT -L-40-0) ,
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Mark Samuelian
(1) Name (2) I.D. Number
10 17 2015 10 29 2015 4 4
(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
Frank, Herb
10 29 15 10 Venetian Way
/ / Miami Beach, FL 33139
22 I Retired CHE $250.00
Russo, Lisa
10 29 15 314 Hummingbird Point
/ / Jupitor, FL 33458
23 I Retired CHE $100.00
Crespo, Adolfina
10 29 15 6028 SW 133 Place
/ /
Miami, FL 33183
24 I Retired CHE $500.00
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Pce G
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name Mark Samuelian (2)I.D.Number
(3)Cover Period 10 / 17 /2015 through 10 / 29 / 2015 (4) Page 1 of 5
(5) (7) (8) (9) (1 0) (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
Whole Foods Voter Lunch
10 /181 15 1020 Alton Road
Miami Beach, FL 33139 MON $40.99
1
10 18 15
/ Publix Food and Beverage
1920 West Avenue for Voter Event
Miami Beach, FL 33139 MON $60.94
2
Anedot CC processing fee
10 18 15 5555 Hilton Avenue
/ /
Baton Rouge, LA 70808
MON $2.25
3
Vargas, Luis Alberto Entertainment at 2
10 19 15 480 NW 13th Street events today
/ / North Miami, FL 33162
MON $300.00
4
McCrea, Penny Copy Editing
10 19 15 6200 SW 63 Court
/ /
South Miami, FL 33143
MON $180.00
5
Publix Lunch for poll
10 22 15 1920 West Avenue workers
/ /
Miami Beach, FL 33139 MON $110.34
6
Publix Coffee for poll
10 22 15 1920 West Avenue workers
/ /
Miami Beach, FL 33139 MON $4.15
7
The Shoppes at West Avenue Parking for Voter
10 / 23/ 15 959 West Ave. Event
Miami Beach, FL 33139
MON $5.00
8
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
E;oc:)/
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name Mark Samuelian (2)I.D. Number
(3)Cover Period to / 17 / 2015 through 10 / 29 / 2015 (4)Page 2 of 5
(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
Publix Lunch for Voters
10 /23 /15 1920 West Avenue
Miami Beach, FL 33139 MON $71.49
9
10 23 15
I / Publix Coffee for voters
1920 West Avenue
Miami Beach, FL 33139 MON $7.66
10
Oliver's Bistro Voter Breakfast
10 I 23/ 15 959 West Avenue
Miami Beach, FL 33139
MON $396.02
11
National Campaign Resource Group Mailings
10 23 15 11380 Properity Farms Road #221E
/ /
Palm Beach Gardens, FL 33410
MON $4,497.60
12
Miami-Dade County Voter Data
10 23 15 111 NW First Street
/ /
Miami, FL 33128
MON $240.00
13
Blueprint Consulting Phone Banking/Poll
10 23 15 PO Box 310561 Workers
/ /
Miami, FL 33231 MON $7,538.09
14
Anedot CC Processing Fee
10 23 15 5555 Hilton Avenue
I /
Baton Rouge, LA 70808 MON $2.25
15
AmericaTeve Media Buy
10 / 26/ 15 13001 NW 107th Ave
Hialeah Gardens, FL 33018 MON $12,240.00
16
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1 X7001
r 1
CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(1)Name Mark Samuelian (2) I.D.Number
(3)Cover Period 10 / 17 /2015 through 10 / 29 / 2015 (4)Page 3 of 5
(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
Comcast Media Buy
10 /26 /15 1800 NW 49 Street
Ft. Lauderdale, FL 33309 MON $4,258.00
17
10 26 15 Campaign Statistical Data Analysis/
/ /
1966 NE 123RD Street Research
North Miami, FL 33161 MON $3,411.00
18
Manolo Restaurant Voter Breakfast
10 /26 /15 7300 Collins Avenue
Miami Beach, FL 33140 MON $293.03
19
4
Serrano, Berta EV poll work
10 26 15 800 Washngton Avenue
/ / Miami Beach, FL 33139 MON $240.00
20
Avila, Calixto EV poll work
10 / 26/ 15 800 Washington Avenue Miami Beach
FL 33139 MON $240.00
21
Deluxe Check Reorder
10 26 _ 15 PO Box 742572
/
// Cincinnati, OH 45274
MON $118.11
22
Epicure Market Food for event
10 26 15 1656 Alton Road
/ /
Miami Beach, FL 33139 MON $72.93
23
Subway Poll worker lunch
10 /27 /15 7415 Collins Avenue North Beach
Miami Beach, FL 33141 MON $13.38
24
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1 QV. g CP i
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1)Name Mark Samuelian (2)I.D.Number
(3)Cover Period to / 17 / 2015 through 10 / 29 / 2015 (4)Page 4 of 5
(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
Stardust Coffee Poll worker lunch
10 it 27/ 15 775 17th Street City Hall
Miami Beach, FL 33139 MON $36.75
25
10 27 15 Publix 1045 Water for poll
I /
Dade Boulevard workers
Miami Beach, FL 33139 MON $7.02
26
Wanerman, Cindy Poll worker Parking
10 / 2/15 1330 West Avenue for 11 days
Miami Beach, FL 33139
MON $55.00
27
Physical Advertising Works Metal Stands
10 2 8 15 6713 NE 3 Avenue
/
Miami, FL 33137 MON $52.97
28
Community Newspapers Community newspaper
10 28 15 PO Box 431970 ad
/ /
South Miami, FL 33243 MON $262.00
29
Blueprint Consulting Campaign
10 28 15 PO Box 310561 Administration
Miami, FL 33231
MON $4,024.75
30
Blueprint Consulting Phone Banking
10 28 15 PO Box 310561
I /
Miami, FL 33231
MON $448.00
31
Stardust Coffee Poll Worker Lunch
10 /28 /15 775 17th Street
Miami Beach, FL 33139
MON $53.96
32
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
i -4tC
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1
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Mark Samuelian (2)I.D.Number
(3)Cover Period 10 / 17 / 2015 through 10 / 29 / 2015 (4) Page 5 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
Anedot CC Processing Fee
10 /29 /15 5555 Hilton Avenue
Baton Rouge, LA 70808
MON $0.69
33
10 / 29/15 Stardust Coffee Poll Worker Lunch
775 17th Street
Miami Beach, FL 33139
MON $52.96
34
Anedot CC Processing Fee
10 / 29 _15 5555 Hilton Avenue
/J Baton Rouge, LA 70808
MON $4.20
35
Anedot CC Processing Fee
10 29 15 5555 Hilton Avenue
Baton Rouge, LA 70808 MON $2.25
36
Anedot CC Processing Fee
10 it 29/15 5555 Hilton Avenue
Baton Rouge LA 70808 MON $1.27
37
Anedot CC Processing Fee
10 /29 / 15 5555 Hilton Avenue
Baton Rouge, LA 70808 MON $4.20
38
Anedot CC Processing Fee
10 / 29/ 15 5555 Hilton Avenue
Baton Rouge, LA 70808
MON $10.05
39
Anedot CC Processing Fee
10 / 29/ 15 5555 Hilton Avenue
Baton Rouge, LA 70808
MON $4.20
40
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
L U
I Of)
CAMPAIGN LOANS REPORT ITEMIZED
Page 1 of 1
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
Mark Samuelian
10 Venetian Way#1502
Miami Beach, FL 33139
OCCUPATION: Private Financial (nest OCCUPATION:
AMOUNT OF LOAN: $50,000.00 AMOUNT OF LOAN:
DATE RECEIVED: 10/28/2015 DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03)
age
I10-III