DS-DE 12 TR-09 J. LibbinFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT
~~~
~f~~=
.
,
OFFICE USE ONLY
(1) Jerry Libbin Campaign 2G 10 J~I~ Z 9 ~~ 9• ~? ;
Name
(2) 1125 North Shore Drive G ~ j 'r (; €_'~. t i' ~ L) F + I ~ ~_
Address (number and street)
Miami Beach, FL 33141-0000
City, State, Zip Code
^ Check box if address has changed
(3) I.D. Number: 00000
(4) Check appropriate box(es):
X Candidate (office sought): Commissioner Group 1
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 10/30/2009 To 02/01/2010 Report Type: TR
a Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $0.00 Expenditures $38,490.65
Transfers to Office
Loans $0.00 Account $0.00
Total Monetary $0.00 Total Monetary $38,490.65
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$109.537.24 $109,537.24
(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 I certify that I have examined this report and it is
true, correct and co lete true, correct and complete
tan Lis Jerrv Libbin
^ Individual (o for Treasurer ^ Deputy Treasurer
elections ng ^ Candidate ^ Chairman (only for PC, PTY &
}{ electioneerin
i
i
Comm .) g wmmun. organ
zat
on)
X X ~
Signature Signatur
u5-ut tz (Rev. 17x104) Adjutant Software -Campaign ToolBox
G~ ~ ~4
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period
10/30/2009 - 02/01 /2010
(4) Page
00000
OofO
(5
Date (~)
Full Name (8)
ib
C
t
t (9) (10) (11) (12)
(6)
Sequence
Number
(Last, Suffix, First, Middle)
StreetAddressS
city, state, zip code r
or
on
u
Type Occupation
Contribution
type
In-kind
Oescriptlon
endmen
mount
Nothing to report on this orm
ua-uc is tnev. uoiw~ Adjutant Software - Campa' n ToolBox
~-
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period 10/30/2009 - 02/01/2010 (4) Page 1 of 5
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last, Suffix, First, Middle) Purpose
Sequence
Number Street Address 8
City, State, Zip Code (add office sought 'rf
contribution to a candidate) 6cpenditure
Type
mendmen
Amount
11/01/2009 Libbin, Jerry reimburse for MON $ 128.30
1125 N. Shore Dr. lumber/stapler
Miami Beach, FL 33141-0000
000001
11/01/2009 David's Cafe campaign event MON $ 154.51
1654 Meridian Ave.
Miami Beach, FL 33139-0000
000002
11/03/2009 Epps, Maryel Campaign Event MON $ 800.00
P.O. Box 402482
Miami Beach, FL 33140-0000
000003 -
11/03/2009 Clevelander Hotel Campaign Event MON $ 2,297.50
1020 Ocean Dr.
Miami Beach, FL 33139-0000
000004
11/06/2009 VFW Post 3559 Donation MON $ 1,500.00
650 West Ave.
Miami Beach, FL 33139-0000
000005
11/08/2009 Epps, Maryel Campaign event MON $ 200.00
P.O. Box 402482 (balance)
Miami Beach, FL 33140-0000
000006
11/08/2009 Hebrew Academy Donation MON $ 200.00
2400 Pine Tree Dr.
Miami Beach, FL 33140-0000
000007
11/15/2009 Majic Childrens Fund charity contribution MON $ 300.00
20450 NW 2nd Ave.
Miami, FL 33169-0000
000008
U.1Ut 74 (Kev. Utl/W) Adjutant oftware -Campaign ToolBox
3
~ '"~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period
10/30/2009 - 02/01 /2010
(4) Page 2 of 5
(5 (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last, Suffix, First, Middle) Purpose
Sequence Street Address & (add office sought ff Expenditure
Number City, State, Zip Code contribution to a candidate) Type mendmen Amount
11/15/2009 City Debate Publishing Company, Advertising MON $ 1,000.00
Inc.
Suite 113
6538 Collins Avenue
000009 Miami Beach, FL 33141-4694
11/19/2009 Marywood Arboretum Tribute Fund contribution MON $ 300.00
2300 Adams Ave.
Scranton, PA 18509-0000
000010
11/19/2009 Miami Beach Kiwanis Community Contribution MON $ 300.00
Benefit Fund
1447 Miller Rd.
Coral Gables, FL 33146-0000
000011
11/24/2009 Seniors Are First contribution MON $ 400.00
Suite 117
1940 Park Avenue
Miami Beach, FL 33139-0000
000012
11/24/2009 PAL Contribution MON $ 500.00
999 11th St.
Miami Beach, FL 33139-0000
000013
11/27/2009 50 Blue LLC reimbursemnts MON $ 3,598.50
7525 SW 54th Ct.
Miami, FL 33143-0000
000014
11/27/2009 The Donner Group Consulting MON $ 3,090.15
7525 SW 54th Ct.
Miami, FL 33143-0000
000015
12/02/2009 Jerome Libbin Office Account Open Office Account MON $ 10,000.00
901 Arthur Godfrey Rd.
Miami Beach, FL 33140-0000
000016
DS-DE 14 (Rev. (78/03)
Adjutant Software -Campaign ToolBox
P~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number
(3) Cover Period
10/30/2009 - 02/01 /2010
(4) Page
00000
3of5
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last, Suffix, First, Middle) Purpose
Sequence
Number Street Address &
City, State, Zip Code (add office sought if
contribution to a candidate) Expenditure
Type
mendmen
Amount
12/03/2009 Sabrina Cohen Foundation Donation MON $ 300.00
P.O. Box 398235
Miami Beach, FL 33139-0000
000017
12/03/2009 Sunflower Society, Inc. Donation MON $ 200.00
5932 NE 6th Ave.
Miami, FL 33137-0000
000018
12/07/2009 Shir Hadash Donation MON $ 300.00
210 W. Glenn
Phoenix, AZ 85021-0000
000019
12/07/2009 Pelican Harbor Seabird Station Donation MON $ 200.00
1275 NE 79th St. Causeway
Miami, FL 33138-0000
000020
12/07/2009 Bascom Palmer Eye Institute Donation MON $ 300.00
900 NW 17th St.
Development Dept.
Miami, FL 33136-0000
000021
12/07/2009 Classical South Florida 89.,7 Donation MON $ 200.00
P.O. Box 1628
Ft. Lauderdale, FL 33302-1628
000022
12/10/2009 Unidad of Miami Beach ~ Donation MON $ 300.00
1701 Normandy Dr.
Miami Beach, FL 33141-0000
000023
01/03/2010 The Donner Group ~ Web-site construciton MON $ 6,800.00
7525 SW 54th Ct. and host
Miami, FL 33143-0000
000024
u5-ut fa (f2ev. osia3)
Adjutant Software -Campaign ToolBox
~~ ~~~~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period 10/30/2009 - 02/01/2010 (4) Page 4 of 5
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last, Suffix, First, Middle) Purpose
Sequence
Number Street Address &
Cfty, State, Zip Code (add office sought if
contribution to a candidate) Expenditure
Type
mendmen
Amount
01/20/2010 Shul of Bal Harbor donation to non-profit MON $ 180.00
9540 Collins Ave.
Surfside, FL 33154-0000
000025
01/20/2010 American Red Cross Hatian Relief-donation MON $ 200.00
P.O. Box 37243
Washington, DC 20013-0000
000026
01/24/2010 VFW Post 3559 Donation MON $ 300.00
650 West Ave.
Miami Beach, FL 33139-0000
000027
01/24/2010 Hebrew Academy Donation to Non-Profit MON $ 200.00
2400 Pine Tree Dr.
Miami Beach, FL 33140-0000
000028
01/24/2010 City of Miami Beach donation for 2 bricks- MON $ 250.00
1700 Convention Center Dr. dog park
Miami Beach, FL 33139-0000
000029
01/24/2010 Samuel Scheck Hillel Hebrew Day Donation to Non-Profit MON $ 100.00
School
19000 N.E. 25th Ave.
North Miami Beach, FL 33180-0000
000030
01/24/2010 National Council of Jewish Women Donation to Non-Profit MON $ 200.00
4144 Chase Ave.
Miami Beach, FL 33140-0000
000031
01/24/2010 University of Miami-School of Donation to Non-Profit MON $ 700.00
Medicine-Genome Program
1204 Dickinson Dr.
Coral Gables, FL 33124-0000
000032
IY ~RCV. VO/W~ Adjutant Software- Campaign ToolBox
~~. ~ ~~
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period 10/30/2009 - 02/01/2010 (4) Page 5 of 5
(5)
Date (7)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Purpose
(add office sought if
contribution to a candidate)
Expenditure
Type
mendmen
.Amount
01/24/2010 Michael-Ann Russell Jewish
Community Center-Theater Program
18900 N.E. 25th Ave. Donation to Non-Profit MON $ 100.00
000033 North Miami Beach, FL 33180-3207
01/26/2010 Shir Hadash
210 W. Glenn
Phoenix, AZ 85021-0000 Donation to Non-Profit MON $ 300.00
000034
01/26/2010 Friends of North Beach
4100 Praire Ave.
Miami Beach, FL 33140-0000 Donation to Non-Profit MON $ 250.00
000035
01/26/2010 Greater Miami Jewish Federation
4200 Biscayne Blvd.
Miami, FL 33137-0000 Donation to Non-Profit MON $ 2,341.69
000036
ua-ue ~q tnev. utsiva~ ~ Adjut~t Software -Campaign ToolBox
CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS
THIS FORM APPLIES TO POLITICAL COMMITTEES, COMMITTEES OF CONTINUOUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY.
(1) Name Jerry Libbin Campaign (2) I.D. Number. 00000
(3) Cover Period 10/30/2009 - 02/01/2010 (4) Page 0 of 0
(5)
Date (~)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffix, First, Middle)
SVeet Address &
City, State, Zip Code Purpose
(add office sought 'rf
contribution to a pndidate)
Related
Expenditures
mendmen
Amount
Nothing to report on t is form.
DS-DE 14A (Rev. 08/03) Adjutant ottware - Campaign ToolBox
~~ ~
CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Jerry Libbin Campaign (2) I.D. Number 00000
(3) Cover Period 10/30/2009 - 02/01/2010 (4) Page 0 of 0
5)
Date ~ (~)
Name of Financial (8) (9) (10) (11)
(6)
Sequence
Number Instkution
.Street Address 8
city, state, zip code Transfer
Type Nature of
Account
mendmen
Amount
Nothing to report on th s for
u~ut as (rtev. cxsia3) Adju~nt Sotlwan~Capmpaign~ToolBox
/-O