DS-DE 12 Perez 2015-R2-1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Elizabeth "Betsy" Perez ;4 OFFICE USE ONLY
Name 7516 FFP 1 J Fri t2: 40
(2) 7605 Collins Ave
Address (number and street) _;F
Miami Beach, FL 33141
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
4 Candidate Office Sought: Commissioner - Group IV
❑ 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 Q / .3 k / is To I 1 / 12. I 15 Report Type: 122— 15
❑ Original 2-Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , —, 500 00 Expenditures $ , , tt..}5. 2Co
Loans $ , , 0. 00 Transfers to
Office Account $ , , 3. 00
Total Monetary $ _ 500. CO
Total Monetary $ , 1(4 5. 2(J)
In-Kind $ 0 . 00
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 23 , Oa°, 00 . $ 1101 T712 .
(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
s
❑Individual(on for IE /Treasure ❑De silty Treasurer ❑Candidate ❑Chairperson(only for PC and PT()
or electio•-erin' comma J
, vA
Signature Signat
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
de"
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Elizabeth "Betsy" Perez Campaign
(1) Name (2) I.D. Number
10/31/2015 11/12/2015 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
Horwitz, Janet Bookkeeper
11/08/2015 5514 Pine Tree Drive
/ / , Miami Beach, FL 33140
1 I CHE DEL 1,000.00
Horwitz, Janet Bookkeeper
11/08/2015 5514 Pine Tree Drive
/ / Miami Beach, FL 33140
2 I CHE ADD 500.00
/ /
/ /
I
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
-1:::**; .' 2O3
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Elizabeth "Betsy" Perez Campaign (2) I.D. Number
(3)Cover Period 10/31/015 / through 11/12/2015 / (4) Page 1 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
Suntrust Bank Fees
11/19201/ PO Box 305183
�, Nashville, TN 37230
ADD 5.26
1
11/12/2015 The Rocket Science Group Emails
675 Ponce De Leon Ave NE, #5000
Atlanta, GA 30308
ADD 140.00
2
,r
/ /
/
/ /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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