DS-DE 12 Miami Beach Advisory Council 2016-M12 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Miami Beach Advisory Council oFFIOE USEON.LY1
cltl I ,Jr+t, U ,, G 00
Name
(2) 2618 Centennial Place c! i_',r
Address (number and street)
Tallahassee, FL 32308
City, State, Zip Code
[' Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought:
❑ Political Committee(PC)
0 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 12 / 01 / 16 To 12 / 31 / 16 Report Type: M12
12 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0 . 00 Expenditures $ , 162 . 12
Loans $ , , • Transfers to
Office Account $ •
Total Monetary $ , 0.00
Total Monetary $ , 162 . 12
In-Kind $ •
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 34, 000 . 00 $ , 33 , 262 . 51
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify t -t I have examined this report and it is true, correct, and complete:
(Type nam•) Mark` erron (Type name)
❑ Individu:l(only for IE 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
orelectio -ering comm.
X v X
Signatur Signature
DS-DE 12(Re 11/13 SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
12 01 16 12 31 16 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
/ /
/ /
/ /
DS-DE 13(Rev. 11113) 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 12 / 01 / 16 through 12 / 31 / 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
Messer Caparello, P.A. Legal/Administrativ
12/08 /16 2618 Centennial Place e Fees
Tallahassee, FL 32308
MON $159.12
1
12 27 16 Hancock Bank Dormant Account Fee
/ /
P.O. Box 4019
® Gulfport, MS 39502-4019 MON $3.00
2
! /
/
DS-DE 14 Rev. 11/13
( 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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