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2016-M12 Michael C. Grieco CAMPAIGN TREASURER'S REPORT SUMMARY Michael Grieco (1) OFFICE USE ONLY 1 Name "CH �I, i'! 0 pi-; 1: 30 (2) 175 sw 7th Street#2410 Address (number and street) i I r .t.___ ,i L! r=i;; _ Miami FL 33130 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): . ® Candidate Office Sought: Commission Group 2 E l 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 12 / 1 / 16 To 12 / 31 / 16 Report Type: M-12 0 Original ❑Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report 13 250 00 Monetary 4 044 70 Cash & Checks $ , Expenditures $ , , Loans $ 25 ,000 00 Transfers to Office Account $ , . Total Monetary $ , 38 ,250 00 Total Monetary $ 4 044 70 In-Kind $ (8) Other Distributions $ , , . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 233 - - 00 $ 5 278 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: Michael Grieco Michael Grieco (Type name) (Type name) El Individual(onl for IE ❑Treasurer ®Deputy Treasurer ®Candidates ❑Chairperson(only for PC and PTY) or electioneers t,c�om ,,) / / % / X !//-' X % Si• ure Si.nature DS-DE 12(Rev. 11/13) SEE ERSE FOR INSTRUCTIONS 1 car- 5 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Michael Grieco (1) Name (2) I.D. Number 12 1 16 12 31 16 1 3 (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 Michael C. Grieco 12 29 16 100 Jefferson Ave. / / Miami Beach, FL 33139 LOA Attorney CHE 25,000.00 1 Allison Stone 12 29 16 4775 Collins Ave. #1905 Miami Beach FL 33140 IND Attorney CHE 500.00 2 Richard Silverman 12 21 16 1800 Jefferson Ave / / Miami Beach, FL 33139 IND Physician CHE 150.00 3 Mark Jernigan 12 20 16 221 E San Marino Dr. Miami Beach FL 33139 IND Fin Advisor CHE 500.00 4 Steven Laskowski 12 19 16 300 S Pointe Drive #404 Miami Beach FL 33139 IND Consulting CHE 100.00 5 Mojdeh Khaghan 12 14 16 5151 Collins Ave / / Miami Beach FL 33140 IND Attorney CHE 750.00 6 West Flagler 12 27 16 Associates LTD / / 401 NW 38 Ct Miami FL 33126 BUS Racing CHE 1000.00 7 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES a0 At 5 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS Michael Grieco (1) Name (2) I.D. Number 12 1 16 12 31 16 2 3 (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 Southwest Florida 12 27 16 Enterprises, Inc. / / 401 NW 38th Court Miami FL 33126 BUS Racing CHE 1000.00 8 Hayday, Inc. 12 27 16 401 NW 38th Court / / Miami FL 33126 BUS Shop Center CHE 1000.00 9 Yves Barroukh 12 6 16 5696 Alton Rd / / Miami Beach FL 33140 IND Real Estate CHE 500.00 10 Barroukh Realty 12 6 16 Management LLC 5696 Alton Rd Miami Beach FL 33140 BUS Real Estate CHE 500.00 11 DryEco 12 1 16 18660 Collins Ave, Ste 100 Sunny Isles Beach, Fl BUS Dry Clean CHE 250.00 12 33160 Karen J. Newman 12 6 16 370 E 76th St Apt C601 / / New York NY 10021 IND Attorney CHE 1000.00 13 Renee S. Baruch 12 6 16 845 West End Ave New York NY 10025 IND Attorney CHE 1000.00 14 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � � 3 of 5 CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS Michael Grieco (1) Name (2) I.D. Number 12 1 16 12 31 16 3 3 (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 Michael J. Core 12 6 16 129 Union Ave / / Garfield NJ 07026-2256 IND Sales Mngr CHE 1000.00 15 Joshua D. Hadar 12 6 16 345 Greenwich St, Apt / / 6A New York, NY 10013 IND Artist CHE 1000.00 16 Loredana Longardo 12 6 16 128 Bay 35th Street J / Brooklyn NY 11214 IND Controller CHE 1000.00 17 Robert Lewis Simons 12 6 16 600 Grapetree Dr. Ste / / 6Bs Key Biscayne FL 33149 IND Physician CHE 1000.00 18 Margery R Hadar 12 6 16 190 East 72nd St Apt 29a New York NY 10021 IND Realtor CHE 1000.00 19 / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ti et s CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Michael Grieco (2) I.D. Number (3)Cover Period 12 / 1 / 16 through 12 / 31 / 16 (4) Page 1 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 Paypal 'Processing r'ee 12/ /4 /16 2211 North First Street San Jose, CA 95131 MON 22.05 1 Paypal Processing Fee 12 21 16 / / 2211 North First Street San Jose, CA 95131 MON 4.65 2 Paypal Processing Fee 12 20 16 2211 North First Street / / San Jose, CA 95131 MON 14.80 3 Paypal Processing Fee 12 19 16 2211 North First Street / // San Jose, CA 95131 MON 3.20 4 Owen Carhart Consulting 12 /1 l6 Carhart Capital Management / 350 Lincoln Road, Suite 5065 Miami Beach FL 33139 MON 4000.00 5 / / / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES S 0E- 5