Campaign Loans 12.011
CAMPAIGN LOANS
(PLEASE
REPORT ITEMIZED
Page 1 of 1
TYPE)
FULL NAME AND ADDRESS OF LENDER:
Mark Samuelian
FULL NAME AND ADDRESS OF LENDER:
10 Venetian Way #1502
Miami Beach, FL 33139
OCCUPATION: Investor
OCCUPATION:
AMOUNT OF LOAN: $55,000.00
AMOUNT OF LOAN:
DATE RECEIVED: 5/31/2017
DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER:
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OCCUPATION:
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AMOUNT OF LOAN:
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DATE RECEIVED:
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FULL NAME AND ADDRESS OF LENDER:
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OCCUPATION:
OCCUPATION:
AMOUNT OF LOAN:
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DATE RECEIVED:
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DS -DE 73A (Rev. 08/03)