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DS-DE 12 F3-09 Góngora FLORIDA DEPARTMENT OF STATE DIVISION OF E '~ ' - ~ ~~` CAMPAIGN TREASURER'S REPORTS MARY (1) Michael .Gongora O B E E L 1 .Name C€T`{ ,,; ~ _ CJ;' f ~ 1~ f _ {Z) _5838 Collins Avenue #3A ,~ ,~ . Address (number and street) Miami Beach,__ FL 33140 City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED {3) ID Number: {4) Check appropriate box(es): © Candidate {offlCe sought): Miami Beach Commission, Group 3 ^ 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 s / as I o9 To .--~--r- io I s / 09 Report Type F3-d9 ._ ..~ . -.T- [~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 18.545.00 Expenditures $ 8, 774 .38 Loans $ Transfers to Office .Account $ Total Monetary $ - Total Monetary $ 8 , 774 3 8 In-Kind $ ~ 0 0~0 0 (8) Other Distributions (8) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date ~ 98t970.00 $ 26,820.28 (11) CERTIFICATION It is a first de ree misdemeanor for an arson to falsl a ubllc 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. (T a name) Michael Gongora (Type name) Michael Gongora Individual (only for Tre surer Deputy Treasurer ele wing mun.) .Candidate Ch rperson (only for Pc, PTY & o ering commun. organfzagon) X ! v Si toe Slg tur P~i~a' CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Michael Gongora (2) I.D. Number 00000 {3) Cover Period 9 / 26 / 09 through to / 9 / u9 (4) Page 2 of ~ (5) (7) (t3) (9) (10) (11} (12) Date Futl Name (t3} (Last, Suffix, First, Mlddle} Sequence - Street Address & Contributor Contribution In-kind Number Cit State ZI Code T e Ocxu atlon T e Oescri tlon Amendment Amount Elizabeth F. B Law Firm Che 200 10 ~ 2 X09 Schwartz, P.A. 560 Lincoln Rd. 4th FL. 1 Miamf Beach, FL 33139 ~ Carlos Espinosa I Attorney Credit 500 10 ~ 2 ~ 09 220 Madeira Av. #4 Card Coral Gables, FL 2 33134 Alexander Perkins I Che 100 1 ~ ~ Og 1330 W. Av. #2305 Miami Beach, FL 33139 3 PLC Investments, B Invest Che 500 10 ~ ~ ~ 09 Inc. 420 Lincoln ments Rd. #330 Bus. Miami Beach, FL ,} 33139 West Ventures, B Invest Che 500 10 ~ 2 J 09 Ltd. mente 420 Lincoln Rd. Bus. #330 5 Miami Beach, FL 33139 Michael Perlmutter I Business the 250 10 ~ 2 ! 09 1000 S. Pt. Dr. man Miami Beach, FL 6 33139 Dade County fire B PAC Che 500 10 ~ 2 ~ 09 Fighters $000 NW 21st St. ~ #222 Miami, FL 33122 Miami Beach B PAC Che 500 10 ~ 2 f 09 Firepac 1521 Alton Rd. Box $ 1114 Miami Beach, FL 33139 Q D8•DE 73 (RBV. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~a~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS {1) Name Michael +3ongora (2) I.D. Number (3) Cover Period 9 / 26 / 09 through 10 / 9 / 09 OOOOo (4) Page 3 of (5) (7) (S) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number C State ZI Code T e Ocou ation T e Descri tion Amendment Amount Miami Beach B PAC Che 500 10 l 9 X09 Firefighters union Local 1510 PO Box 403518 9 Miami Beach, FL 33140 m Lflliana I Credit 100 10 ~ 9 ~ 09 Farinas-3abogal Card 709 SW 106 Av. l0 Miami, FL 33174 So. FL Council of 8 PAC Che 500 1d ~ ga ~ Og® Fire Fighters PAC Acct . 8000 PIW 21 st. 11 Ste. 205 Doral, FL 33122 p Tani Records, Itdc. B Records Che 500 10 ~ ~ ~ 09 900 Ocean Dr. Bus. Miami Beach, FL 33139 12 Colony Hotel, LLC B Hotel Che 500 10 ~ 9 ~ 09 736 Ocean Dr, Miami Beach, FL 33139 13 Beach Rentals B Rental Che 500 10 ~ 9 ~ 09 1330 Collins Ave. Bus. #1 14 Miami Beach, FL 33134 1131 Kent, LLC B Invest Che 500 10 ~ 9 ~ 09 1131 Collins Av. ments Miami Beach, FL Bus. 15 33139 1330 Collins, LLC B Real Che 500 10 ~ 9 ~ 09 1330 Collins Av. Estate Miami Heach, FL 16 33139 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~: G~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1} Name Michael aongora (2) I.D. Number {3) Cover Period 9 / 26 / 09 through to / 9 / 09 (4) Page 00000 4 of ~ (5) (7) (8) (9} (10} (11) (12) Date Full Name (8) (Last, Suffix, First, Mlddie) Sequence Street Address 8 Contributor ContribuBon In-kind Number Cit State ZI Code T e Occu atlon T e Descri tion ~~'~~ Amount Cavanaugh Charters B Boat Che 500 10 ~ 9 X09 Inc. Charter 1330 Collins Bus. Ave.#1 17 Miami Beach, FL 33139 Mango's Tropical B Cafe Che 500 10 ~ 9 ~ 09 Cafe, Inc. Bus. 900 Ocean Dr. 18 Miami Beach, FL 33139 Ballet Valet Corp. B Valet Che 250 1 ~ ~ Og 804 Ocean Dr., 2nd Bus, FL Miami Beach, FL 19 33139 Marlo Courtney I Business Che 250 10 ~ ~ ~ 09 640 Ocean Dr. man Miami Beach, FL 33139 20 Tiffany 3/8 B InvesC Che 250 10 r 9 ~ 09 Associates, Inc. ments 804 Ocean Dr. 2nd FL 21 Miami Beach, FL 33139 Park 1200 Inc. B Invest Che 250 10 ~ 9 ~ 09 g04 Ocean Dr., 2nd ment8 FL 22 Miami Beach, FL 33139 Tony Fernandez I Engineer Che 100 10 l 9 ~ 09 15310 SW 11th St. Miami, FL 33194 23 Geleni G}ongora I Home Che 100 10 ~ 9 ~ O9 9110 SW 11th St. maker Miami, FL 33174 21~}~ DS-DE 13 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUE8 ~~ () 1~ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Michael Gongora (2) I.D. Number 00000 (3) Cover Period 9 / 26 / 09 through to / 9 / 09 {4) Page 5 of $ (5) (7} (8) (9) (1 0) (11) (12) Date Full Name (6} (Last, Suffix, f=irst, Middle) Sequence Street Address & Contributor Contribution in-kind Number Cit State Zi Code T e Occu atlon T e Descri tfon Amendment Amount The Cakov C3roup B Language Che 100 10 / 9 109 2600 Douglas Rd. School #1103 Coral G4ablea, FL 25 33134 Miami Firefighters B PAC Che 500 10 / 9 1 09 pAC II 2980 Nw South 26 River Dr. Miami, FL 33125 Marlene Perlmutter I Business Che 250 1d / ~ 1 Og 1000 S. Pt. Dr. woman #3701 Miami Beach, FL 27 33139 Merle Wefsa I Business Che 250 10 1 ~7 / 09 9 Island Dr. woman Miami Beaeh, FL 33139 28 Leonard M. B Doctor Che 250 SO ~ 9 / 09 Hochstein, MD,PA 19495 Biscayne Blvd. #204 29 Aventura, FL 33180 Nelson David Diaz I Che 100 10 / 9 / 09 6391 SW 138 Place Miami, FL 33183 30 Michael Stephen i Che 100 10 / 9 1 09 Schwager 3500 Coral Way 31 #1411 Miami, FL 33145 Thomas J. Wilcox I Business Che 500 10 / 9 / O9 3451 NE 1st Av. man #M902 Miami, FL 33137 32 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND GODE VALUES "7 ~'~~ E) CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Michael Gongora (2) I.D. Number 00000 (3) Cover Period e / 26 / 09 through to / 9 / 09 (4) Page 6 of ~ {5) (7) (8) (9) (10) {11) (12) Date Full Name {t3) (Last, Suffix, First, Middle) Sequence Streei Address & Coniribuior Contribution In-kind Number Ci State ZI Code T e Occu atlon T e Descri tion Amendment Amouni Cesar Dayan I Investor Che 500 10 ~ 9 X09 Albarez 7441 Wayne Av. #7P Miami Beach, FL 33 33141 Mathew S. I Business Ghe 500 10 ~ 9 ~ 09 pargament man 3350 SW 27 Av. 34 #1405 Miami, FL 33133 FOP William B PAC Che 500 1~ ~ ~ Og0 Nichols Lodge #8 PAC 999 11th St. 35 Miami Beach, FL 33139 Zed Condorousis T Investor Che 500 10 ~ ~ ~ 09 1040 10th St. #303 Miami BEach, FL 33139 36 Lori La Quatra I Consul Che 500 10 ~ 9 ~ 09 3530 Mystic Pt. tant Dr. #1503 Aventura, FL 33180 37 Roberto Campoverde I Investor Che 500 10 ~ 9 ~ 09 7300 Wayne Av. #2 02 38 Miami Beach, FL 33141 Kia Condorousis I Investor Che 500 10 j 9 ~ 09 11 Island Av. #1707 39 Miami Beach, FL 33139 Laurence Kaine I Attorney Ceh 500 10 ~ 9 ~ 09 1717 N. Bayshore Dr. Miami, FL 33132 40 DS•DE 13 (Rev. Q6/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUE8 d CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Michael Gongora (2) I.D. Number 00000 (3) Cover Period 9 / 26 I o9 through la I 9 / 09 (4) Page 7 of $ (5) {7) (8) (9) (10) (11) (12) Date Full Name (8) (last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-k(nd Number Cit State Zi Code T e Occu aUon T e Descrl lion Amendment Amount Florida Equipment B Equip Che ~ 500 10 J 9 J09 & Parts, Inc. ment 6356 NW 82nd Av. Bus. Miami, FL 33166 41 John R. Rolfs I Hotel Ghe ~ 500 10 J 9 J 09 4441 Collins Av. Bus. Miami Beach, FL 42 33140 Javier Martinez i Credit 20 1 ~ J O9 1300 Alton Rd. #9C Card Miami Beach, FL 33139 43 Marta T. Neira I INK Photography 100 10 J ~1 J 09 7600 3W 59th Ct. S. Miami, FL 33143 44 Ken English I INK Webaite 500 10 ~ 9 ~ 09 19832 Bobolink Dr. & Hialeah, FL 33415 Media Support 45 John Robert Fry I Che 100 10 J 9 J 09 640 NE 55th St. Miami, FL 33137 46 Jonathan B. Chopp I Busines Che 500 SO J 9 J 09 4477 Sheridan Ave. man Miami Beach, FL 47 33140 Mary Anne Muniz I Manager Che 25 10 J 9 J 09 3376 Crystal Court Miami, FL 33133 48 D3•DE 13 (Rev. 08!03) $EE REVERSE FOR INSTRUCTIONS AND CODE VALUES n.~ ~ .~6 CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Michael Gongora (2) I.D. Number 00000 (3) Cover Period 9 / 26 I 09 through to ~ 9 ~ 09 (4) Page i of (5) Date (7} Full Name (8) Purpose (#) (10) (11) (8) Sequence Number (Last, Suffix, Frost, Mlddle} Street Address 8 City, State, 21p Code (add office sought ii contrlbutlon to a candidate) Ex enditure p Type Amendment Amount Washington Square Partners,Inc. Consulting MON $3,750.00 i 16 Island Av. #1-D Miamf Beach, FL 33139 10 9 09 The Print Farm 3511 NW 74th Av. Mia i FL 33122 Printing MON $476.15 2 , m 10 9 09 The Print Farm 3511 NW 74th Av. Mi i L 33122 Printing MON $518.95 3 am , F 10 9 pg Washington Square Partners,Inc. 6 l d A 1 D Graphic Design & Advertising MON $2,629.28 4 an 1 Is v. # - Miami Beach, FL 33139 10 9 09 MV Almer Productions 1541 Brickell Av. #C606 Miami FL 33129 Events MON $1,400.00 5 , DS-DE 14 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~~~