Simon Cruz Q4-06
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
. CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Simon Cruz OF~ Gsi b~ 0
Name 2001 JAN J 0 PH I: I 8
(2) 1500 Bay Road, #914 CITY CLEf1K'S OFF ICE
Address (number and street)
Miami Beach, FL 33139
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
[2] Candidate (office sought): Mayor Miami Beach
o Political Committee o CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence o CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 10 I 1 I 2006 To 12 I 31 I 2006 Report Type Ql-06
- - - - - -
[lI Original o Amendment o Special Election Report o Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 4,000.00 Expenditures $ 500.00
loans $ 0.00 Transfers to Office
Account $ 0.00
Total Monetary $ 4,000.00 Total
Monetary $ 500.00
In-Kind $ 0.00
(8) Other Distributions
$ 0.00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 60,700.00 $ 500.00
(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, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
(Type name) (Type name)
Dlndividual (only for DTreasurer 0 Deputy Treasurer o Candidate r 1 Chairperson (only for PC, PTY &
~~:~&U;2- X (~ .' ~un. organization)
Signature .--
Signature
DS-DE 12 (Rev. 08104)
PCXY- I D6- 3
, .
CAMPAIGN TREASURE'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Simon Cruz
(2)I.D. Number
(3)Cover Perioc 10/1/2006 thru 12/31/06
(4)Page 1 of 1
-5 (7) (8) I (9) (10) (11) -12
Date Full Name Contributor
Sequence (Last, SUffIX, First, Middle) Contributiol In-Kind
Number Street Address & City, State, Zip Cod Tvoe Occupation Type ~escriptio i\mendmen Amount
10/10/2006 Steven J. Helfman I Legal Check 5500.00
1 300 Cocoplum Road
Coral Gables, FL 33143
10/1 0/2006 Gerri Helfman I Media Check 5500.00
2 300 Cocoplum Road
Coral Gables, FL 33143
10/30/2006 Paul J. Pinet I Legal Check 5500.00
3 4512 Pine Hallow Drive
Tampa, FL 33624
10/30/2006 Glenda Eaglin I Housewife Check $500.00
4 2105 Kepner Drive
Holiday, FL 34691
. 10/27/2006 Ronald Nollner I Real Estate Check 5500.00
5 604 Vanoke Dr.
Madison, 1N 37115-3435
10/30/2006 Sudie M. Rutherford I Housewife Check 5500.00
6 2106 Kepner Drive
Holiday, FL 34691
10/30/2006 Premier Corrosion Protection Servic B Construction Check $500.00
7 9508 N. Trask St
Tampa, FL 33624
11/7/2006 Tri-State Concrete & Coating Specia B Construction Check $500.00
8 4465 SW 34th Terrace
Fort Lauderdale, FL 33312
Total $4,000.00
rtl ft 2- 0[;
2,
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CAMPAIGN TREASURE'S REPORT -ITEMIZED EXPENDITURES
(1) Name
Simon Cruz
(2)1.0. Number
(1) Page
(3) Cover Period _ 101112006 Through 1213112006
1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6)Sequence (Last, Suffix, First, Middle) Expenditure Amendment Amount
Number eet Address & City, State. Zip Code Type
11/16/2006 Rebecca Towers Publix Thanksgiving Gift Certificates Mon $500.00
1001 150 Alton Road
Miami Beach, FL 33139
Total $500.00
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