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DS-DE 12 F4-09 RobertsFLORIDA DEPARTMENT OF STATE DNISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMAt~Y~~ `.~~ ~ : !r~`~r' ~^~'` . (1) Sherry Roberts OFF~C~ ~NL~ k '~ ~ i ~ 2 g l~ Name ~- f- (2) 100 Lincoln Road Penthouse Two ~ ' ~ '} ?~ ~. `-'' ~ ` '' {' ` ` S ~ f.. 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 Candkiate (office sought): Miami Beach Commissioner Group 2 Political Committee ~ Check if PC has DISBANDED Committee of Continuous Ebstence ^ Check if CCE has DISBANDED Parly Executive Committee Electioneering Communication ~ Check iF no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS ~~~g q Cover Period: From 10/10/2009 Tp 10/29/2009 Report Type: -~ ^X Original ~ Amendment ~ Special Election Report ~ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $7 500.00 Expenditures $40,667.94 Transfers to Office Loans $20,000.00 Account $0.00 Total Monetary $27,500.00 Total Monetary $40,667.94 In-Kind $570.71 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $119.661.87 $109.721.63 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that 1 have examined this report and it is I certify that 1 have examined this report and it ~s true, coned and complete Raquel Lew true, correct and complete Shem+Roberts Individual (Doty for Treasurer De u Treasurer electioneering ® ~ p ~ Candidat ( ty ~ Pc. PTY 8 ~ l ~' ri common.) e ec onee common. ng organisation) X Q Signature Signature DS-0E 12 (Rev. 004) "'~ Adjutant SoIlvvere -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 1 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name C trib t 6~ Suffix First Middle) (Last on or u Sequence , , , Street Address 8 Contribution IR-klRd Number city, state, zp code Type Occupation Type Description endure Amount 10/10/2009 Rogel, David I Attorney CHE $ 250.00 121 Alhambra Drive Coral Gabtes FL 33134-0000 , 000001 10/10/2009 Gadinsky, Elizabeth I CHE $ 100.00 3530 Pine Tree Miami Beach, FL 33140-0000 000002 10/11/2009 Randolph, Matthew I Vetemari INK Refreshme $ 58.94 13507 Shively Road an nts Bremen, IN 46506-0000 000003 10/12/2009 Randolph, Matthew I Vetemari INK Refreshme $ 9.05 13507 Shively Road an nts Bremen, IN 46506-0000 000004 10/13/2009 Sims, Marilyn I Employm CHE $ 200.00 456 Muirfietd Drive ant Highland Heights, OH 44044-0000 Counselo r 000005 10/16/2009 Bank of America B CHE $ 25.00 401 Lincoln Road Miami Beach, FL 33139-0000 000006 10/17/2009 Rivera, Gladys I Paralegal CHE $ 500.00 100 Lincoln Road Unit 908 Miami Beach, FL 33139-0000 000007 10/17/2009 Brigham, Erika I CHE $ 50.00 735 2nd Street Miami Bead, FL 33139-0000 000008 DS-0E t3 (Rev. 08!03) Adjutant Software -Campaign ToolBox P~~~ ~ ~-11 CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 2 of 5 5) (7) (8) (9) (10) (11) (12) Date Full Name C rib 6) (Last Suffix First Middlej ont utor , , , In-kind Sequence Number Street Address 8 car, state, ~p code Type Occupation Contribution Type Oesgiption endment Amount 10/17/2009 Sullivan, Kathryn I Employm CHE $ 300.00 18101 Collins Ave 1702 ent Sunny Isles FL 33160-0000 Counselo , r 000009 10/19/2009 Eger, Marjorie I CHE $ 25.00 174 Shelters Road Gtoron, MA 01450-0000 000010 10/21/2009 Kruszewski, Frank I CHE $ 25.00 Unit 2002 1800 Sunset Harbor Drive Miami Beach, FL 33139-0000 000011 10/23/2009 Slone, Adam I CHE $ 50.00 400 Alton Road Apt 2103 Miami Beach, FL 33139-0000 000012 10/23/2009 Stedman, Joel David I Dining CHE $ 250.00 809 Lincoln Road Establish Miami Beach, FL 33139-0000 ment 000013 10/23/2009 Hobo LLC B Dining CHE $ 500.00 809 Lincoln Road Establish Miami Beach, FL 33139-0000 mnet 000014 10/23/2009 Diaz, Alex I Manager CHE $ 300.00 700 NE 63 St Apt PH D5 Miamii, FL 33138-0000 000015 10/27/2009 Roberts, Sherry S Real LOA $ 100 Lincoln Road PH 2 Estate 20,000.00 Miami Beach, FL 33139-0000 000016 Dti-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 3of5 (5 (7) (8) (9) (10) (11) (12) Date F°" rvame C trib t (6) sum F"st iwdd~e) (~ or on u , , , In-kind Sequence Number Street Address & cnr, stare, Z,P code Type Occupation Contribution Type Description endment Amount 10/27/2009 Galbut, Abraham I Attorney CHE $ 500.00 4770 Biscayne Blvd 400 Miami FL 33137-0000 , 000017 10/27/2009 Zemo, Dona 1 Director CHE $ 100.00 3101 Indian Creek Drive Miami Beach, FL 33140-0000 000018 10/27/2009 Velasco, Ana Cecilia I Realtor CHE $ 500.00 15861 SW 42nd Terrace Miami, FL 33185-0000 000019 10/27/2009 Hierro, Juan I CHE $ 75.00 553 NE 75 St Miami, FL 33138-0000 000020 10/27/2009 Bodner, Nathan I CHE $ 25.00 4000 Towerside Terrace 612 Miami, FL 33138-0000 000021 10/27/2009 Dunn, James I CHE $ 100.00 2121 N Bayshore Dr 912 Miami, FL 33137-0000 000022 10/27/2009 Ketelhohn, John I Consults CHE $ 200.00 185 NW 107th St nt Miami Shores, FL 33168-0000 000023 10/27/2009 Sneiderman Tomola and Co B CPA CHE $ 500.00 6060 Rockside Woods Blvd 315 Cleveland, OH 44131-0000 000024 DS-0E 13 (Rev. 08/03) Adjutant So/Pouara - Canq~aign ToolBozl ~vs ~ ~~{ CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 00000 4 of 5 5) (7) (8) (9) (10) (11) (12) Data Full Name ib C t t ~6) Suffix First Middle) (Last r or on u , , , In-I(Ind N a c~so-s tram, zR c de Type Occupation co ~ on Description endment Amount 10/27/2009 Gray, Robert Keith I Retired CHE $ 250.00 6001 Pine Tree Drive Miami Beach FL 33140-0000 , 000025 10/28/2009 Laquatra, Lori I Sales CHE $ 500.00 3530 Mystic Pointe Drive 1503 Aventura, FL 33180-0000 000026 10/28/2009 Albarez, Cesar I Athletic CHE $ 500.00 7441 Wayne Ave 7P Manager Miami Beach, FL 33141-0000 000027 10/28/2009 Sunshine, Morris I Professor CHE $ 100.00 465 Ocean Drive 807 Miami Beach, FL 33139-0000 000028 10/28/2009 Margolis, Gwen I Candidat CHE $ 100.00 1005 Kane Concourse e Bay Harbor, FL 331540000 000029 10/28/2009 Cohen, Bradley I Real INK Event Food $381.00 825 Arthur Godfrey Road Estate Miami Beach, FL 33140-0000 000030 10/29/2009 Shore Club B Hotel CHE $500.00 1901 Collins Avenue Miami Beach, FL 33139-0000 000031 10/29/2009 Graham, Diane I Sales CHE $ 100.00 6515 SW 26th Street Miramar, FL 33023-0000 000032 DS-0E 13 (Rev. 08/03) Ad' nt Software - Ce hum mpaign ToolBox PA~t-~ S ~-ll CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 00000 5of5 (5) (7) (8) (9) (10) (11) (12) Date F°" nfame C trib t (6) Sequence Number (test, suffix, First, Nliddle> Street Address 8 cay, state, zp code on u or Type Occupation Contribution Type In-kind Description ndment mount 10/29/2009 Garcia, Maria Julia I Social CAS $ 50.00 100 Lincolln Road 1008 Worker Miami Beach FL 33139-0000 , 000033 10/29/2009 Jurig, Justin I Sales CAS $ 50.00 47969 Merl Ct Bangor, MA 04401-0000 000034 .10/29/2009 Robeano, David I Entertain CAS $ 5.00 350 Bleedcer St LF er New York, NY 10014-0000 000035 10/29/2009 Fontaine, Harmony I Doctor CAS $ 20.00 3101 Indian Creek Miami Beach, FL 33139-0000 000036 10/29/2009 Fordham, Kirk I Consulta CHE $ 250.00 504 nt 4041 Collins Ave Miamii Beach, FL 33140-0000 000037 10/29/2009 Cienki, John I Doctor CHE $500.00 1025 Shore Lane Miamii Beach, FL 33141-0000 000038 10/29/2009 Baker, Mark T. I Sales INK Event $ 121.72 774 NE 74th Street Miami, FL 33138-0000 000039 OS-DE 13 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 00000 1 of 3 (5) (7) (8) (9) (10) (11) Dare Full Name (6 (Last, Suffix, First, Middle) Purpose Sequence Number Street Address & city, stare, zp Code (add office sought ff oomribution re a cand~ate> ExpendiW re rype endmen Amount 10/10/2009 Bank of America Fees MON $ 9.30 401 Lincoln Road Miami Beach FL 33139-0000 , 000001 10/13/2009 Bank of America Bank fee MON $ 6.10 401 Lincoln Road Miami Beach, FL 33139-0000 000002 10/13/2009 Almer Consultation MON $ 800.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000003 10/13/2009 Castenedas, Fermin Voter Education MON $ 200.00 1401 W Flagler Ste 200 Miami, FL 33135-0000 000004 10/13/2009 Recognition Media Web Site Managemen MON $ 134.85 1521 Alton Road #226 Miami Beach, FL 33139-0000 000005 10/14/2009 Seniors Are First Voter Contact MON $ 50.00 1940 Park Ave 117 Miami Beach, FL 33139-0000 000006 10/16/2009 Almer Supplies MON $ 49.00 1541 Brickell Ave North C606 Miami, FL 33129-0000 000007 10/19/2009 Happy Endings Printing MON $ 143.38 651 NW 106 Street Miami, FL 33150-0000 000008 DS-DE 14 (Rev. 08/03) Adjutant Software -Campaign ToolBox CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 2 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (6 (Last, Suffix, First, Middle) Purpose Number City, Stare, Zip Code (add office sought iF contribution to a candidate) F_xpendiWre Type mendmen Amount 10/19/2009 The Lead Advertising MON $ 245.00 1521 Alton Road 115 Miami Beach FL 33139-0000 , 000009 10/19/2009 LISPS Post Office Box MON $ 50.00 1661 West Ave Miami Beach, FL 33139-0000 000010 10/19/2009 Checkmate Consultants Material Dev/Mail MON $ 10,000.00 1637 NW 100th Dr Coral Springs, FL 33071-0000 000011 10/19/2009 Bank of America Fee MON $ 0.31 401 Lincoln Road Miami Beach, FL 33139-0000 000012 10/21/2009 Balsera Communications Media Advertising MON $ 9,000.00 3663 SW 8th St 200 Coral Gables, FL 33135-0000 000013 10/26/2009 Bank of America Fee for Returned MON $ 6.00 401 Lincoln Road Checc Miami Beach, FL 33139-0000 000014 10/27/2009 Almer GOTV Consultatn MON $ 4,000.00 1541 Briccell Ave North C606 Miami, FL 33129-0000 000015 10/27/2009 Daniel's Offset Printing Advertising MON $ 270.00 7404 SW 41 St Miami, FL 33155-0000 000016 DS-0E t4 (Rev. 083) Adjutant Sotiware -Campaign ToolBox ~~~ ~ ~ ~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 3 of 3 (5 Data (7) Full Name (8) (9) (10) (11) ~6) Sequence Number (Last, Suf6z, First, Middle) Sheet Address 8 City, State, Zip Code Purpose (add otfioe sought'rf contribution ro a candidate) Expendihrre Type endmen Amount 10/27/2009 Checkmate Consultants 1637 NW 100th Dr Coral Springs FL 33071-0000 Material DevelopmenUMail MON $ 10,000.00 000017 , 10/27/2009 Senoi 4200 NW 167th St Miamii, FL 33054-0000 TV Production MON $ 3,500.00 000018 10/28/2009 Almer 1541 Brickell Ave North C606 Miami, FL 33129-0000 GOTV Activities MON $ 1,420.00 000019 10/28/2009 American Political Signs 2321 Pembroke Rd. Hollywood, FL 33020-0000 Signs MON $ 784.00 000020 DS-DE 14 (Rev. 0803) Adjutant Solbvare -Campaign ToolBox P~ 9 ~ Il CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY. (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page OofO 5 Date (~) Full Name (8) (9) (10) (11) (6 Sequence Number (Last. Sutfix. First, Middle) Street /address 8 City, State, Zip Code Purpose (add office sought iF contrilxtiorl to a candidate) Related F~endihrres mendmen ArnOUI1t Nothing to report on t is form 14A (KBV. (xf/OJ). Adjutant Software -Campaign ToolBox P~~ is ~/~ CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS (1) Name Sherry Roberts (2) I.D. Number 00000 (3) Cover Period 10/10/2009 - 10/29/2009 (4) Page 0 of 0 (5) Data (~) Name of Financial ($) (9) (10) (11) (6) Sequence Namber instiWtion street Address & city, staoe, zp code Transfer Type Nature of Account endure Amount Nothing to report on th s for DS-DE 94 (Rev. OB/03) Adjutant Sotdvare -Campaign ToolBox ~~t~lLS `~ ~ (~