DS-DE 12 UNITE HERE Miami Fund 2016-M1-1 •
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) UNITE HERE Miami Fund PFE.F USEr_ONLY7
Name
(2) 275 Seventh Avenue, 16th Floor CIF)/ L F r �
Address (number and street)
New York, NY 10001
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought:
0 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 01 / 01 /2016 To 01 / 31 / 2016 Report Type: M-01
❑ Original D 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) Donald Taylor
❑ Individual(only for IE ❑Treasurer 0 Deputy Treasurer ❑Candidate 0 Chairperson(only for PC and PTY)
• - - l:neering comm.)
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Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
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• CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
UNITE HERE Miami Fund
(1) Name (2) I.D. Number
01 01 2016 01 31 2016 1 1
(3) Cover Period / / through / / (4) Page of
(5) (7) (8) (9) I (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 2016 275 Seventh Ave
/ / 16th Floor
01 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 / 2016 through 01 / 31 / 2016 (4) Page 1 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
Edge Communications Consultant
01/ 21/2016 2929 SW 3rd Ave
Ste 220
Miami, FL 33129 IEI 5,000.00
01
O1/ 26 2016 Ocean Printers Pringing
/ 2413 Stirling Rd Doorhangers
Ft Lauderdale, FL 33312
IEI 2,491.08
02
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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