The URL can be used to link to this page

DS-DE 12 Campaign Treasurer's Report0 ..~. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Miami Beach Citizens Alliance PAC, Ir}5 OFFICE USE ONLY Name (2) 4045 Sheridan St (#362) Address (number and street) ... Miami Beach, Fl 33149 ~ ~ N -i _o ~ ~ City, State, Zip Code o ^ CHECK IF ADDRESS HAS CHANGED r- --~ (3) ID Number: r~ ~ (4) Check appropriate box(es): "~' "° tr, -v ^ Candidate (office sought): ~ ~ ©Political Committee ^ CHECK IF PC HAS DISBANDED -T w ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ~~ ~ ^ Party Executive Committee (5) REPORT IDENTIFIERS Cover Period: From ~ / 1 / 2 0 0 To 9 / 3 0 / 2 0 0 Report Type f Z- 2 0 d ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT too Cash 8 Checks $ ~ (~ C3~' Monetary $ / J ~~ / S".~ Expenditures / ~ ~ 7~r~ f r ~ Loans $ ) Transfers to Office i 1 ~ ~~a ~ ~ Account $ Total Monetary $ J Total Monetary $ I~. ~~ ~ In-Kind $ (8) Other Distributions $ ~. (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ l `~ , ~ ~~' % $ 11 ~a/ ~~~~ , , (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) aS fl ~' / ~ !~ ~) i°/~f~ (Type name) ~~ ~- .~~J ^ Treasurer ^ De ut Treasurer ^ C did t p y j an a e hairperso ( ly or PC, PTY & ) Sign re Signatur w-ut 7Z (Rev. 08/04) ~J I Y I W ~ ~,~ ~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~~,t: (1) Name Miami Beach Citizens Alliance PAC, ~ (2) LD. Number (3) Cover Period 7 / 01 / 2007 through 9 / 30 / 2007 (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 Cit ,State, Zi Code T e Occu ation T e Descri tion Amendment Amount Gibbs, Jeffrey I Atty. CHE 250.00 7 / 1 /2007 5960 La Gorce Dr. Miami Beach, F1 33140 1 Gibbs, Jeffrey I Atty. LOA 7500.00 7 / 11 /2007 5960 LaGorce Dr. Miami Beach,Fl 2 33140 7/ ~~ ~~'~'~ Jaffe,Sheila I Finan. CHE 1,000.00 "~ / ld /200 6423 Collins Ave Advisor Miami Beach, Fl 33141 3 ~l~ ~~ `~ ~~ZC~`'~ Gambaro, Ernest I Retired LOA 7, 500.00 7 / 2~ /2007 5550 La Gorce Dr Miami Beach, F1 33140 4 Jaffe, Sheila I Finan LOA 1,000.00 7 / 19 /2007 5423 Collins Ave Advisor Miami Beach,Fl 33141 5 Jaffe, Sheila I Finan LOA 698.12 7 / 19 /2007 6423 Collins Ave Advisor Miami Beach, F1 6 33141 Goodman, Glenn & I CPA CHE 300.00 7 / 23 /2007 Debbie 610 W. 51 Terr. 7 Miami Beach, F1 33140 Diaz-Rivas, I Realtor CHE 100.00 7 / 24 /2007 Francisco 5456 La Gorce Dr Miami Beach, F1 8 33140 D5-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ,~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS r~~' (1) Name N!~a~r~~ Beach Citizens Alliance PAC, a (2) LD. Number (3) Cover Period 7 / 1 / 2007 through 9 / 30 / 2007 (4) Page 2 of 2 (5) (~) (8) (9) (~~) (~~) (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 Halloran, Lisa I Interior CHE 250.00 7 ~ 24 2007 5618 La Gorce Dr. Designer Miami Beach, F1 33140 9 Ugurriza, Mercedes I Realtor CHE 100.00 7 ~ 29 2007 5311 Alton Rd. Miami Beach, Fl. 10 33140 ~~ y r Jantzen, Jane I Retired CHK 100.00 '~ / 3d /200 6060 La Gorce Dr. Miami Beach, F1 33140 11 ' ' Chammail, Hernaw I Real CHK 100.00 7 ~ 262007 5500 La Gorce Dr Estate Miami Beacg, F1 33140 12 Shoonover, Alicia I Retired CHK 250.00 8 ~ 10 2007 5926 La Gorce Dr Miami Beach, Fl 33140 13 Jantzen, Jane I Retired CHK 150.00 8 ~ 22 2007 6060 La Gorce Dr Miami Beach Fl 14 33140 / / / / D5-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~ ~-.. CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Miami Beach Citizens Alliane PAC, Inc (2) I.D. Number (3) Cover Period 7 / 1 / 2007 through 9 / 30 / 3007 (4) Page 1 of (5) (~) ($) (9) (10) (11) Date Full Name Purpose (6) 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 7 16 07 Robbins, Kent Harrison 1224 Washington Ave Atty's Fee MON ~ ~aG'U~ GG Miami Beach, F1 33139 1 City of Miami Beach Registration MON $30.00 7 16 07 City Hall Fee Miami Beach Fl 33139 , 2 Editech DVDs MON $250.00 7 16 07 885 NE 79 St Mi i Fl 33138 am , 3 Miami Herald Advertisement MON $932.00 7 24 07 1 Herald Plaza i i M am , Fl 33132 4 Washington Sq. Ptners Graphic MON $879.00 7 30 07 16 Island Ave (#1D) design, Mi i B h Fl i am eac , . stat onery, labels 5 Sheila Jaffe Return of loan MON 8 9 07 6423 Collins Ave 9/ i i y Z M am Beach, F1.33141 ~ ~ ~. i . 6 8 5 07 George Kane 7028 West Drive Postage MON $183.40 North Bay Village Fl, 33141 7 8 13 07 Editech 885 NE 79 Street DVDs MON $425.00 Miami F1 33138 , ~S~ DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~, ~~+. CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1)Name Miami Beach Citizens Alliane PAC, Inc (3) Cover Period 7 / 1 / 2007 through 9 / 30 / 2007 (2) I.D. Number (4) Page of (5) Date (~) Full Name ($) Purpose (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure T e YP mendment mount 8 23 07 World Courrier 8815 NW 33 Street Messenger MON $24.00 9 Miami, Fl 33172 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES s~ ~