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F2 FLORIDA OEPARTMENT OF S1 ATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) S/mON trl.-t Z- (2) Candidate. cGmittee or ~ Name In . 1.0. Number (3) q I D e-;; f yeN u e., ,'p..nu Be/te-h -; L 33/39 J ~ess (number and street) City State Zip Code Check box if address has changed since last report n 5 ." ~, (4) Check appropriate box(es): --< <8 rn (d, ro Up n ;...I 0 o Candidate (office sought): (! 0 m m i 5 S ,'0 n e r ~,V~ ~ ....... .ce: o Political Committee I 7:: -0 o Check if PC has DISBANDED u) -:t'- Iii 0 f;? CJ o Committee of Continuous Exi$tenc~ o Check if CCE has DISBANDED ..., --r\ c..:J - c..:J ('") o Party Executive Committee r1"\ (5) REPORT IDENTIFIERS Cover Period: From ~ ;) 7 I 0 3 To /f)/ltJl 03 Report Type ~ Original o Amendment o Special Election Report o Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Cash & Checks $ , ~tf, 6" otJ..JlQ. Monetary 3 . 193...kQ Expenditures $ , loans $_. Transfers to , . - Office Account $_. , Total Monetary $-, ;)'1, fJDO ....Qj;L Total Monetary $ 3 I 793.~ , In-kind $-, . (8) Other Distributions $_. . (9) TOTAL Monetary Contributions to Oate (10) TOTAL Monetary Expenditures to Date $ , 19 , 300 . 00 $ ,33./3g.0tJ (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 I certify that I have examined this report and it is true, correct and complete true, correct and complete ~P? CH'V? .s~""-<"...,,.,J C~0-Z-- Name of 0 Treasurer 0 Deputy Treasurer Name of BCandidate o Chairman (PC/PTY Only) X _~ ~J ~ .~ ..c:~ X ~~~ Signature ~ Signature VALUES I ,",,,,.n<= ,? f7/QA' SEE REVERSE FOR 'NSTRucnONS AND CODE pCt~ I rrz CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name ..:::5/""'" V rl' G L JL.. (2) 1.0. Number (3) Cover Period z; t 1;1- 7 I 0:3 through ~I ~I 0.3 (4) Page ) of / (5) (7) (8) (9) (10) (11 ) Date Full Name purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount /o/z. //)3 SU/lrosr- /6&8 Ner/l>/~ :) 326. OD jl/h4-H; 13 e Pi {' k / ;:::- L j)1> Iler//o;:"// / 10/3/oJ /H' /4/1-1/ #G'r4-4 J /';eY4-~D t nJ. b D PLAZA Ao /Jerri J IJ .2 I-f/~// ,rL ItJ / 6/ f}] ?-/I t/f} 'V Ie M,tR(; tJell~ J!rJtI/ll {' Id' J eJ701 L'JI//4C, Ave $ 3, boo. 'u /YJ 1,f7t( ; .o~~~?, FL , J/)/,!/oJ ,J;,Sr' 4>fzi~e J !l/t/,.f/t"';? - L'A:HI.tl-l/tL- /I,/~ fj U/ t4' s ,/ "'/ fi;.u A{" f: J [0/00. Atl ~~' LIp' vI'e~ Fe:- vcX't"'" / / / / / - / / / / ~ ~ DS- E 4 r c..CJt ~-ur l D 1 (7/98) SEE REVERSE FOR INSTRucnONS AND CODE VALUES Page -1- of !f Simon CnlZ (2) I.D. Number: 9/27/03 . 10110103 (5) Page: _ 1 of 5 7 8 9 10 11 12 Full Name Contributor (Last, Suffix, First, Middle) Street Address & Contribution In-kind City, State, ZiD Code Type Occupation Type Description Amendment Amount 9/26/2003 Alma B Maintenance Check $250.00 1 1172 South Dixie Highway, #403 Coral Gables, FL 33146 9/29/2003 Barry & Linda Gibb I Musician Check $250.00 2 5820 N. Bay Road Miami Beach, FL 33140 1017/2003 Burkett Properties, Inc. B Property Check $250.00 3 801 Alton Road, #2 Mgt. Miami Beach, FL 33139 7/30/2003 Barton G. Golderg I Banker Check $100.00 4 301 Arthur Godfrey Road Miami Beach, FL 33140 10/7/2003 Horace Madison I Real-estate Check $250.00 5 733 Third Avenue, #1910 New York, NY 10017 10/6/2003 Kenneth & Jill Swartz I Check $100.00 6 6061 N. Bay Road Miami Beach, FL 33140 10/6/2003 Donna & Jay Scharer I Entertainer Check $250.00 7 1617 - 22nd Street Miami Beach, FL 33140 10/7/2003 Alan Levine I Attorney Check $350.00 8 5165 Alton Road Miami Beach, FL 33140 10/7/2003 Rajesh Kalwani I Real-estate Check $500.00 9 1717 N Bayshore Dr. Miami, FL 33132 1017/2003 Gino Falsetto/Mag. Farias I Entrepreneur Check $500.00 10 1717 N. Bayshore Drive Miami, FL 33132 1017/2003 Lourdes Cecilia Ocampo I Executive Check $500.00 11 2899 Collins Avenue, #1502 Miami Beach, FL 33140 101712003 Bernard Siegel I Hotelier Check $500.00 12 510 Ocean Drive Miami Beach, FL 33139 10/17/200310:52 PM ~C(St '3 t { 1 Page~of S 7 8 9 10 11 12 Full Name Contributor (Last, Suffix, First, Middle) Street Address & Contribution In-kind City, State, Zip Code Type Occupation Type DescrIption Amelldment Amount 10/6/2003 Edward & Edith Cutler I Check $500.00 13 8750 SW 99th Street Real-estate Miami, FL 33178 10/612003 Moises Gisel Martinez I Construction Check $500.00 14 880 NE 69th Street Miami, FL 33138 10/6/2003 Michael Fraser I Real-estate Check $500.00 15 8750 SW 99th Street Miami, FL 33176 10/6/2003 Marysol Patton I Ewnt Check $500.00 16 2451 Brickell Avenue Organizer Miami, FL 33129 101712003 Payton & Carlson, PA B Attomey Check $500.00 17 One SE Third Aveue Miami, FL 33131 10/7/2003 Ronald Bachoon June Ramsawak I Real-estale Check $500.00 18 511 NE 110Street Miami, FL 33161 10/6/2003 Federico Ferrando I Investor Check $500.00 19 999 Brickell Avenue Miami, FL 33131 10/6/2003 Robert Todak I Hotelier Check $500.00 20 710 NE 72 Terrace Miami, FL 33138 10/7/2003 Querube Kelso I ReaJ..estate Check $500.00 21 1627 Brickell Avenue Miami, FL 33129 101712003 Ludovic Roche I ReaI-estate Check $500.00 22 5845 Collins Avenue Miami Beach, FL 33139 10/7/2003 Randall Rande Pierce I Hotelier Check $500.00 23 710 NE 72 Terrace Miami, FL 33138 10/6/2003 Victor J. Labruzzo I Attomey Check $500.00 24 1717 North Bay Shore Drive Miami, FL 33132 9/22/2003 Lani Capote I Check $100.00 25 109 East Rivo Alto Drive Miami Beach, FL 33139 9/30/2003 2427 Investments, Inc. B Auto Check $500.00 26 One Casuarina Concourse Dealer Coral Gables, FL 33143 10117/200310:52 PM ~ L( f(72 pageL of 5 7 8 9 10 11 12 Full Name Contributor (Last, Suffix, First, Middle) Street Address & Contrllulion In-klnd City, State, Zip Code Type OccuDation Type Description Amendment Amount 9/30/2003 R & A Midwest, LLC B Auto Check $500.00 27 2333 Ponce De Leon Blvd. Dealer Suite 600 Coral Gables. FL 33134 9/3012003 A & R West Dade, Inc. B Auto Check $500.00 28 One Casuarina Concourse Dealer Coral Gables, FL 33143 9/3012003 A & R Investments B Auto Check $500.00 29 One Casuarina Concourse Dealer Coral Gables, FL 33143 9/3012003 R & A Roseville, LLC B Auto Check $500.00 30 2333 Ponce De Leon Blvd. Dealer Coral Gables, FL 33134 9/2912003 Judith & Michael Adler I Developer Check $500.00 31 4549 Pine Tree Drive Miami Beach, FL 33140 9/29/2003 Adler Development. Inc. B Developer Check $500.00 32 1400 NW 107 Avenue Miami, FL 33172 9/29/2003 Arvila Apartments, LC B Property Check $250.00 33 1300 Collins Avenue Management Miami Beach, FL 33139 9/29/2003 Bersin Development Corp. B DeYeloper Check $500.00 34 2665 South Bayshore Drive Coconut Grove, FL 33133 9/25/2003 Yolanda Berkowitz I DeYeloper Check $500.00 35 2665 S. Bayshore Drive Miami, FL 33133 . 9/26/2003 Biscayne Design Associates B Designer Check $500.00 36 1632 Pennsylvania Avenue Miami Beach, FL 33139 9/29/2003 Jessica Goldman I Hotelier Check $250.00 37 4500 Sabel Palm Road Miami, FL 33137 9/29/2003 Gotham Enterprises B Property Check $250.00 38 1300 Collins Avenue Management Miami Beach, FL 33139 9/29/2003 Jameck Development B Developer Check $250.00 39 1300 Collins Avenue Miami Beach, FL 33139 9/2912003 Tobias Franoszek I Investor Check $200.00 40 1446 Lenox Avenue Miami Beach, FL 33139 10/171200310:52 PM ~~ 5/f--r page!i- of 5" 7 8 9 10 11 12 Full Name Contributor (Last, Suffix, First, Middle) Street Address & Contribution In-kind City, State, Zio Code Type Occupation Type Description Amendment Amount 912912003 Kendallgate Properties, Inc. B Real-estale Check $500.00 41 2665 South Bayshore Drive Coconut Grove, FL 33133 9/2912003 KDM Corporation B Real-estale Check $500.00 42 4441 Collins Avenue Miami Beach, FL 33140 912912003 Nicos M. Ktori I Investor Check $500.00 43 1445 7th Street Miami Beach, FL 33141 9/29/2003 Uncoln Center Associates B Real-estate Check $250.00 44 1300 Collins Avenue Miami Beach, FL 33139 9/29/2003 Shareef Malnik I Restaurantor Check $500.00 45 432 Arthur Godfrey Road Miami Beach, FL 33141 9/30/2003 Mark Mamolen I Investor Check $500.00 46 155 Burton Apt. 2 Chicaao, IL 60610 9/29/2003 Muss Organization B Hotelier Check $500.00 47 4441 Collins Avenue Suite 452 Miami Beach, FL 33140 9/28/2003 Pelican on Ocean, Inc. B Restaurantor Check $250.00 48 826 Ocean Drive Miami Beach, FL 33139 9/2912003 Daniel Frances Outerbridge I Investor Check $100.00 49 1100 11 th Street, #408 Miami Beach, FL 33139 9/29/2003 Hazel Raphun I Executive Check $500.00 50 8205 SW 64th Street Miami, FL 33143 9/24/2003 Henry & Kinberly Rodstein I Broker Check $200.00 51 444 Brickell Avenue Miami, FL 33131 9/29/2003 The Forge B Entertainment Check $500.00 52 432 Arthur Godfrey Road Miami Beach, FL 33140 9129/2003 The Hotel of South Beach, Inc, B Hotelier Check $250.00 53 804 Ocean Drive, 2nd FI Miami Beach, FL 33139 9/29/2003 Loren Ridinger I Marketing Check $500.00 54 3803 Katie Court Greensboro, NC 27410 10/171200310:52 PM 4 ~r ~ '?J 7 pageL of 5 7 8 9 10 11 12 Full Name Contributor (Last, Suffix, First, Mick:lle) Street Address & ContributiOn In-kind City, State, Zio Code Type Occupation Type Description Amendment Amount 9/2612003 Thirty-Sixth Street ASSt). L TD B Reel-eState Check $500.00 55 1632 Pennsylvania Avenue Miami Beach, FL 33139 9/2612003 Twery Associates, L TO B Reel-eStale Check $500.00 56 1632 Pennsylvania Avenue Miami Beach, 33139 9/2912003 Wish Cafe, Inc. B Restau. Check $250.00 57 804 Ocean Drive Miami Beach, FL 33139 9/2612003 39th St., L TD B Reel-eStale Check $500.00 58 1632 Pennsylvania Avenue Miami Beach, FL 33139 10/6/2003 I Stanly Levine I Attorney Check $350.00 59 1110 Brickell Avenue, 7th fl Miami, FL 33131 9/2912003 Robin & Patricia Bosco I Adm. Asst. CheCk $500.00 60 2937 SW 27th Avenue Miami, FL 33183 9/2812003 Marlo S. Courtney I Hotelier Check $250.00 61 2335 Magnolia Drive North Miami, FL 33181 . Total S24.500.oo 101171200310:52 PM 5 p~ t tt1