DS-DE 12 Campaign Treasurer's Report F3-07~+ N
Q
-.a q
FLORIDA D EPARTMENT OF STATE DIVISION OF ELECTIONS ~- n `fi
CAMPAIGN TREASURER'S REPORT SUMMARY ~-~ _' ^~
OFFICE USE ONLI~ `~ ,~,)
(1) Floridians for Ethical Governm ent ~::. x.• ,.--
,
Name
•_l_l
~
~
(2) 7525 S W 54th Ct ~ __a
.~
Address (number and street) `~' ~
Miami, FL 33143-0000
City, State, Zip Code
Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
Candidate (office sought):
Political Committee ^ Check if PC has DISBANDED
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 09/27/2007 To 10/12/2007 Report Type: F3
a Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $20,000.00 Expenditures $0.00
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $20,000.00 Total Monetary $0.00
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributi ons to Date (10) TOTAL Monetary Expenditures to Date
$20.000.00 $o.oo
(11) CERTIFICATION
It is a first degree misdeme anor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this repo rt and it is I certify that I have examined this report and it is
true, correct and complete
Keith Donner true, correct and complete
Keith Donner
Individual (only for
^ electioneering ®Treasurer
^ Deputy Treasurer Chairman (only for PC. PTY &
^ Candidate ® electioneering commun. organization)
commu )
X /~ X ~'~
Signa re Signature
DS-DE 12 (Rev. 08/04) Adjutant Software -Campaign ToolBox
I/-A n ~ ~ ~ S
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
Floridians for Ethical Gove
(3) Cover Period
09/27/2007 - 10/1
(2) I.D. Number 00000
(4) Page
1 of 1
(5)
Date (7)
Full Name ($)
Contributor (9) (10) (11) (12)
~6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code
Type Occupation
Contribution
Type In-kind
Description
mendmen
Amount
10/11/2007 Karlton, Fredric
2344 N Bay Rd
Miami Beach, FL 33140-0000 I Investor CHE $
20,000.00
000001
DS-DE 13 (Rev. 08/03)
Adjutant Software -Campaign ToolBox
PR~~a~s
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name
Floridians for Ethical
(2) I.D. Number 00000
(4) Page 0 of 0
(3) Cover Period 09/27/2007 - 10/1
(5)
Date (7)
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
P~~ 3 ~~
CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS
THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY.
(1) Name
Floridians for Ethical
(3) Cover Period
09/27/2007 - 10/1
(2) I.D. Number 00000
(4) Page 0 of 0
(5)
Date (7)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffx, 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. 06/03)
Adjutant Software -Campaign ToolBox
P ~~ '~ ~
CAMPAIGN TREASURER'S REPORT -FUND TkANSFERS
(1) Name
Floridians for Ethical
(3) Cover Period
09/27/2007 - 10/1
(2) I.D. Number 00000
(4) Page 0 of 0
(5)
Date (7)
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
Pam s~ s