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DS-DE 12 Samuelian TR
CAMPAIGN TREASURER'S REPORT SUMMARY (1) Mark Samuelian `nay OFFICE USE''ONLY Name 2016 FEB - I' (2) 10 Venetian Way#1502 12: 28 Address (number and street) CI FY C L__.ti ; _ , 1C Miami Beach, FL 33139 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): SI 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 ❑ 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 / 30 / 15 To 02 / 01 / 16 Report Type: 2015-TR Fi Original ❑Amendment ❑Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ , , • Expenditures $ , 122, 876 . 38 Loans $- , 16 , 249. 09 Transfers to Office Account $ , . Total Monetary $ Total Monetary $ , 122 , 876. 38 In-Kind $ , , 532. 14 (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 416 , 560 91 $ , 416 , 560 , 91 (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 0 Candidate ❑Chairperson(only for Pc and PTY) or electioneering comm.) gtv X X / iii: 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 30 15 02 01 16 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 Robert Levy & 11 03 15 Associates, Inc. / / 780 N.E. 69th Street, 1 Suite 1703 B Consulting INK Reception $532.44 Miami, FL 33138 Samuelian, Mark 01 / 26 / 16 10 Venetian Way #1502 Miami Beach, FL 33139 lg Private Fin 2 LOA -$16,249.09 Investor / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i'' ) . 42_ z 0 t Cir CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2) I.D. Number (3) Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 1 of 7 (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 National Campaign Resource Group English/ Spanish 10 it 30/ 15 11380 Prosperity Farms Road #221E Mailers Palm Beach Gardens, FL 33410 MON $55,968.00 1 10 30 15 Campaign Statistical Campaign Statistics I / 1966 NE 123RD Street North Miami, FL 33161 MON $450.00 2 WPLG Media Buy 10 / 30/ 15 3401 Hallandale Beach Blvd. Pembroke Park FL, 33023 MON $2,550.00 3 Blueprint Consulting Campaign Admin 10 30 15 PO Box 310561 / / Miami, FL 33231 MON $4,846.50 4 Chicken Kitchen Poll Worker Lunch 10 / 30/ 15 1509 Alton Road Miami Beach, FL 33139 MON $62.20 5 McDonalds Voter Lunch 10 3 0 15 1601 Alton Road / Miami Beach, FL 33139 MON $34.67 6 McDonalds Voter Lunch 10 31 15 1601 Alton Road / / Miami Beach, FL 33139 MON $5.22 7 Walgreens Voter Beverage and 10 / 31/ 15 1011 Alton Road snack Miami Beach FL 33139 MON $30.37 8 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2)I.D. Number (3) Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 2 of 7 (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 Walgreens Food for voter 10 / 31/ 15 1011 Alton Road event Miami Beach, FL 33139 MON $38.48 9 11 O1 15 Walgreens Poll Worker I / 1011 Alton Road Supplies Miami Beach, FL 33139 MON $57.58 10 Wanerman, Cindy Parking Costs 11 01 15 1330 West Avenue / / Miami Beach, FL 33139 MON $38.00 11 Subway Poll Worker Lunch 11 01 15 1424 Alton Road it it Miami Beach, FL 33139 MON $31.06 12 Morris, George Early Voting 11 / 02/ 15 2800 Collins Avenue Miami Beach, FL 33140 MON $340.00 13 Davis, Sydney Early Voting 11 / 02 15 2800 Collins Avenue Miami Beach, FL 33140 MON $150.00 14 Blueprint Consulting Campaign Admin 11 02 15 PO Box 310561 / / Miami, FL 33231 MON $2,081.88 15 MDW Communications Web Design 11 / 02/ 15 601 NW 82nd Avenue #432 Plantation, FL 33324 MON $400.00 16 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES "---FZ._ _ ( of9 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2) I.D. Number (3)Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 3 of 7 (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 MDW Communications Digital 11 / 02/ 15 601 NW 82nd Avenue #432 Communications Plantation, FL 33324 MON $1,000.00 17 11 02 15 MDW Communications Photo Shoot I / 601 NW 82nd Avenue #432 Plantation, FL 33324 MON $2,100.00 18 MDW Communications Printing Stickers 11 / 0/ 15 601 NW 82nd Avenue #432 Plantation, FL 33324 MON $1,000.00 19 MDW Communications Video Production 11 0 2 15 601 NW 82nd Avenue #432 / Plantation, FL 33324 MON $1,900.00 20 MDW Communications Digital Advertising 11 / 02/ 15 601 NW 82nd Avenue #432 Plantation, FL 33324 MON $10,937.50 21 Comcast Media Buy 11 0 2 15 1800 NW 49 Street, Ste. 140 / Ft. Lauderdale, FL 33309 MON $2,081.65 22 Campaign Statistical Cable Buy 11 02 15 1966 NE 123rd Street / / North Miami, FL 33161 MON $167.35 23 Campaign Statistical Media Buy 11 / 02/ 15 1966 NE 123rd Street North Miami, FL 33161 MON $200.00 24 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (--- 5 0 r ci cgae_._ CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2)I.D. Number (3)Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 4 of 7 (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 WPLG Media Buy 11/02 if 15 3401 Hallandale Beach Blvd. Pembroke Park, FL 33023 MON $4,080.00 25 11 02 15 Campaign Statistical Media Statistics I / 1966 NE 123rd STREET North Miami, FL 33161 MON $720.00 26 Subway Lunch for Poll 11 0� 15 1424 Alton Road Workers I Miami Beach, FL 33139 MON $124.53 27 Subway Lunch for Poll 11 02 15 1424 Alton Road Workers / / Miami Beach, FL 33139 MON $13.73 28 Gomez, Luz Poll Worker / South 11 / 03/ 15 530 Michigan Avenue Shore Community Miami Beach, FL 33139 Center MON $150.00 29 Hernandez, Grisel Poll Worker / South 11 / 0 3 15 6345 Collins Ave. Apt. Th2 Shore Community Miami Beach, FL 33139 Center MON $30.00 30 Paez, Gabriel Election Day 11 03 15 100 Lincoln Road water/lunch / / Miami Beach, FL 33139 delivery / snacks MON $213.00 31 Serrano, Berta Early Voting Poll it / 03/ 15 800 Washngton Avenue Work at City Hall Miami Beach, FL 33139 MON $370.00 32 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES I 1.8.e__ 6 el. q CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2) I.D. Number (3)Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 5 of 7 (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 Avila, Calixto EV/ Election Day —11 if 03/15 800 Washington Avenue Poll Work Miami Beach, FL 33139 MON $370.00 33 11 / 03/ 15 Morris, George Poll Worker at Botanical Garden Miami 2800 Beach Collins FL Avenue 33140 (left for 2 hours) MON $130.00 34 Davis, Sydney Election Day 11 / 03//_ 15 2800 Collins Avenue Miami Beach, FL 33140 MON $150.00 35 Wanerman, Cindy Parking 11 03 15 1330 West Avenue / / Miami Beach, FL 33139 MON $15.00 36 Walgreens Water for poll 11 it 03/ 15 524 Jefferson Ave. workers Miami Beach, FL 33139 MON $5.98 37 Vargas, Linda Parking 11 / !/ 03 _ 15 480 NW 135th Street North Miami, FL 33162 MON $20.00 38 Subway Lunch for Poll 11 04 15 1614 Washington Ave., Suite A, Workers / / Barnett Bank Building Miami Beach, FL 33139 MON $95.38 39 Toni's Sushi Lunch for Poll 11 / 04/ 15 1208 Washington Ave workers Miami Beach, FL 33139 MON $186.04 40 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES e---- --T__ -7 or -'" CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Samuelian (2) I.D. Number (3) Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page 6 of 7 (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 Office Depot Office Supplies 11 /05 /15 1771 West Avenue Miami Beach, FL 33139 MON $231.06 41 11 05 15 Blueprint Consulting Water/Ice / / PO Box 310561 reimbursement Miami, FL 33231 MON $133.10 42 TLE Analytics Data 11 / 0/ 15 2501 NE 11th St, Apt. 8 Fort Lauderdale, FL 33304 MON $900.00 43 The Sharpton Group, P.A. Accounting Work 11 0 5 15 1 SE 3rd Ave, Suite 2100 / Miami, FL 33131 MON $13,440.00 44 Jardines, Verena Campaign Admin. for 11 / 06/ 15 10 Venetian Way #1502 poll workers/ final Miami Beach, FL 33139 MON $700.00 45 National Campaign Resource Group Voter calls 11 / 1 1 15 11380 Prosperity Farms Road #221E Palm Beach Gardens, FL 33410 MON $5,100.00 46 National Campaign Resource Group Voter calls 11 11 15 11380 Prosperity Farms Road #221E I / Palm Beach Gardens, FL 33410 MON $5,297.00 47 MDW Communications Final Retainer 11 / 11/ 15 601 82nd Avenue Plantation, FL 33324 MON $1,000.00 48 DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (--P::; ..f2._ R 0 r) C7 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Mark Saamuelian (2) I.D. Number (3)Cover Period 10 / 30 / 15 through 02 / 01 / 16 (4) Page of (5) (7) (8) (9) (10) (1 1) 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 Messer Caparello PA Attorneys Fees 11 /12 / 15 2618 Centennial Place Tallahassee, FL 32308 MON $1,260.00 49 01 06 16 Image Plus Graphics, Inc. Palm Cards / / 1440 NE 131st Street North Miami, FL 33161 MON $588.50 50 Comcast Media Buy 01 /06 if 16 1800 NW 49th Street, Ste. 140 Ft. Lauderdale, FL 33309 REF -$1,167.40 51 The Sharpton Group, P.A. Accounting Work 1 S.E. 3rd Ave, Suite 2100 01 /26 /16 Miami, FL 33131 MON 52 $2,250.00 / / / / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i