DS-DE 12 Beach Residents for Quality of Life G1 1
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Beach Residents for Quality of Life OFFICE USE ONLIt,
Name
(2) 2618 Centennial Place �_ °; --
Address (number and street) '-- ,.:3 =
Tallahassee, FL 32308 = 1
City, State, Zip Code a
❑ Check here if address has changed (3) ID Number: �c
(4) Check appropriate box(es): .
❑ Candidate Office Sought:
❑ Political Committee (PC)
SI 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 2 / 01 / 16 To 2 / 12 /16 Report Type: G1
12 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 0 . 00 Expenditures $ , 2 , 250 . 00
Loans $ , , Transfers to
Office Account $ •
Total Monetary $ , 0 . 00
Total Monetary $ , 2 , 250. 00
In-Kind $ , -
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 10 , 800 . 00 $ , 6 , 500 .00
(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 natl.):) Mark Herron (Type name)
❑ Individua (only for IE Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electione ring comm.)
X tV • X
Signature Signature
DS-DE 12(Rev. 1/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Beach Residents for Quality of Life
(1) Name (2) I.D. Number
2 01 16 2 12 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
/ /
/ /
r r..,
n - '
L'1
/ /
C?
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Miami Beach Advisory Council (2) I.D. Number
(3) Cover Period 2 /01 /16 through 2 / 12 / 16 (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
Legal/Administrativ
2 /08 /16 Messer Caparello, P.A. e Fees
2618 Centennial Place $2,250.00
Tallahassee, FL 32308
1
•
C
- c.�
_ T i
- C.
c
l /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES