DS-DE 12 F3-09 RobertsFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SI~~1Af~~l!/ ~~ "';
~~~~ ~~,QF~I~E Lx
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1 Sherry Roberts
( )
Name _
~
.
''' { ` " ~'' ° ~ i.; `~
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1
.
.
.
(2) 100 Lincoln Road Penthouse Two
Address (number and street)
Miami Beach, FL 33139-0000
City, State, Zip Code
Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate (office sought): Miami Beach Commissioner Group 2
Political Committee ~ Check if PC has DISBANDED
Committee of Continuous Existence
^ Check if CCE has DISBANDED
Party Executive Committee
Electioneering Communication ~ Check if no other electioneering communication reports will be filed
(5) REPORT IDENTIFIERS ~. .a
Cover Period: From 09/26/2009 To 10/09/2009 Report Type:
0 Original ~ Amendment ~ Special Election Report ~ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT S PORT
i
(7) EXPENDITURES TH
0 g
~
Q
~""- ~'~' ~9 9 ~
Cash 8~ Checks $1,625.00 Monetary t
Expenditures E It d q ..2,599.08
Loans $0.00 Transfers to Office
Account $0.00
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~~~ ~ ~$
Total Monetary $1,625.00 Total Monetary ° I
-
In-Kind $640.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expe itures to Date
G9,o~'.~.~~
$92.161.87 (pI l(a' 0~, .,moo nc~~
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(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
1 certify that I have examined this report and it is I certify that 1 have examined this report and it is
true, correct and complete
Raquel Lew true, correct and complete
Sherrv Roberts
hairia,at (_ ~ ~ Treasurer ~ Deputy Treasurer
X ®Candidate Chairman (ony for PC, PTY &
electbr>aert common. organization)
comm
X
Signature Signature
DS-0E 12 (Rev. 08/04) Adjutant Software - l.ampaign ToofBox
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
1 of 3
(5> (7) (8) (9) (10) (11) (12)
Dale
Futl ~R1e
Contributor
(s) «ast, suffix. Firms, Middle) In-kind
Sequence
Number Street Address &
City, State, zrp Code
Type
OCCUpatlOn Contribution
Type
Description
endmen
AmOUnt
09/26/2009 Randolph, Lance I CPA INK Stamps $440.00
13434 Fisher Road Forensic
Burton, OH 44021-0000
000001
09/26/2009 Vctory Fund O PAC INK Mailing $ 200.00
Suite 350
1133 15th NW
Washington DC, DC 20005-0000
000002
09/29/2009 Donnelly, James I Consulta CHE $50.00
915 Jefferson Ave nt
Miami Beach, FL 33139-0000
000003
10/01/2009 Falk, Joseph I Attorney CHE $ 200.00
1770 Micanopy Ave
Miami, FL 33133-0000
000004
10/05/2009 Bolger, David I Artist CHE $300.00
1440 North mew Drive
Miami Beach, FL 33140-0000
000005
10/05/2009 Goodman, Diane I CHE $ 100.00
100 Lincoln Road 304
Miami Beach, FL 33139-0000
000006
10/05/2009 Sosa, Heriberto I CHE $ 25.00
831 9th Street
Miami Beach, FL 33139-0000
000007
10/06/2009 Stolz, Sidney I Investor CHE $ 500.00
1000 South Pointe Dr OH 2803
Miami Beach, FL 33139-0000
000008
OS-DE 13 (Rev. OSA3)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
2 of 3
(5) (7) (8) (9) (10) (11) (12)
Date
Full Name
Contributor
(g)
Sequenoa
Number (t.ast, suffix, First, nniadle>
Street Address &
c;q,, state, z~ Code
Type
Occupation
Contribution
Type In-kind
Descxiption
endmerrt
Amount
10/07/2009 IDEA Insurance Agency B Insuranc CHE $ 100.00
770 Claughton Island Drive e
Miami, FL 33131-0000
000009
10/07/2009 Torres, Dinorah 1 CHE $ 20.00
3103 Indian Creek Dr Apt 101
Miami Beach, FL 33139-0000
000010
10/07/2009 Young, Elizabeth I CAS $40.00
100 Lincoln Road
Miami Beach, FL 33139-0000
000011
10/07/2009 Cohen, Debbie 1 CHE $ 20.00
9200 Bay Harbor Terrace
Bay Harbor, FL 331540000
000012
10/07/2009 Libov, Charlotte I CHE $ 25.00
745 Meridian Apt 7
Miami Beach, FL 33139-0000
000013
10/07/2009 Garaa, Maria Julia I Social CHE $ 100.00
100 Lincolln Road 1008 Worker
Miami Beach, FL 33139-0000
000014
10/07/2009 Garcia, Martin I CHE $ 20.00
3103 Indian Creek Drive
Maimi Beach, FL 33139-0000
000015
10/09/2009 Marcus, Arthur I CHE $ 25.00
1450 Lincold Road 806
Miami Beach, FL 33139-0000
000016
DSDE 13 (Rev. 08/03)
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PrMC 3 ~x
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 09/26/2009 -_10/09/2009
(4) Page
00000
3 of 3
(5)
Date (7)
FuII Name (8)
Contributor (9) (~ 0) (~ 1) (~ 2)
Sequence
Nurr~er (Last, Suffix, First, Middle)
StreetAddress&
city, State, Trp Code
Type
Occupation Contritw6on
Type In-kind
Description
endment
Amount
10/09/2009 Luria and Belkin
20600 Chagrin Blvd
Beachwood, OH 44122-0000 B Law Firm CHE $ 100.00
000017
DS-DE 13 (Rev. 08/r)3)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009
(4) Page
00000
1 of 2
(5) (7) (8) (9) (10) (11)
Date
Full Name
( ) (last, Suffix, First, Middle) Purpose
Sequence
Number Street Address 8
Cily, State, Zip Code (add office sought ff
contribution to a candidate) Expenditure
Type
mendmen
Amount
09/29/2009 Emstrusa, Luisa Voter MON $ 150.00
1040 Collins Avenue Education/Translation
Miami Beach, FL 33139-0000
000001
09/30/2009 Dreyer Studio Media MON $ 250.00
318 Indian Trace #209
Weston, FL 33326-0000
000002
09/30/2009 Aces, Antonio Translation MON $50.00
1040 Collins
Miami Beach, FL 33139-0000
000003
09/30/2009 Palm Media Consultation MON $ 10,000.00
541 Madeira
Coral Gables, FL 33134-0000
000004
09/30/2009 Palm Media Media Consultation MON $ 10,000.00
541 Madeir e 0 S .
Coral es, FL 33134-0000 ~~~V'
000005 I
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10/02/2009 Bank of America Bank Fee MON $ 5.00
401 Lincoln Road
Miami Beach, FL 33139-0000
000006
10/02/2009 American Political Signs Yard Signs MON $ 1,908.00
2321 Pembroke Rd.
Hollywood, FL 33020-0000
000007
10/02/2009 Bank of America Bank Fee MON $ 1.08
401 Lincoln Road
Miami Beach, FL 33139-0000
000008
DS-DE 14 (Rev. 08/03)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period 09/26/2009 - 10/09/2009 (4) Page 2 of 2
(5)
Date (7)
Full Name ($) (9) (10) (11)
( )
Sequence
Number (Last, Suffix, First, Middle)
Street Address $
City, since, Zip Code Purpose
(add office sought if
contritxiUon to a candidate)
Expenditure
Type
mendmen
Amount
10/07/2009 Constannt Contact
1601 Trapelo Road
Waltham, MA 02451-0000 IT MON $ 35.00
000009
10/07/2009 Almer
1541 Brickell Ave North C606
Miami, FL 33129-0000 Voter Contact MON $ 200.00
000010
DS-DE i4 (Rev. (78/03)
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CAMPAIGN TREASURER'S REPORT - iTEMiZED DISTRIBUTIONS
TNIS FORAM APPLIES TO POt.ITICAL COMMITTEES, COMMRTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTNE CONMATITEtsS ONLY.
(1) Name Sherry Roberts (2)1.D. Number 00000
(3) Cover Period 07/01/2009 - 09/11/2009 (4) Page
OofO
~ ~
Oate (7)
FuN Name (8) (9) (10) (11)
(I
Sequsnoe
Number (Last Bollix, First Middle)
Street Address 6
City, Sate, Zip Code Puryose
(add otria sought iI
contribution b a rmdidate)
Related
E~sndiWros
ndme
MIOUM
Nothing to report on t is form
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CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Sh Roberts (2) I.D. Number 00000
(4) Page 0 of 0
(3) Cover Period 07/01/2009 -09/112009
C~) (8) (g) (10) ('I ~ )
Data Nams of Fiunoial
~~~° Transfer Nature of
sequerwe stre.cA~reud Type gcoour-t endure Amount
Number City. Sb1e, Zip Coda
Nothing to report on th s for
DS-0E 94 {Rw. 08!03) AdjuWir SotEw°r° - C°mpaipe ToWBox
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