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DS-DE 9 F3-09 LeveyFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Laura Rivero Levey ~~~~~ ~~~'~ Name 209 Q~'T 16 PH 4~ 2 I (2) 4777 Pinetree Drive Address (number and street) ~ i~~''~ !', ~ f ,; ~; ~ ~ ~F-~. i ~; ~-~ Miami Beach, FL 33140 City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID 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 ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From o9 / a6 / 09 To to / 09 / 09 Report Type F3-09 ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 1, 10 0 . 0 0 Expenditures $ 1, 2 2 8 . 0 0 Loans $ Transfers to Office Account $ Total Monetary $ 1, 10 0 .0 0 Total Monetary $ 1, 228.00 In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 3,900.00 $ 2,588.00 (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 true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Lewis J. Levey (Type name) Laura Rivero Levey Individual (only for /^ Treasurer ^ Deputy Treasurer ^/ Candidate ^ Chairperson (only for PC, PTY & electioneerin mmun.) electioneering commun. organization) X X Signature Signature DS-DE 12 (Rev. 08/04) ~~ 3 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period o9 / as / 09 through to / 09 / 09 (4) Page 7- of 1 (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & Ci ,State, Zi Code Contributor T e Occu ation Contribution T e In-kind Descri tion Amendment Amount 10 / 09 /09 Ivan Alvarez I CHE 100.00 10 / 09 / 09 Harry Levey I CHE 500.00 1~ / 0~ / 09p Rosy Levey I CHE 500.00 / / / / / / / / / / D5-UE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~~ ~ ~ 3 CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period o9 ~ 26 ~ 09 through to ~ 09 ~ 09 (4) Page 1 of 1 (5) Date (~) Full Name (8) Purpose (9) (1 0) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address 8~ City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount 09 29 09 Margarita Amaro Fees Mon $300.00 098 09 30 09 Paul Yavis Fees Mon $300.00 0100 09 30 09 Board Of County Commisioners Election data Mon $38.00 0099 10 07 09 Paul Yavis Fees Mon $590.00 001 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES P~~~ 3 ~- 3