DS-DE 12 UNITE HERE Miami Fund M1-2016 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) UNITE HERE Miami Fund tlOFFICE U'SE ONLY
Name 2516 FEB 16 Lt iII: 25
(2) 275 Seventh Avenue, 16th Floor ;
I Y,Address (number and street) C' �_i �:F�i:._
New York, NY 10001
City, State, Zip Code
(1 Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
El Candidate Office Sought:
MI Political Committee (PC)
❑ Electioneering Communications Org. (ECO) El 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 01 / 01 /2015 To 01 / 31 /2015 Report Type: M-1
SI Original Cl Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 50 , 000 . 00 Expenditures $ , 7 , 491 . 08
Loans $ • Transfers to
Office Account $
Total Monetary $ , 50 , 000 . 00
Total Monetary $ , 7 491. 08
In-Kind $ •
(8) Other Distributions
$ , 0 . 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 50 , 000 . 00 $ , 7 . 491 , 08
(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) Zaina Tannu-Khan (Type name) R. \cx., ,zr
❑ Individual(only for IE ❑Treasurer p Deputy Treasurer ❑Candidate Chairperson(o for PC and PTY)
or electioneering comm.)
,,,,147
_ s:// X
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
• CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
v
UNITE HERE Miami Fund
(1) Name (2) I.D. Number
01 01 2015 01 31 2015 1 1
(3) Cover Period / / through / I (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
UNITE HERE
01 20 2015 275 Seventh Ave
/ / 16th Floor
0,1
New York, NY 10001 B CHE 50,000.00
/ /
/ /
/ /
/ /
/ /
/ / .
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name UNITE HERE Miami Fund (2) I.D. Number
(3) Cover Period 01 / 01 2015 through 01 / 31 / 2015 (4) Page 1 of 1
(5) (7) (8) (9) (10) (91)
Date Full Name Purpose
(Last, Suffix, First, Middle) (add office sought if
(5) Street Address& contribution to a Expenditure
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
Edge Communications Consultant
01/ 21/2015 2929 SW 3rd Ave
Ste 220
Miami, FL 33129 %E{. 5,000 00
01
01/26 015 Ocean Printers Printing
2413 Stirling Rd Doorhangers
Ft. Lauderdale, FL 33312
1E1 2,491.08
02
/ /
/ /
/
/
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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