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Dennis Ward F4 FLORIDA DEPARTMENT Of STATE DIVISION OF ELECTIONS c.-.-,~ ~:~ CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY'~ (1 ) Campaign Account of Dennis Ward ~-: --" "" Name (2) 800 West Ave Apt 833 Address (number and street) Miami Beach, FL 33139-0000 City, State, Zip Code [~] Check box if address has changed (3) I.D. Number: 00000 (4) Check appropriate box(es): X! Candidate (office sought): Miami Beach City Commission-Group 1 Political Committee [---] Check if PC has DISBANDED Committee of Continuous Existence -- Party Executive Committee [---] Check if CCE has DISBANDED -- Electioneering Communication ~1 Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From 10/28/2005 To ! 1/10/2005 Report Type: ~ Original [--'] Amendment ~ Special Election Report E~ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $2,825.00 Expenditures $5,217.77 Transfers to Office Loans $0.00 Account $0.00 Total Monetary $2~825.00 Total Monetary $5~217.77 . In-Kind $0.00 (8) Other Distributions $0.00 (9) IOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $51,340.00 $47,727.06 (~ ~ ) CERTifiCATiON It is a first decjree misdemeanor for any person to falsify a public record (ss. 839., 3, 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 Lawrence E. Jessup Dennis Ward Ind~wdual (only for ~ ele~tiioneering for~ T reasur~.~ Deputy Treasurer E~ Candidate ~ Chairman (only f.~I~PC, PTY& X~"~~~ ~~~'~~;~ ~ X ~"'"'"'"='~ ~un. organization) S i~'~'u re { ! ~ Signature DS-DE 12 (Rev. 08/04)' 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 10/28/2005 - 11/10/2005 (4) Page I 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 11/03/2005 Clougherty, Jr., Francis E. I Real CHE $150.00 3900 North Miami Avenue Estate Miami, FL 33137-0000 000001 11/03/2005 Nagy, Kristyn I Pharmaci CHE $ 300.00 Apt 1502 st 1455 Ocean Dr Miami Beach, FL 33139-0000 O00002 11/03/2005 Martin, Anthony I CHE $100.00 Exempt By Law Exempt By Law, FL 00000-0000 000003 11/03/2005 Granoff, Geraldine I CHE $100.00 P.O. Box 403201 Miami Beach, FL 33140-0000 O00004 11/07/2005 Middleton and Associates, Inc. B AC CHE $ 500.00 7318 SW 48 Street Contracto Miami, FL 33155-0000 r 000005 11/07/2005 Vazquez, Miguel I Business CHE $ 500.00 2375 Magnolia Dr Exec North Miami, FL 33181-0000 000006 11/10/2005 Club Madonna, Inc B Night CHE $ 500.00 1527 Washington Ave Club Miami Beach, FL 33139-0000 000007 11/10/2005 Bella Napoli Pizzeria, Inc. B CHE $100.00 1443 Alton Rd Miami Beach, FL 33139-0000 000008 DS-DE 13 (Rev. 08~03) Ad utant Software Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/28/2005 - 11/10/2005 (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 Amendment Amount 11/10/2005 Wilcox, Timothy I Bar & CHE $ 500.00 4299 Collins Ave Restaura Miami Beach, FL 33140-0000 nt Own 000009 11/10/2005 Hartley, Andrea & Keith I CHE $ 50.00 5939 LaGorce Dr Miami Beach, FL 33140-0000 000010 11/10/2005 Klefeker, Patricia & Phil I CAS $ 25.00 Exempt By Law Exempt By Law, FL 00000-0000 000011 DS-DE 13 (Rev. 08/03) Ad utant Software Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/28/2005 - 11/10/2005 (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 10/28/2005 Rodriguez, Manuel Public MON $ 400.00 #825 Relations/Consulting 1100 West Ave Miami Beach, FL 33139-0000 000001 11/03/2005 Rodriguez, Manuel Public MON $ 400.00 #825 Relations/Consulting 1100 West Ave Miami Beach, FL 33139-0000 000002 11/03/2005 Radio La Poderosa Radio Advertising MON $ 540.00 Suite 207 330 SW 27th Avenue Miami, FL 33137-0000 000003 11/03/2005 Exec2000 Courier Systems Courier Service MON $ 21.30 Suite 200 1333 South Miami Avenue Miami, FL 33130-0000 000004 11/03/2005 Goodman, Bob Reimbursement for MON $195.04 3rd Floor Food 301 41 st Street Miami Beach, FL 33140-0000 000005 11/08/2005 WPLG TV Advertising MON $ 3,047.25 3900 Biscayne Blvd Miami, FL 33137-0000 000006 11/08/2005 Garber & Goodman, Inc. Reimbursement for MON $ 614.18 3rd Floor Printing 301 41st Street Miami Beach, FL 33140-0000 000007 DS-DE 14 (Rev, 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 (3) Cover Period 10/28/2005 - 11/10/2005 (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 ~.mendment Amount Nothing to report on tl~i$ form DS-DE 14A (Rev. 08/03) Adjutant Software - Campaign ToolBox CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name Campaign Account of Dennis Ward (2) I.D. Number 00000 Cover Period 10/28/2005 - 11/10/2005 (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 Amendment Amount Nothing to report on th s forrr DS-DE 94 (Rev. 08/03) Adjutant Software - Campaign ToolBox