DS-DE 12 Campaign Treasurer's Report F4-07FLORIDA DEPARTMENT OF STATE DIVISION OF LECTIONS
CAMPAIGN TREASURER'S REPORT ~~ ~~
201 NOY°f~~E~?'~~
(1) Floridians for Ethical Government
Name vi ~ '~ i.f<~i~.` . J `.ii1:
(2) 7525 SW 54th Ct
Address (number and street)
Miami, FL 33143-0000
City, State, Zip Code
^ Check box if address has changed
(3) I.D. Number: 45617
(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 f. ~~ ~~ ~
Cover Period: From 10/ 13/2007 To 1 1 /01 /2007 Report Type: , ~'
^ Original ^X Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $59,422.00 Expenditures $73,094.29
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $59,422.00 Total Monetary $73,094.29
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$79,422.00 $73,094.29
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is I certify that I have examined this report and it is
true, correct and complete
Keith Donner true, correct and complete
Keith Donner
^ Individual (only for ^ Treasurer ^ Deputy Treasurer
electioneering ^ Candidate ^
electioneer ng commun Porganization)
commu )
/
Signature Signature
DS-DE 12 (Rev. 08/04) Adjutant Software -Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Floridians for Ethical Government (2) I.D. Number
(3) Cover Period 10/13/2007 - 11/01
(4) Page
45617
1 of 1
(51
Date (7)
Full Name ($)
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
11/01/2007 Karlton, Fredric
2344 N Bay Rd
Miami Beach, FL 33140-0000 I Investor CHE ADD $ 2,530.00
000009
DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox
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f~ ~ ~~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Floridians for Ethical Government (2) I.D. Number
(3) Cover Period 10/13/2007 - 11/01/2007 (4) Page
45617
0 of 0
(5)
Date (7)
Full Name (8) (9) (1 0) (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 TR
THIS FORM APPLIES TO POLITICAL t
(1) Name
Floridians for Ethical
URER'S REPORT -ITEMIZED DISTRIBUTIONS
'EES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY.
(3) Cover Period
10/13/2007 - 11 /01
(2) I.D. Number
45617
(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. 08/03) Adjutant Software -Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name
Floridians for Ethical
(2) I.D. Number 45617
(4) Page 0 of 0
(3) Cover Period 10/13/2007 - 11/01
(5)
Date (7)
Name of Financial ($) (9) (10) (11)
(13)
Sequence
Number Institution
Street Address 8
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
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