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Q-1 lbJ'T /1,#1I,ttP Jtj( c/ , FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY ~ (1) Richard L. Steinberg Candidate, Committee or Party Name (3) 767 Arthur Godfrey Rd, Miami Beach Address (number and street) City o Check box if address has changed since last report (4) Check appropriate box(es): lB Candidate (office sought): Mi ami o Political Committee o Committee of Continuous Existence o Party Executive eommittee FL State 33140-3413 Zip Code Beach City Commission .#=~ o Check if PC has DISBANDED o Check if CCE has DISBANDED (5) REPORT IDENTIFIERS Cover Period: From 1 1 1 1..21..- To ...l......1_~L-'..21..- Q1 Report Type [i] Originai 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 22 250 00 -'-'-'- Loans $ 6 000 00 -'-'-'- Total Monetary $ 28 250 00 -'-'-'- In-kind $-,_. (9) TOTAL Monetary Contributions to Date $ ,28, 250 .00 (7) EXPENDITURES THIS REPORT Monetary Expenditures Transfers to Office Account $ 4 470 67 -'-'-'- $-.-,-,- Total Monetary $_,---.J.....llQ...Q.L. (8) Other Distributions $_,_,_,_ (10) TOTAL Monetary EXl!endltures to Date $ , ~,470 .67 - (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. correct and complete Richard L. Steinberg Name of !xl Treasurer 0 Deputy Treasurer /-- '\ X~ I certify that I have examined this report and it is true, correct and complete Richard L. Steinberg Name of o Candidate ...., ./'" o Chairman (PC/PTY Only) --' .i: Signature &" -....""" SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES OS-DE 12 (02197) --- Signature ~ If' / t)- / J--- CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (3) Cover Period ...!.....-t-L-t~ through ---1-t---1l./~ . (4) Page 1 of 12 \ (1) Name Richard L. Steinberg (2) 1.0. Number (S) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 2 I 7/01 Steinberg,Richard L. I ATTY LOA $ 3,00 900 Bay Dr, # 218 1 MB , F 1. 33141 , 2 19/01 Steinberg & Law LHE $ 500 Associates, P. A. B l"irm 2 767 Arthur Godfrey R M; ~~; Uo~~" 10' ~-" A 2 19/01 Steinberg,Sandra J. I Jew1er CAS $ 500 767 Arthur Godfrey R Miami Beach,FI. 3314 3 . 2/1" 01 Balogh Outlet,Inc. B Jewler CHE $ 250 4020 Royal Palm Ave. 4 Miami Beach,FI. 33140 2 A4 /01 Stanley Tate I Real 1175 NE l25th St. Estate CHE $ 150 5 N. Miami,Fl, 33161 2 /rtJ/Ol Able Sanitation,Inc. Returne :1$ 500 7451 NW 63rd St. Miami,Fl. 33166 B Sanita 4/10/0 Ii tion CHE 2 110/ 01 Weiss & Kahn,P,A. 1550 Madruga Ave,#440 B Law CHE $ 250 7 Coral Gab1es,FI. 33140 Firm 2 /12/01 Antoine Christian 36 NE 1st Street #324 B Retire " CHE $ 500 8 Miami,Fl. 33132 OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~ ). If Ir of 12 , \ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~)NameRichard L, Steinber (3) Cover Period ~/---Lt....9..!.- through ---1-J.,-21.J~ (2) J.D, Number '. (4) Page 2 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 2 /14/01 Lesser & Co.,Inc, Adjust 300 71st Street # 530 ers CHE Miami Beach, FI. 33141 B $500 9 2 /14/ 0 Firestone,No1a 10414 Bermuda drive Cooper City,FI. 3302 B Real 1n Estate CHE $ 500 2 /14/ 0 Diamond,Jason I Constr 770 C1aughton Island R. uction CHE 100 11 Miami,F1. 33131 . 2 /14/01 Or1owsky,James S. 9 Island Avenue I CPA CHE $ 100 12 Miami Beach,F1, 33139 2 /14/01 Leshaw,Jay E. 3 Grove Isle Dr. Coconut Grove,F1.3313 I Retire CHE $ 100 13 2 /14/ 0 Robbins,Gay1en 11231 SW 69th CT. Miami, F1, 33156 I CHE $ 50 14 2 /14/01 Birer,Robert 1639 E, Lake Dr. Ft. Laud,FI. 33316 I CHE $. 50 1 <; 7 /14/01 Klein, Les lie A. 534 NE 94th Street 16 Miami Shores ,FI. 3313 I Retire CHE $ 100 OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f! J c;-/r of ]2 " , \ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ~)Name Richard L, Steinberg (3) Cover Perlod-=--/~~ through~~~ (2) 1.0. Number " (4) Page 3 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 2 /16/01 Boca Airport 3700 Airport Road 17 Boca Raton,FL. 33431 B F,B,O CHE $ 500 2 116/01 Cheretis Auto Service 337 71st St. Gas 18 Miami Beach, Fl. 33141 B Statio CHE 200 116/01 Masson,Ange1a P,O. Box 190540 Flight 19 M,B, ,Fl. 33119 I Attend nt CHE ~ 100 116/01 Goldfarb,Phy1lis " --c- 76-36 113 St 20 Forest Hills ,NY 11375 I Teache CHE $ 100 /21/ 0' Espirta,Carme1ita 4215 Lake Rd, Miami,Fl. T Retire CHE ~ 100 21 b h2/01 Gross,Howard ~07 Line, rd. !~Rfi'i- CHE $ 250 22 . B. ,Fl. 33139 I 12 h2/01 Stowe,Kenneth P.O. Box 011723 Consul ry, lMiami, FL. 33101 I tant CHE $. 500 2 /z3/01 Thompson,Michael 2140 Calais Dr, Real 24 Miami Beach,Fl. 33141 I Estate CHE $ 100 OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (fr ;j ct ;J :> i-l--"-B+- " (4) Page 4 of 1 7 , , , \ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~)Name Richard L. Steinberg (3) Cover Period ~-+-,,-{)-l- through (2) I.D. Number (5) (7) (8) (9) . (10) (11) (12) Date Full Name . Contributor (6) (Last, Suffix, First, Middle) Sequence Street Address & Contribution In-kind Number City. State, Zip Code Type Occupation Typo Descriptlon Amendment Amount - :2 /22/ 01 Mi1ner,Julie 3163 NE 166 Street 25 N.M.B, ,Fl. 33160 I CHE $ 50 2 /22/ 01 Orear,Crag 7330 Ocean Terr, 26 M.B.,Fl. 33141 I retired CHE $ 100 2 /22101 Superior Auto Brokers 5981 Funston St. . Auto ... Ho llywood, FL, 33023 B Broker CHE $ 200 27 . 2 1z21 01 LondBar Associates,In . 525 41st St. - 28 Miami Be.ach, Fl. 3314- B CHE $ 75 3 11 /01 Arango,Ivette 525 San Estaban Coral Gab1es,F1. 3314 IS I CHE $ 25 29 3 11 101 Harvey,Monica 233 81st St. M.B. ,FL, 33141 I CHE $ 50 ,0 3 h 101 Barash,Jeffrey 1140 Kane Concourse '<1 Ba1 Harbour,FL. 33154 I ATTY CHE $ 100 3 /r /01 Alternative Investmen p:s 1125 N. Shore Dr. I I~ 75 32 M.B, ,FL, 33141 B CHE OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Ie; S" t IJ 12 ...~ , \ \ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~)Name Richard L. SteinberR (3) Cover Period 1 I 1 I 01 through 3 1 31 1 01 --- --- (2) J.D. Number .. (4) Page 5 of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Typ. Oescrlptlon Amendment Amount - :) 11 I n1 Berman,Garrett 14615 Burbank BLVD. I CHE $ 50 33 'Shennan OakS,CA. 914 1 3 II 101 oun5,Purton >70n Dixie HWY 3.4 ~.M. B.,J'L. 33160 I ATTY CHE $ 100 :) 11/n1 ^'eingard,Lizette 1995 NE 196 Terr 35 ,T . M. B. , FL. 33179 I Teache CHE $ 100 :) 11 I n1 Raij ,Irwin - 2115 S S t. NW ,r., Washington,D.C,20008 I ATTY CHE $ 100 , 11 I n 1 Greenspan,Mader Hirschfeld & Rafkin, A 100 W. Cypress Creek RD 37 Ft. Laud,FL, 33309 Law CHE $ 200 " ";~m , I d n1 Law Offices of Brian Hir ch 19 W. Flagler St. Law Miami, Fl, 33130 B Firm CHE $ 100 38 , I 01 n . Slewett,Robert 17071 W. Dixie HWY Law 39 N.M. B. ,FL. 33160 B Firm CHE $ 200 :) 10 In1 Pine, Todd L. I Finane 'al 20281 E. Country Club DR. CHE $ 150 Consul an Aventura FL, 33180 ~ + OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /} ~ f;/!- CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~)NameRichard L, Steinberg (3) Cover Period ~/..1..-/~ through l-f..lLJ--..QL (2) I,D. Number .. (4) Page , \ (; of 12 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 3 / 9/01 Randolph,Alan G, 1 Century Lane Affi 1\1, B. ,FL. 33139 I CHE $ 150 3 / 9/ 0 Rimmer,Shannon 1500 Bay Road Para- 42 Miami Beach,FL, 33139 I Legal CHE $ 100 3 / 9/ 0' Robert J. Fiore,PA 28 W, Flagler St Law 43 Miami,FL, 33130 B Firm CHE I ~ Inn 3 Irs/Ol Halper,Paul 900 Bay Dr retire~ CHI A A Miami Beach, FL. 33141 I $ 100 l, Irs/ 0 Quantum Consulting Computer 10924 SW 119 St CHE $ 50 A" '''n~' ", ~~'7" I" - 3/U,I 0 Revesz Estate Buyers 767 41st St Estate '" Miami Beach,FL. 3314 B Buying CHE $ 250 3 Irs/Ol HJR Properties,lNC, 2103 Coral Way Real 47 Miami,FL, 33145 B Estate CHE $ 100 3 IrS/Ol South Beach Resort Real 48 Development B Estat~ CHE $ 100 524 41st St ~laml tieacnFL.-33140 OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Pf 7 c[ I J--- " \ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1)Name Richard L. Steinberg (2)1.D. Number OS-DE 13 (02197) Cor alGa b ~ 1J~ERs1%~~NSTRUCTIONS AND CODE VALUES of 12 (3) Cover Perlod~~~ through ~~-2L .. (4) Page 7 '. (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, FilS~ Middle) Contributor (6) Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - '/1'/111 Seifer,Rache1 I Busine sCHE $ 250 19688 E, Country C1u Dr T~IHu1 49 Aventura ,FL. 33180 " /"'/111 Robbins,Samara 151 NE 16th Ave 5.0 Ft, Laud,FL, 33301 I CHE $ 50 " /, c / n1 Potamkin,A1an H. Inve 1 Lasuarian Concours stment <;1 Coral ,Gables, F1, 331 3 I CHE 500 , /, c / n1 Potamkin,C1audia house . 1 Lasuarian Concours, wife CHE $500 C~ Coral Gab1es,FL. 331' 3 I ." A c I n1 A & R Investments 1 Lasuarian Concours, C7 Coral Gab1es,FL, 331'3 B iliIHlpt CHE ~ <;1111 , /'C/111 A& R SobeLLC 1 Lasuarian ConcoursE 54 Coral Gab1es,FL 3314c B CHE 500 7 1k I ()1 A & R West Dade, INC, 1 Lasuarian Concourse - - Coral Gab1es,FL 3311 3B CHE . 500 ~ I HI n' Potamkincument Prep- DOCU B Prep CHE $ 500 aration Services 56 1 Lasuarain" ~,..n 18 f C;~/{~ (3) Cover Period -LJ---L.J..JlL through ..l..-I-ll_LJ)'L " (4) Page 8 of 17. ..~ , \ \ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ~)Name Richard L. Steinberg (2) 1.0. Number (5) (7) (8) (9) -c- (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type OescriptJon Amendment Amount - 3 lIS I 01 Knott,Scott A. 2501 Calvert St, NW C~ 'Wash,D, C, 20008 I ATTY $ 250 3 1r51 01 American Financial Capital Services B Finan- 58 ~699 St~r~~ng RD cial $ 500 ,~. '~~.., 3 1z3/0l '\nthbny,Kevin 5901 Montrose RD 59 "ockville,MD 20852 I CHE $ 50 3 123/01 ever,Kristent , 2007 0 St. ,NW 60 Wash,DC 200036 I CHE $ 50 3 123/01 ~tone,Robert A. 2699 S, Bayshore DR M5\Rlf- CHE $ 100 Miami,FL.33133 I 61 3 /23/01 ~andwerter)Gavin J. 2650 Ocean Parkway ~rooklyn,NY. 11235 I CHE $ 50 ,;ry 3 1z3/0l Steinberg,Elsie 5001 Collins Ave ~7 M.B. ,FL. 33140 I RetireI' CHE $.500 123 I 01 Returne 3 Tropical Chevrolet Car 4-10-0 8880 Biscayne BLVD Dealer CHE $ 500 / , Miami_FL 33138 B OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES If q fif- of 12 \~ \ \ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ")Name Richard L. Steinberg (3) Cover Period --L-/-L/--2..L through ~-Rt--2..L (2) 1.0. Number '. (4) Page 9 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last, Suffix, First, Middle) Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 3 1z3/0l Steinberg,Paul 767 Arthur Godfrey RD 65 Miami Beach,Fl,33l40 I ATTY $ 500 3..1z6/0l Lopatin,David Plumbi CHE $ 100 1511 NW 125th St IIg 66 Sunrise,FL 33323 I 3 1z6/01 Barron,Abraham T. 9601 Collins Ave 62 Ba1 Harbour.FL 33154 I Retire :I CH ~ $ 500 1z6/01 Fine,Jean . 9601 Collins Avenue 68 Bal Harbour,FL, 33154 I I.-etired ~~W $ 500 3 /z 6/01 Sklar Architecture 235 Line. RD Miami Beach,F1 33139 B CHE returne d 3-9-(1 $ 5( 1'.0 . 3 /z6/ 0 Sakrais, Carole I House- CHE $100 10655 NE Quaybridge j,. Wife Ct. , Miami, FL 33138 78 3 /213/01 Golden & Cowan P.A. B Law CHE $100 900 SW 2nd Ave. Firm Miami, FL 33130 U 3 1z6/01 B. Lazarus Inc. B Textil Ies CHE $500 70 NW 25th St. Miami, FL 33137 72 OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES If' f{J rt Ir CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS '. (4) Page 10 of 12 \ , \ ~)Name Richard L. Steinberg (3) Cover Period -L-/---L-/~ through ~.l..LJill- (2) I,D. Number (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, Slate, Zip Code Type Occupation Type Description Amendment Amount - /26/01 ~ierman, Shohat, Loew B Law CHE $250 3 Klein, P.A. Firm aOO Brickell Ave. 73 Miami, FL 33131 3 12 9 /01 Revesz, Lisa S. I Jewler CHE $250 900 Bay Dr, Miami Beach, FL 3314 74 3129/01 Lancz, David E. I Atty, CHE $100 1500 Bay Rd. Miami Beach, FL 3313' 75 . 3 12 9 /01 Wharton, Julia I CHE $50 502 W. Broadway Decorah, IA 52101 76 Aladeff, E. Ricard I Atty. CHE $100 3129/01 150 W. Flagler St. Miami Beach, FL 3313 77 3 h9 /01 Steinberg, Samantha I Forens c CHE $300 900 Bay Dr. Artist Miami Beach, FL 3314 7P. 3129/01 Fruitman, Barbara I CHE $50 . 19217 E. Jamison Pl. Centennial, CO 80016 79 3 / 2rf 01 Schantz, Lawrence M. I Atty. CHE $200 2601 S. Bayshore Dr. Miami, FL 33133 80 OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /5' II f/J~ (4) Page 11 of ] 7, CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ~)Name Richard L, Steinberg (3) Cover Period ---1:...-I..Lt~ through ...2.-t2.LJ~ (2) J.O, Number (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 3 / 2J OJ Kratish, Tiete1baum B CPAs CHE $200 & Green, P.A. 1820 Bay Rd, 81 I. Miami Beach, FL 3313 Lincoln Mangement LLC B Managm nt 3 /29/01 230 5th St. Co. CHE $500 Miami Beach, FL 33139 82 3 /29/01 Be1off, Jonathan I Atty. CHE $500 6525 Allison Rd, Miami Beach, FL 33141 83 - 3129/01 Development Managers B Managm nt $500 Int'L Co. CHE . -~~ ~30 5th Street 84 iami Beach, FL 33139 Gold, Susan F, I House" CHE $100 3130/01 301 N. Miami ::OCve, Wife Miami, FL 33128 85 3130/01 Rodriguez, Tony I Stock CHE $100 1500 W. 24th St, Broker Miami Beach, FL 3314 86 ~he Hoppe Law Firm B CHE $25 3130/01 66 W. Flagler St. . L,dami, FL 33130 87 3/3O/Jl Bei1inson Architect, B Archit cts $500 P.A. I 790 NW 107th Ave. 88 I Miami, FL 33172 OS-DE 13 (02197) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES IJ /2- fir of 12 , \ . \ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ~)Name Richard L, Steinberg (3) Cover Period ---1....J-L/...JL1 through ~.2Lt~ (2) 1.0. Number . (4) Page 12 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Contributor Sequence Street Address & Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount - 3/31/01 RDP Development Corp. B Deve10 ment $500 100 SE 2nd Ave. CHE Miami, FL 33131 89 900 F, Street Corp. B Real CHE $500 3/31/01 2600 Virginai Ave, NW Estate Wash. , DC 20037 90 Quality Maintenance B Maint. CHE $500 3/31/01 Services, Inc, Servo 100 SE 2nd St. 91 Miami, FL 33137 BCCC Hotel Limited B Hotel CHE $500 3131/01 Partnership Invest . 2600 Virginia Ave, NW 92 Wash, DC 20037 Steinberg, Richard L, I Atty. LOA $3,000 3131/01 767 Arthur Godfrey Rd iami Beach, FL 33140 93 2 /14/01 Nat Potamkin Consult nts Consul ant $250 11 Island Ave, B CHE Miami Beach, FL 3313 94 / / . / / I I OS-DE 13 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f'?- 13 fir ./ , (1) Name 1 1 01 3 31 01 (3) Cover Period ~_I_ through_/~_ CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Richard L. Steinberg (2) 1.0, Number (4) Page 1 of ~ \ '~ \ (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 2 / 7 JOl Best Checks, Inc. Ghecks MON $40.45 100 Executive Dr, Dulles, VA 20166 1 The Printer Inc. Stationary MON $1,090. 2 / 8/01 14278 Biscayne Blvd. NMB, FL 33181 2 Paul Rene Jacober Artwork MON $400 2 /lr 01 1655 Drexel Ave. Miami Beach, FL 33139 3 3 / 1/01 Hilliard Consultants Commissions MON $251.33 600 NE 36th St. Miami, FL 33137 4 3 /1/01 Hilliard Consultants Retainer MON $2,500 600 NE 36th St. Miami, FL 33137 5 / 1/01 Werner Kahn Photography Photos MON $79.88 3 753 Arthur Godfrey Rd, ]vliami Beach, FL 33140 6 City of Miami Beach . Copies MON $6,45 3 / 5/01 1700 Conv. Center Dr. Miami Beach, FL 33139 7 / 9/01 US Post Master Postage MON $34 3 8 6 OS-DE 14 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES '1' IV f /1- ( CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Richard.L. Steinberg (2) I.D. Number (3) CoverPeriod~~~through~/~~ (4) Page 2 of 2 \ \ (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (lasl, Suffix, First, Middle) (add office sought If Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 3 /26/01 US Postal Master Postage MON $68 9 / / / / / / / / / / / / / / OS-DE 14 (02/97) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES f?-' IE" t Ii