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DS-DE 12 Campaign Treasurer's Report Q4-06FLORIDA D EPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIG N TREASURER'S REPORT SUMMARY OFFICE USE ONLY (1) Floridians for Ethical Govern ment Name (2) 7525 S W 54th Ct C`) N =, Address (number and street) '< o Miami, FL 33143-0000 i-= .-n.~ City, State, Zip Code `~~ - ~ ~ Check box if address has changed ' ' ~ + ^ (3) I.D. Number: 00000 (4) Check appropriate box(es): r_~ _~ -~ Candidate (office sought): ~! O = Political Committee <_ ^ Check if PC has DISBANDED l ~ Committee of Continuous Existence ^ Check if CCE has DISBANDED Party Executive Committee X Electioneering Communication ^ Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From l0/0l/2006 To 12/30/2006 Report Type: Q4 a Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $0.00 Expenditures $0.00 Transfers to Office Loans $0.00 Account $0.00 Total Monetary $0.00 Total Monetary $0.00 In-Kind $0.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $o.oo $o.oo (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is I certify that I have examined this report and it is true, correct and complete Keith Donner true, correct and complete Keith Donner ^ Individual (only for ®Treasurer electionee ing ^ DeputyTreasurer ^ Candidate electioneer ng commun o ganization) commun.) //JJ //~~ ~ /J '/~/ d ` / ~ ~ / Signature i gnature S DS-DE 12 (Rev. 08/04) Adjutant Software -Campaign ToolBox ,~, CAMPAIGN TRE~-SURER'S REPORT -ITEMIZED c:ONTRIBUTIONS (1) Name Floridians for Ethical Government (2) I.D. Number (3) Cover Period 10/01/2006 - 12/30/2006 (4) Page 00000 0 of 0 (5) Date (~) Full Name ($) Contributor (9) (10) (11) (12) ~6~ Sequence Number (Last, Suffx, First, Middle) Street Address & City, State, Zip Code Type Occupation Contribution Type In-kind Description mendmen Amount Nothing to report on this orm DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TRE~-SURER'S REPORT -ITEMIZED ItXPENDITURES (1) Name Floridians for Ethical Government (2) I.D. Number (3) Cover Period 10/01/2006 - 12/30/2006 (4) Page 00000 0 of 0 (5) Date (~) Full Name (8) (9) (10) (11) ~6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought if contribution to a candidate) Expenditure Type mendmen Amount Nothing to report on t is form DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TRE~-SURER'S REPORT -ITEMIZED ~11STRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (1) Name Floridians for Ethical (3) Cover Period 10/01 /2006 - 1 (2) I.D. Number 00000 (4) Page 0 of 0 (5) Date (~) Full Name ($) (9) (10) (11) (IJ~ Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought if contribution to a candidate) Related Expenditures mendmen Amount Nothing to report on t is form DS-DE 14A (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN i REASURER'S REPORT -FUND i RANSFERS (1) Name Floridians for Ethical Government (3) Cover Period 10/01 /2006 - 1 (2) I.D. Number 00000 (4) Page 0 of 0 (5) Date (~) Name of Financial (8) (9) (10) (11) (g) Sequence Number Institution Street Address & City, State, Zip Code Transfer Type Nature of Account mendmen Amount Nothing to report on th s for DS-DE 94 (Rev. 08/03) Adjutant Software -Campaign ToolBox