DS-DE 12 F3-07 Campaign Treasurer's Report LSFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) LUIS SALOM a
OFFICE USE OIV~Y° ;(7
Name ~-, ~i
~_.. .-{ ` ~
(2) 815 NORTH SHORE DRIVE '- ('~
Address (number and street) '' ..,~
~
MIAMI BEACH, FL 33141 _ =~ "f~1
City, State, Zip Code ~., ~'
-„
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: 0 ~ 0
(4) Check appropriate box(es):
^/ Candidate (office sought): MIAMI BEACH COMMISSION GROUP IV
^ Political Committee ^ CHECK IF PC HAS DISBANDED
^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED
^ Party Executive Committee
^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From o9 / 29 / o~ TO to / 12 / o~ Report Type F3-o~
Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 10 , 0 7 5.0 0 Expenditures $ 3 8 , 9 3 2 .31
Loans $ Transfers to Office
_ Account $
Total Monetary $ 10 , 0 7 5.0 0 Total
Monetary $ 38, 932.31
In-Kind $ 1, 000.00
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 202,313.10 $ 168,756.20
(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) - ,~ -•:•-GL~RIA SALOM (Type name) LUIS SALOM
^Individua ( +y , r ^Treasurer ^/ Deputy Treasurer ^/ Can a Chairperson (only for PC, PTY &
" ~
electioneerin
. .,, -
Bring commun. organization)
/
._ ~_
~.
Signature _
Signature
DS-DE 12 (Rev. 08104) /`~~ l t~/`~''
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
(3) Cover Period 09 / 29 / 7 through to / 12 / 07
LUIS SALOM
(2) I.D. Number
00000
(4) Page •7 ~ of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cit ,State, Zi Code T e OCCU ation T e Descri tion Amendment Amount
Israel Magrisso I Business CHE 200.00
O1
10
07 11180 NW 2nd Man man
~
X rin
s
FL
Coral S
g
,
p
33071
00436
Magdalena Fresen I Admin. CHE 500.00
10 ~ 02 ~ 07 6118 Miller Dr. Asst.
Miami, FL 33155
00437
Fernando Zulueta I CEO CHE 500.00
10
02
07 6255 Bird Rd
~
~ Miami
FL 33155
,
00438
Morty Kaplan I Business CHE 250.00
10 ~ 02 ~ 07 720 NE 69th St. man
Mi
i
FL 33138
am
,
00439
Earl Pertnoy 5660 I Retired CHE 500.00
10 ~ 02 ~ 07 Collins Ave Miami
B
h
FL 33141
eac
,
00440
Munro Bank
B
Bank
CHE -- _ --
500.00
10 02 07 3801 Collins Ave
~ ~ Miami Be
h
FL
ac
,
33140
00441
Avra Bank B Bank CHE 500.00
10 02 07 3801 Collins Ave
~ ~ Miami Beach
FL
,
00442 33140
Adaag Consulting B Consulti CHE 150.00
10 05 07
~ ~ 1385 Coral Way ng
Miami
FL 33145
,
00443
DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~-~ °~" ~ .~
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
LUIS SALOM
(2) I.D. Number
00000
(3) Cover Period 09 / 29 / 07 through to / 12 / 07 (4) Page .~ ~of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount
Lucero Levy I Business CHE 25.00
07
10
05 1855 Cleveland Rd woman
X
/ FL
Miami Beach
,
33141
00444
Ocean Mortgage B Mtg. Co. CHE 500.00
10 / 05 ~ 07 6001 NW 153rd St
i
i
Lakes, FL
am
M
33014
00445
Ocean Terrace B Prop. CHE 500.00
p7
10
05 9509 Harding Ave mgmt
/
/ FL
Miami Beach
,
33154
00446
Fracis & Deborah I Business CHE 150.00
07
10
11 Ruggiero 7356 man
/
~ Miami
G
r
A
a
y
v
Beach, FL 33141 i
00447
Leonor & Antonio B Real CHE 200.00
10
11
07 Hernandez/Tahiti Estate
~
/ 8230
E
t
s
.
Hawthorne Ave
00448 Miami Beach, FL
33141
Bruce Reich
I
Atty/CPA
CHE - ---_
100.00
10 11 07 5262 La Gorce Dr
/ / Miami Beach
FL
,
33140
00449
dmee Prats/George I Court INK Food & Bev. 500.00
10 10 07 Rodriguez/E1 Rep/Rest
/ ~ Rancho Grande 314 Owner
00450 72 St MB 33141
CB Entertainment B Entertai CHE 500.00
10 12 07 1203 Washington Av nment
/ / Mi
i B
h
FL
am
eac
, ~
33139
00451 ~
I
i
DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ?~ ~~
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
LUIS SALOM
(2) I.D. Number
00000
(3) Cover Period 09 / 29 / 07 through to / 12 / 07 (4) Page _~ of
(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, Zi Code T e OCCU ation T e Descri tion Amendment Amount
SOBE Live 1203 B Club INK Food & Bev. 500.00
11
07
10 Washington Ave
~
X FL
Miami Beach
,
33139
00452
Barrios Air Cond B Air CHE 500.00
10 ~ 12 ~ 07 1664 SW 9th St Cond.
Miami, FL 33135
00453
SOBE B Ent. CHE 500.00
07
10
12 Entertainment 420
~
~ Lincoln Rd Miami
Beach, FL 33139
00454
Deeca Com, Inc. B Comm CHE 500.00
10 ~ 12 ~ 07 17294 SW 12 St
Pembroke Pines, FL
33029
00455
Shane M. I Business CHE 500.00
10 ~ 12 ~ 07 Emenheiser 479 NE man
30th St Mi
i
FL
am
,
33137
00456
Urban Mystic B Ent. CHE 500.00
10 12 07 300 S. Point Dr.
~ ~ Miami
FL 33139
,
00457
Lisa Uber 16562 I Business CHE 500.00
10 12 07 W 18 St Miramar, woman
~ ~ FL 33027
00458
Monica Olimpiew 90 I Business CHE 500.00
10 12 07
~ ~ Alton Rd Miami
B
h
FL 33139 woman
eac
,
00459
DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~'/LSO
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name LUIS SALOM (2) I.D. Number 00000
(3) Cover Period o9 / 29 / 07 through to / 12 / 07 (4) Page ~~ of
(5)
Date (7)
Full Name (8) (9) (10) (~~) (12)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
Cit ,State, Zi Code
Contributor
T e Occu ation
Contribution
T e
In-kind
Descri tion
Amendment
Amount
10 ~ 12 X07 Ryan Ruth 1935
Park Ave Miami
Beach
FL 33139 I Business
man CHE 500.00
00460 ,
10 ~ 12 ~ 07 Maria Nieves
7900 Tatum I Business
woman CHE 500.00
00461 Waterway Dr. Miami
Beach, FL 33141
10 12 07
~ ~ Exclusivacations
at Miami Beach
6525 Collins Av B Travel
Agency CHE 500.00
00462 Miami Beach, FL
33141
/ I
/ /
/ /
/ /
/ /
DS-DE 73 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES %~ ~ ~ ~'
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name_ Luzs sALOM (2) I.D. Number_ 00000
(3) Cover Period o9 / 29 / 07 through 10 / 12 / 07 (4) Page ~ ~ of
(5) (~) (8) (9) (10) (11)
Date Full Name Purpose
(s) (Last, Suffix, First, Middle) (add office sought if
Street Address 8 contribution to a Expenditure
Sequence
Number
City, State, Zip Code
candidate) T e
Yp
Amendment
Amount
TGF Production 2920 Ad MON 2,800.00
10 x(02 /07 NW 7th St Miami, FL 33125
1076
TGF Production 2920 NW Adv MON 10,400.00
10 10 7 7th Street Miami, FL 33125
1077
CBS Outdoor 7823 Adv MON 16,445.00
10 O1 07 NW 15th St Miami, FL 33126
1078
VTM Productions 407 Adv MON 635.00
10 O1 07 Lincoln Rd Miami Beach, FL
3139
1079
Paul Yavis P.O. Box 7171 Consulting MON 250.00
10 O1 07 Surfside, FL 33154
1080
MV Almer Productions Consulting & MON 2,207.31
10 03 07 1541 Brickell Ave Miami, FL Supplies
33129
1081
MV Almer Productions 1541 Consulting MON 1,000.00
10 03 07 Brickell Ave Miami, FL 33129
1082
VTM Productions 407 Adv MON 45.00
10 03 07 Lincoln Rd Miami Beach, FL
33139
1083
DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ fo ~~
CAMPAIGN TREASURER°S REPORT -ITEMIZED EXPENDITURES
(1) Name_ LUIS SALOM (2) I.D. Number_ 00000
(3) Cover Period o 9 / 2 9 / 0 7 through 10 / 12 / 0 7 (4) Page 7/ ~ of ~t/
(5)
Date (7)
Full Name (8)
Purpose (9) (10) (11)
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address 8~
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
Type
Amendment
Amount
10 ~04 /07
1084 Garber & Goodman 300
41st Street Miami Beach, FL
33140 Consulting MON 5,000.00
10 6 7 Stanley Shapiro 1940 Park
Avenue Miami Beach, FL 33139 Breakfast for
Seniors MON 150.00
1085
DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~G~-~,~ ~~ a~