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Report F3FLORIDA DEPARTMENT OF STATE DIVISION OF ELE~~ CAMPAIGN TREASURER'S REPORT SUI~M,~IS,¥ v 05 ~,~s~ ! 3 (1 ) Campai~ Acco~t of Dennis Ward ~. Name i ;. ~,5~., ..... ~ ~.~ ~FF ICE (2) 800 West Ave Apt 833 :-' Address (number and street) Miami Beach, FE 33 ~ 39-0000 Ci~, State, Zip Code ~ Ohockboxifaddmssh,schanged (3) I.D. Number: 00000 (4) Chock appropriate box(es): X Candidate (office sought): Miami Beach Ci~ Co~ission-~oup 1 ~ Political Commiffee ~ Check if PC has DISBANDED Commiffee of Continuous Existence -- Pa~ Executive Commiffee ~ Check if CCE has DISBANDED ~ Electioneering Communication ~ Check if no other electioneering communication repeals will be filed (5) REPORT IDENTIFIERS Cover Period: From 10/08/2005 To 10/27/2005 Repod Type: F3 ~ Original ~ Amendment ~ Special Election RepoA ~ Independent Expenditure Repoff (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Moneta~ Cash & Checks $57100.00 Expenditures $19,697.29 Transfers to Office Loans $0.00 Account $0.00 Total Moneta~ $5~100.00 Total Moneta~ $19~697.29 In-Kind $0.00 (8) ~her Distributions $0.00 (9) TOTAL Moneta~ Contributions to Date (10) TOTAL Moneta~ Expenditures to Date $46~315.00 $42~509.29 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I ceAi~ that I have examined this repoA and it is I ce~i~ that I have examined this repeal and it is true, correct and complete true, correct and complete ~ ~encc E. Jessup Dennis Ward Indlwdual (only for Chai~n rea.u,e. Can., a,e ( ) . s,,n.,u e DS-DE 12 (Rev. 08/04) j Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Campai~ln Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/08/2005 - 10/27/2005 (4) Page 1 of 2 (5) (7) (8) (9) (10) (11 ) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind sequence street Address & Contribution Number City, State, Zip Code Type Occupation Type Description Amendment Amount 10/11/2005 Mike's SKM Management Corp B Restaura CHE $ 500.00 9th Floor nt 555 N.E. 15 Street Miami, FL 33132-0000 000001 10/11/2005 Ader, II1., William I Real CHE $ 500.00 930 Sourth Shore Drive Estate Miami Beach, FL 33141-0000 000002 10/11/2005 Dyal Corp B Real CHE $ 500.00 1228 Alton Road Estate Miami Beach, FL 33139-0000 000003 10/11/2005 McDaniel, Rose Mary I Restaura CHE $ 250.00 #1703 nt 4000 Towerside Ter., Manager Miami, FL 33138-0000 000004 10/14/2005 Gonzalez, Fernando I Business CHE $ 500.00 570 Ocean Blvd Executive Golden Beach, FL 33160-0000 000005 10/18/2005 Art Deco Supermarket Inc. B Superma CHE $ 500.00 1435 Washington Ave. rket Miami Beach, FL 33139-0000 000006 10/18/2005 Ryan, Don C. I Waiter CHE $ 500.00 Apt 7E 899 West Ave Miami Beach, FL 33139-0000 000007 10/20/2005 Blake, Donald P. I CHE $100.00 2616 S.E. 19 Court Homestead, FL 33085-0000 000008 DS-DE 13 (Rev. 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/08/2005 - 10/27/2005 (4) Page 2 of 2 (5) (7) (8) (9) (10) (11 ) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) In-kind Sequence street Address & Contribution Number City, State, Zip Code Type Occupation Type Description ~,mendmenl Amount 10/20/2005 Jorgensen, Cecilie I Homema CHE $ 500.00 835 E. Dilido ker Miami Beach, FL 33139-0000 000009 10/20/2005 Pizzo, Anthony I Exempt CHE $ 500.00 Exempt By Law By Law Exempt By Law, FL 00000-0000 000010 10/20/2005 Siddal, BradLey I CHE $100.00 1975 Alamanda Drive Miami, FL 33181-0000 000011 10/20/2005 Rissiotis, Julie I Bartende CHE $ 500.00 Apt 201 r 1540 Euclid Ave Miami Beach, FL 33139-0000 000012 10/20/2005 Tucker, Tim I CAS $100.00 760 Ocean Drive Miami Beach, FL 33139-0000 000013 10/20/2005 Mercadante, Dave I CAS $ 50.00 1020 Ocean Drive Miami Beach, FL 33139-0000 000014 DS-DE 13 (Rev. 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Campai~ln Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/08/2005 - 10/27/2005 (4) Page 1 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last, Suffix, Flint, Middle) Purpose Sequence Street Address & (add office sought if Expenditure Number City, State, Zip Code contribution to a candidate) Type ~,mendmenl Amount 10/08/2005 The Miami Herald Campaign Ad MON $1,090.00 One Herald Plaza Miami, FL 33132-0000 000001 10/08/2005 The Miami Herald Campaign Ad MON $1,090.00 One Herald Plaza Miami, FL 33132-0000 000002 10/08/2005 Miami Beach Sun Post Campaign Ad MON $1,221.00 Suite 200 1688 Meridian Avenue Miami Beach, FL 33139-0000 000003 10/09/2005 The Miami Herald Campagin Ad MON $ 2,180.00 One Herald Plaza Miami, FL 33132-0000 000004 10/09/2005 Miami Beach Sun Post Campaign Ad MON $1,221.00 Suite 200 1688 Meridian Avenue Miami Beach, FL 33139-0000 000005 10/09/2005 Garber & Goodman, Inc. TV Ad Production & MON $ 4,275.00 3rd Floor Spots 301 41st Street Miami Beach, FL 33140-0000 000006 10/10/2005 Design Workshop Group Inc Ad Preparation MON $ 900.00 146040 Mustang Trail Southwest Ranches, FL 33330-0000 000007 10/12/2005 Design Workshop Group Inc Ad Design MON $ 525.00 146040 Mustang Trail Southwest Ranches, FL 33330-0000 000008 DS-DE 14 (Rev, 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Campai~ln Account of Dennis Ward (2) I.D. Number 00000 10/08/2005 - 10/27/2005 (4) Page 2 of 3 (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 10/13/2005 Design Workshop Group Inc Ad Preparation MON $ 575.00 146040 Mustang Trail Southwest Ranches, FL 33330-0000 000009 10/14/2005 Rodriguez, Manuel Public MON $ 400.00 #825 Relations/Consulting 1100 West Ave Miami Beach, FL 33139-0000 000010 10/17/2005 Exec2000 Courier Systems Courier Service MON $ 33.10 Suite 200 1333 South Miami Avenue Miami, FL 33130-0000 000011 10/17/2005 FedEx Kinko's Printing MON $ 253.59 PO Box 672085 Dallas, TX 75267-0000 000012 10/18/2005 American Political Signs signs & T shirts MON $1,468.10 2321 Pembroke Road Hollywood, FL 33020-0000 000013 10/20/2005 Garber & Goodman, Inc. Printing & Campaign MON $ 3,300.00 3rd Floor Workers 301 41st Street Miami Beach, FL 33140-0000 000014 10/20/2005 Miami-Dade County Election Public Record MON $165.50 Department 2700 NW 87th Ave Miami, FL 33172-0000 000015 10/21/2005 Rodriguez, Manuel Public MON $ 400.00 #825 Relations/Consulting 1100 West Ave Miami Beach, FL 33139-0000 000016 DS-DE 14 (Rev. 08/03) AdjL CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Campai~ln Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Peri(~ 10/08/2005 - 10/27/2005 (4) Page 3 of 3 (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 10/21/2005 Design Workshop Group Inc Ad Production MON $ 600.00 146040 Mustang Trail Southwest Ranches, FL 33330-0000 000017 DS-DE 14 (Rev, 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMI'FI'EES, COMMI'R'EES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMIT'tEES ONLY. (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 Cover Period 10/08/2005 - 10/27/2005 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11 ) Date Full Name (6) (Last, Suffix, First, Middle) Purpose Sequence Street Address & (add office sought if Related Number City, State, Zip Code contribution to a candidate) Expenditures Amendment Amount Nothing to report on tl~is form DS-DE 14A (Rev. 08/03) Adjutant Software - Caml: CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name Campai~ln Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/08/2005 - 10/27/2005 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11 ) Date Name of Financial (6) Institution Transfer Nature of Sequence Street Address & Number City, State, Zip Code Type Account ~,mendment Amount Nothing to report on this forrr DS-DE 94 (Rev. 08/03) Adjutant Software - Campaign ToolBox