DS-DE 12 Save Miami Beach 2016 2016-M4 CAMPAIGN TREASURER'S REPORT SUMMARY, ;
(1) Save Miami Beach 2016 OFFICE USE ONLY
Name
2016 MAYS 10 -- 8: a
(2) 1051 Michigan Avenue#3 r �' ff �.—
CITY !. : U u V sJ �)l a r i.
Address(number and street)
Miami Beach, FL, 33139
City, State, Zip Code
❑Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑Candidate Office Sought:
A 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 4 / 1 / 16 To 4 / 30 / 16 Report Type: M-04
FA Original El Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash& Checks $ , 10 , 100. 00 Expenditures $ , 1 , 799 . 50
Loans $ Transfers to
Office Account $ ,
Total Monetary $
Total Monetary $ ,
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , 12 , 200 - 00 $ , 3 , 161 . 66
(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)Daniel Ciraldo (Type name) Daniel Ciraldo
❑Individual(only for IE ti Treasurer ❑Deputy Treasurer ❑Candidate 12 Chairperson(only for PC a.' PTY)
or electioneering comm.)
X A r 1. "/
Sig ature Signa ure
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(1)Name Save Miami Beach 2016 (3)Cover (2)I.D.Number
Period 4 / 1 / 16 through 4 / 30 / 16
(4)Page 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
Zusanna Hanova Campaign Work $100
4 /1 /16 200 SE 2nd Ave
Miami,FL,33131
4/ 2 / 16 Young Folks Consulting
3961 SW 47th Ave Office Supplies $245.37
Davie,FL,33314
4/5 /16 Miriam Pimintel Campaign Work $180
718 78th Street#10
Miami Beach,FL
33141
4/5 /16 Yahaira Rodriguez Campaign Work $80
7530 Dickens Ave,#2
Miami Beach,FL,33141
4/ 5 / 16 Miami Dade Elections Voter Data $20
2700 NW 87th Ave#100
Doral,FL 33172
4/ 12/16 Young Folks Consulting Promotional Fee
3961 SW 47th Ave Davie, $144
FL,33314
4/ 12/ 16 Anedot Service Fee
PO Box 84314 $4.20
Baton Rouge,LA 70884
4/ 14/ 16 City National Bank Service Fee
300 71st Street $10
Miami Beach,FL,33141
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(1)Name Save Miami Beach 2016 (2)I.D.Number
(3)Cover Period 4 / 1 / 16 through 4 /30 t 16 (4)Page 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
4/21/16 Walgreens Office $13.36
1011 Afton Rd, Supplies
Miami Beach,FL 33139
4 /25/16 Andrea Cucarro C $364
1601 NE 175th Street Campaign am
North Miami Beach FL,33162
Office Depot Office
4 /25/ 16 1771 West Ave, Supplies $49.51
Miami Beach,FL 33139
4 /26/16 Home Depot Office
12055 Biscayne Blvd, Supplies $361.03
Miami,FL 33181
4/28/16 Fedex Kinkos Printing $100.36
1617 Alton Rd,
Miami Beach,FL 33139
Facebook Advertising $25.01
4 /29/16 1 Hacker Way
Menlo Park,CA 94025
Home Depot Office
4 /26/16 12055 Biscayne Blvd, Supplies $102.66
Miami,FL 33181
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DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
Save Miami Beach 2016
(1) Name (2) I.D. Number
4 1 2016 4 30 2016
(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
David Golomb
4 12 16 7441 Wayne Ave.,
/ / Apt. lOR
Miami Beach, FL 33141 I Retired CHE $100.00
Gregory George
4 18 / 16 13 Hopkins Road
/
Williamsville, NY
14221 I Doctor CHE $10,000
/ /
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DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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