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DS-DE 12 Perez 2015-G2-1
CAMPAIGN TREASURER'S REPORT SUMMARY - (1) Elizabeth "Betsy" Perez OFFICE USE ONLY Name l6FIB 16 Ki12: 39 (2) 7605 Collins Ave r "Y= f 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 ❑ 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 (0 / Q3 / 15 To (O / t(.0 / 15 Report Type: C 2 -13 ❑ Original [Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , Q . QQ Expenditures $ , , Q . CO Loans $ , 0 . 00 Transfers to Office Account $ , 0 • W Total Monetary $ 0. 00 Total Monetary $ , , Q Q . co In-Kind $ 0. CO ' (8) Other Distributions $ (9) TOTAL Monetary /�Contributions To Date (10) TOTAL Monetary Expenditures To Date $ .S5 , WV/1 9 O0 $ 8 :138 ., C . (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(ol for IE O.'Tireasure! ❑De uty Treasurer 0 Candidate ❑Chairperson(only for PC and PTY) or electio•-erinomm 1 P "ff)if„..e9 / - x , - i-- I .1/4" PVC o 1 x ed., Signature 1 Signatu , DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS c CO122ECTI 0 TO TOTAL V\©L)TARy Ex PJm , (Tu its 01■.1L_ . LA/. 1