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DS-DE 12 Save Miami Beach 2016 2016-M9 CAMPAIGN TREASURER'S REPORT SUMMA Tsr, (1) d e- v-7 �I�`�' ",�' 'of i, OEEICE0C4E'ONLY : 22 Name Address (number and street) frt4°--.-; � ) -FLT 3 ?/31 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Cl Candidate Office Sought: aPolitical 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 El Check here if no other IE or EC reports will be filed individual making electioneering communications) I (5) Report Identifiers Cover Period: From l / / 4( To q / g 51 6 Report Type: m 07 Original 1=1 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash &Checks $ .> Z0 Expenditures $ � . 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 $ , 3C ,715,s • o0 $ , -s , /56 . cj3 (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 a it is true, correct, and complete: p, (Type name) .07._,,,)-61 (Type name) fy`^�""-'� e c\r-r.1.04 ❑Individual(only for IE nTreasurer ❑Deputy Treasurer ❑Candidate ptChairperson(only for PC and PTY) or electioneering comm.) f� X ijr...-v---e/t ���CJ �" X (ivy Signature Signat DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS 1° P.- --11M4AL— 64 CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name 3 c9- V c,- , ig.,,,,,,I., .2.. /4. (2)I.D. Number (3)Cover Period / // // ( ii, A through ` / 30 / /4 (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 q/ Pim Cil. 0 Ail F/ � j #10 vim-( ; ci. 3k-1) III 0 aw-1,.., ,, .e^-.(A , L ) 331 '1! / / / / / / / / / / / / DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES --e".<1-.. 7 •,P z,.._