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2016-M12 Micky Steinberg CAMPAIGN TREASURER'S REPORT SUMMARY LU I ! AFFICECUSE=ONL=Y 20 (1) Steinberg,Micky • Name (2) 900 Bay Drive Apt. 504 Address(number and street) Miami Beach,FL 33141 City, State,Zip Code Check here if address has changed (3) I.D. Number: 00000 (4) Check appropriate box(es): X Candidate(office sought): Miami Beach Commission,Group I Political Committee(PC) Check here if PC or ECO has disbanded Electioneering Communications Org.(ECO) 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 12/01/2016 To 12/31/2016 Report Type: M12 X Original Amendment Special Election Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash&Checks $9,100.00 Expenditures $79.80 Transfers to Loans $3,600.00 Office Account $0.00 Total Monetary $12,700.00 Total Monetary $79.80 In-Kind $0.00 (8)Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $51,235.00 $1,324.64 (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: Micky Steinberg Micky Steinberg Individual(only for IE or X Treasurer Deputy Treasurer Candidate Chairman(only for PC and PTY) electioneering c mun.) M/ X Signature /' Signatur This form is based on DS-DE 12(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox o I 0� CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Steinberg, Micky (2) I.D. Number 00000 (3)Cover Period 12/01/2016- 12/31/2016 (4) Page 1 of 3 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 12/12/2016 Forman,Alan J. I Attorney CHE $ 1000.00 3330 Judith Dr Bellmore, NY 11710-0000 1 12/13/2016 Brizela, Miguel I CHE $ 100.00 6619 S. Dixie Hwy.#237 Miami, FL 33143-0000 2 12/14/2016 Waldron,Terence R. I -CHE $ 100.00 2700 NE 135 St North Miami, FL 33181-0000 3 12/14/2016 American Salvage Inc B CHE $ 100.00 5981 SW 21st Street West Park, FL 33023-0000 4 12/15/2016 17th Street Partners B Real CHE $ 1000.00 230 5th Street Estate Miami Beach, FL 33139-0000 5 12/15/2016 Bay Road Partners B Real CHE $ 1000.00 230 5th Street Estate Miami Beach, FL 33139-0000 6 12/15/2016 Bay Road Partners 1930, LLC B Real CHE $ 1000.00 230 5th Street Estate Miami Beach, FL 33139-0000 7 12/15/2016 Lindsay Holdings, LLC B Real CHE $ 1000.00 230 5th Street Estate Miami Beach, FL 33139-0000 8 This form is based on DS-DE 13(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Steinberg, Micky (2) I.D. Number 00000 (3)Cover Period 12/01/2016- 12/31/2016 (4) Page 2 of 3 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 12/15/2016 Purdy Partners 1787, LLC B Real CHE $ 1000.00 230 5th Street Estate Miami Beach, FL 33139-0000 9 12/16/2016 Randolph,Alan I Banking CHE $250.00 325 NE 95th St Miami, FL 33138-0000 10 12/28/2016 Miami Beach Natural Sports B Chiroprac CHE $ 150.00 Medicine Inc tor 400 Arthur Godfrey Road , Suite 412 Miami Beach, FL 33140-0000 11 12/28/2016 Probus, Carla I Homema CHE $750.00 2017 North Bay Rd ker Miami Beach, FL 33140-0000 12 12/30/2016 Gelber, Seymour I CHE $ 100.00 781 Fairway Drive Miami Beach, FL 33141-0000 13 12/31/2016 Granot, Raviv I CTO CHE $ 1000.00 4045 Sheridan Ave,#384 Miami Beach, FL 33140-0000 14 12/31/2016 Savron, Giorgio I CHE $50.00 900 Bay Drive#1021 Miami Beach, FL 33141-0000 15 12/31/2016 Steinberg, Richard I Attorney CHE $500.00 767 Arthur Godfrey Road Miami Beach, FL 33140-0000 16 This form is based on DS-DE 13(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Steinberg, Micky (2) I.D. Number 00000 (3)Cover Period 12/01/2016- 12/31/2016 (4) Page 3 of 3 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount 12/31/2016 Steinberg, Micky S Realtor LOA $3600.00 900 Bay Drive Miami Beach, FL 33141-0000 17 This form is based on DS-DE 13(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox el-a:Igz__ aC CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Steinberg, Micky (2) I.D. Number 00000 (3) Cover Period 12/01/2016- 12/31/2016 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address& (add office sought if Expenditure Number City,State,Zip Code contribution to a candidate) Type Amendment Amount 12/13/2016 Anedot Processing Fee MON $4.20 PO Box 84314 Baton Rouge, LA 70884-0000 1 12/16/2016 Anedot Processing Fee MON $ 10.05 PO Box 84314 Baton Rouge, LA 70884-0000 2 12/30/2016 Anedot Processing Fee MON $4.20 PO Box 84314 Baton Rouge, LA 70884-0000 3 12/31/2016 Anedot Processing Fee MON $61.35 PO Box 84314 Baton Rouge, LA 70884-0000 4 This form is based on DS-DE 14(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox � s� 7 CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Steinberg, Micky (2) I.D. Number 00000 (3)Cover Period 12/01/2016- 12/31/2016 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address 8 (add office sought if Related Number City,State,Zip Code contribution to a candidate) Expenditures Amendment Amount Nothing to report on this form This form is based on DS-DE 14A(Rev.08/03)[Note about Committees has been removed.] Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1)Name Steinberg, Micky (2) I.D. Number 00000 (3)Cover Period 12/01/2016- 12/31/2016 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11) Date Name of Financial (6) Institution Transfer Nature of Sequence Street Address 8 Number City,State,Zip Code Type Account Amendment Amount Nothing to report on this form This form is based on DS-DE 13A(Rev.11/13) Adjutant Workshop,Inc.-Campaign ToolBox 4.*"14_ 7 o r 7