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DS-DE 12 Campaign Treasurer's Report G4-07FLORIDA DEPARTMENT OF STATE DIVISION OF ~~~tS>< f ~ CAMPAIGN TREASURER'S REPORT S MARY ZQQ~ ~~~I~ l ~tL~g (1) Floridians for Ethical Government Name ,. ~ ~ U tJ I i 1 l; L~ ,_ . l~~ / ~ r~ ~~ i (2) 7525 SW 54th Ct Address (number and street) Miami, FL 33143-0000 City, State, Zip Code ^ Check box if address has changed 3 45617 ( ) I.D. Number: (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 ^X Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From 1 1/02/2007 To l 1/15/2007 Report Type: G4 -~ ^ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $0.00 Expenditures $6.327.71 Transfers to Office Loans $0.00 Account $0.00 Total Monetary $0.00 Total Monetary $6,327.71 In-Kind $0.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date X79,422.00 X79,422.00 (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 [~onner true, correct and complete Keith Donner ^ Individual (only for ^ Treasurer ^ Deputy Treasurer electioneering Chairman (onl for PC, PTY & ^ Candidate ~ y electioneering commun. organization) commun.) ~/ /~ Signature Signature DS-DE 12 (Rev. OB/04) Adjutant Software -Campaign ToolBox ~~ ~~s CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Floridians for Ethical Government (3) Cover Period 11 /02/2007 - 11 /1 (2) I.D. Number 45617 (4) Page 0 of 0 (5) Date (7) Full Name (8) i C (9) (10) (11) (12) ~6~ Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ontr butor Type Occupation Contribution Type In-kind Description endmen mount Nothing to report on this orm DS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox p~~ ~ ~- ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Floridians for Ethical (3) Cover Period 11 /02/2007 - 11 /15/21 (2) I.D. Number 45617 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name (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 11/02/2007 Campaigns That Matter Production Charges MON $ 2,530.00 Suite 708 407 Lincoln Rd. Miami Beach, FL 33139-0000 000001 11/05/2007 Regions Bank Bank Charges MON $ 7.00 780 Arthur Godfrey Rd Miami Beach, FL 33140-0000 000002 11/14/2007 Rivlin, Daniel Prorated refund DIS $ 119.32 #960 4301 Alton Rd Miami Beach, FL 33139-0000 000003 11/14/2007 Ritter, Zaretsky & Lieber Prorated refund DIS $ 95.46 #100 555 NE 15th St Miami, FL 33132-0000 000004 11/14/2007 Hialeah Fee Commons Ltd Prorated refund DIS $ 477.29 1800 Sunset Harbour Dr Miami Beach, FL 33140-0000 000005 11/14/2007 Karlton, Fredric Prorated refund DIS $ 2,979.32 2344 N Bay Rd Miami Beach, FL 33140-0000 000006 11/14/2007 Stern, Michael Prorated refund MON $ 119.32 1434 Collins Ave Miami Beach, FL 33139-0000 000007 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox ~~~~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 11 /02/2007 - 11/15/2( (2) I.D. Number 45617 (4) Page 0 of 0 (5) Date (7) Full Name (8) (9) (1 0) (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 ~s~ ~(~ S CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS (1) Name Floridians for Ethical Government (2) I.D. Number 45617 0 of 0 (3) Cover Period 11/02/2007 - 11/15/2007 (4) Page (5) Date (7) Name of Financial (8) (9) (10) (11) (6) 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 ~~ ~ ~ ~