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F4 AnnunziatoFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ALEX C. ANNUNZIATO FOR COMMISSIONER Name (2) 221 MERIDIAN AVENUE #304 (4) Address (number and street) MIA_MI BEACH, FL 33139 City, State, Zip Code [-1 CHECK IF ADDRESS HAS CHANGED (3) ID Number: OFFICE USE ONLY Check appropriate box(es): ~ Candidate (office sought): CITY OF MIAMI BEACH COMMISSIONER, GROUP 1 I-] Political Committee I--] CHECK IF PC HAS DISBANDED ~ Committee of Continuous Existence E] CHECK IF CCE HAS DISBANDED r'-I Party Executive Committee r-] Electioneering Communication r--] CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: From ~o / ~ Original [--I Amendment (5) REPORT IDENTIFIERS 28 / 05 To 13. / lO I--I Special Election Report / 05 Report Type F3 (2) D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ Loa:l~ ~J -- $ LU ("J ~'~ ~ To Mo~ta $ In-~.ind -~' ..... '~ $ 2,250.00 0.00 2,250.00 0.00 (9) TOTAL Monetary Contributions To Date $ 32,510.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 1, 6 9 0.0 0 Transfers to Office Account $ Total Monetary $ 0.00 1,690.00 (8) Other Distributions $ o.oo TOTAL .Monetary Expenditures To Date $ 28,920.02 (lO) (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. (Type name) JOSE A. RIESCO, CPA ['--]Individual (only for r~Treasurer r'-] Deputy Treasurer electionee commun.) Sigr~at~ire-~'''~- DS-DE 12 (Rev. 08/04) I certify that I have examined this report and it is true, correct, and complete. (Type name) ALEX C. ANNZTNZIATO r~ Candidate ~ ~ Chai_~_em~or PC, PTY & ,~j~~,~/~~un. organization) SignatL;re CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name ALEX C. ANNUNZIAT0 FOR COMMISSIONER (2) I.D. Number (3) Cover Period 10 / 28 / 05 through 11 / 10 / o5 (4) Page 1 of 2 (5) ~" (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Ci~, State, Zip Code Type Occupation Type Description Amendment Amount 'SEIU LOCAL 8 C CCE CHE 500.00 10 ! 31 !05 CHAPTER CCE 1525 NW 167 STREET, #300 1 MIAMI, FL 33169 SEIU LOCAL 32 BJ C CCE CHE 500.00 11 ! 08 / 05 NY-NJ AMERICAN DREAM FUND 101 AVENUE OF THE 2 AMERICAS 20th FLOOR [] BOTERO, MARGARITA I HOMEMAKE CHE 150.00 11 ! 08 ! 05 5406 PALI WAY R ST. PETE BEACH, FL 33706 3 FRANK, HERBERT I CHE 100.00 11 ! 08 ! 05 10 VENETIAN WAY #2201 MIAMI BEACH, FL 4 33139 BOTERO, LUIS M. I MEDICAL CHE 200.00 11 ! 08 ! 05 5406 PALI WAY DOCTOR ST. PETE BEACH, FL 33706 5 DERMER, YAFFA I PROPERTY CHE 500.00 11 / 08 / 05 2525 FLAMINGO MANAGER PLACE 6 MIAMI BEACH, FL 33140 NEGRIN, FERNANDO I CHE 50.00 11 ! 08 ! 05 2899 COLLINS AVENUE #912 7 MIAMI BEACH, FL 33140 TAPANES, GUSTAVO I CHE 50.00 11 ! 08 ! 05 BEST EFFORTS MIAMI, FL 8 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (1) Name ALEX C. ANNUNZIATO FOR COMMISSIONER (2) I.D. Number (3) Cover Period 10 / 28 / 05 through 1[ / [0 / O5 (4) Page 2 of 2 (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 MITCHELL SCOTT B CHE 100.00 11 / 08 /05 INVESTMENT GROUP INC 901 COLLINS 9 AVENUE #207 MIAMI BEACH, FL [] CYNTHIA LLC B CHE 100.00 11 / 08 / 05 671 WASHINGTON AVENUE MIAMI BEACH, FL 10 33139 / / / / / / / / / / / / DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name ALEX C. ANNUNZIATO FOR COMMISSIONER (2) I.D. Number (3)Cover Period 10 / 28 / 05 through 11 / 10 / 05 (4) Page 1 of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (L~'st, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence Number City, State, Zip Code candidate) Type Amendment Amount PERLA PRODUCTIONS TELEVISION MON $300.00 ! ~o/~/o~ ~.~ s~ ~ ~V~N~. =V~.~,~.=N, ~/o~/o~ oo~,~ 3 ART DECO ADVERTISEMENT MON $300.00 11 /05/ 05 221 MERIDIAN AVENUE, #410 . . 4 / / / / / / / / DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES