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Q2 DS-DE 12 Michael Gongora FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY (1 ) Michael Gongora for Miami Beach Commission Name 5838 Collins Avenue #3-A Address (number and street) Miami Beach, FL 33140-0000 City, State, Zip Code D Check box if address has changed ':. ) .' "-I (2) (4) (3) 1.0. Number: 00000 Check appropriate box(es): X Candidate (office sought): Miami Beach Commissioner, Group V Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication "-) c..-.:. D Check if PC has DISBANDED D Check if CCE has DISBANDED D Check if no other electioneering communication reports will be filed " t (5) REPORT IDENTIFIERS [~J Original From 04/01/2006 [J Amendment To 06/30/2006 D Special Election Report Report Type: Q2 D Independent Expenditure Report Cover Period: (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT $0.00 Monetary $120.00 Cash & Checks Expenditures Transfers to Office Loans $50,120.00 Account $0.00 Total Monetary $50,120.00 Total Monetary $120.00 In-Kind $0.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (1 0) TOTAL Monetary Expenditures to Date $50,120.00 $120.00 (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 Michael C. Gon~ora [X] Treas r D Deputy Treasurer I certify that I have examined this report and it is true, correct and complete Michael C. Gongora II Chairm n (only for PC, PTY & ctio ering commun. organization) OS-DE 12 (Rev. 08/04) ~Aqe ltg-S- CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (3) Cover Period 04/01/2006 - 06/30/2006 (2) I.D. Number (4) Page 00000 1 of 1 (1) Name Michael Gongora for Miami Beach Commission (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 Amendmen Amount 06/23/2006 Gongora, Michael S Attorney LOA $ #3-A 25,000.00 5838 Collins Avenue Miami Beach, FL 33140-0000 000001 06/28/2006 Gongora, Michael S Attorney LOA $ #3-A 24,671.81 5838 Collins Avenue Miami Beach, FL 33140-0000 000002 06/30/2006 Gongora, Michael S Attorney LOA $448.19 #3-A 5838 Collins Avenue Miami Beach, FL 33140-0000 000003 OS-DE 13 (Rev. 08/03) Adjutant Software - Campaign ToolBox P flG ~ ~ Of;- S- (1) Name CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (3) Cover Period 04/01/2006 - 06/30/2006 Michael (3ong()ra for Miami Beach Commission (6) Sequence Number 06/27/2006 000001 OS-DE 14 (Rev. 08/03) (7) Date Full Name (last, Suffix, First, Middle) Street Address & City, State. Zip Code Adjutant Software, Inc. 2055 Bond Road DeLand, FL 32720-4531 (8) Purpose (add office sought if contribution 10 a candidate) Campaign Software (2) 1.0. Number (4) Page (9) Expenditure Type MON 00000 1 of 1 (11 ) Amount $ 120.00 Adjutant Software - Campaign ToolBox pAGe; '3 of!) (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (3) Cover Period -(5) (6) Sequence Number i I OS-DE 14A (Rev. 08/03) Date Michael Gon9~ra f()~Miami Be~~h Commissi()n 04/01/2006 - 06/30/2006 (7) (8) Full Name (last, Suffix, First, Middle) Street Address & City, Slate. Zip Code Purpose (add office sought if contribution to a candidate) i Nothing to report on this form I ! ~ ---- 1 --~~ (2) I.D. Number (4) Page (9) Related Expenditures 00000 o of 0 (10) , , Amendment (11 ) Amount Adjutant Software - Campaign ToolBox PAGE <for> CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name :Mich~el(3~f1go-,"-afo~Miami B~~ch Commission (3) Cover Period (5) 04/01/2006 - 06/30/2006 (7) Oate Name of Financial Institution Street Address & City, State, Zip Code (6) Sequence Number I I Nothing to report on th~s form ! I OS-DE 94 (Rev. 08/03) .'."-~w;,..;.."""""""''''__''''-_;'''"'_"''''....,..~.~"."....... --.1- I (2) I.D. Number (4) Page (9) Nature of Account 00000 o of 0 (11 ) ! I I iAmendmenf --+ Amount Adjutant Software - Campaign ToolBox PItGG- 5 t 5'