DS-DE 12 TR-09 RobertsFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
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(1) Sherry Roberts OFFICE USE OIS~f ~, ~
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Name ~ ~ .,,.~
(2) 100 Lincoln Road Penthouse Two ~_ + N ~` i,(
Address (number and street) `~ ---~
Miami Beach, FL 33139-0000 ~-' ~ i
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City, State, Zip Code
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^ Check box if address has changed ~ ' c,a
(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
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Cover Period: From 10/30/2009 To ~~~ Report Type: TR
^X Original ^ Amendment ^ Speaal Election Report ^ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $0.00 Expenditures $16,365.24
Transfers to Office
Loans $6,425.00 Account $0.00
Total Monetary $6,425.00 Total Monetary $16,365.24
In-Kind $0.00 (8) Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$126.086.87 $126.086.87
(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 1 certify that I have examined this report and it is
true, correct and complete true, correct and complete
Raauel Levy Sherry Roberts
^ Individual (only for ^ Treasur ^ Deputy Treasurer
electioneering X
Chairman
^ Candidate (only for PC, PTY 8
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common.) g
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Signature Signature
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period
10/30/2009 - 11 /11/2009
(4) Page
00000
1 of 1
(5)
Date (~)
Fuu rJame (8)
C
rib (9) (10) (11) (12)
(6~
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(Last. Sulfa. Fast, Middle)
c~ysr~eAd~c ~ ont
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Type Occupation
y
In-kind
Description
endmen
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~'~ ' I ~ Roberts, Sherry
100 Lincoln Road PH 2
Miami Beach, FL 33139-0000 S Real
Estate LOA $ 6,425.00
000001
U.YUt 13 (KeY. lR1/UJ)
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Sherry Roberts I (2) LD. Number
(3) Cover Period 10/30/2009-11/112009 (4) Page
(5) ~ (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last, Suffoc, First. Middle) Purpose
Sequence
Number Stree4 Address 8
Cily, State, Zip Code (add office sough if
contribution to a candidate) 6cperWidue
Type
mendmen
Amount
11/012009 Almer Event MON $ 200.00
1541 Brickell Ave North C606
Miami, FL 33129-0000
000001
11/012009 Checkmate Consultants Media Buy MON $ 12,542.00
1637 NW 100th Dr
Coral Springs, FL 33071-0000
000002
11 /01 /2009 The Cakov Grou
P Translation MON
$ 75.00
1101
2600 Douglas Rd
Coral Gables, FL 33134-0000
000003
11/012009 Daniel's Offset Printing Printing MON $126.12
7404 SW 41 St
Miami, FL 33155-0000
000004
11/042009 8 Oz Burger Bar Event MON $ 1,424.16
Alton Road
Miami Beak, FL 33139-0000
000005
11/092009 Constant Contact IT MON $ 35.00
1601 Trapelo Road
Waltham, MA 02451-0000
000006
11/102009 Daniel's Offset Printing Printing MON $ 288.90
7404 SW 41 St
Miami, FL 33155-0000
000007
11/102009 The Lead Advertising MON $465.00
1521 Alton Road 115
Miami Beach, FL 33139-0000
000008
00000
1 of 2
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name Sherry Roberts (2) I.D. Number
(3) Cover Period
10/30/2009 - 11 /11/2009
(4) Page
00000
2of2
(5)
Date (~)
Full Name ($) (9) (1 0) (11)
(s)
Sequence
Number (Last, Suffer, Firms, Middle)
Street Address &
City, State, Zip Code Purpose
(add office sough if
aantribution to a carMidate)
Expenditure
Type
mendmen
Amount
11/10/2009 Roberts, Sherry
100 Lincoln Road PH 2
Miami Beach, FL 33139-0000 Loan Repayment MON $ 1,209.06
000009
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CAMPAIGN TREASURER'S REPORT -ITEMIZED DISTRIBUTIONS
THIS FORM APPLIES TO POLJTICAL COMMITTEES, COMMITTEES OF CONTINWUS EXISTENCE AND PARTY EXECUTIVE COMMITTEES ONLY.
(1) Name Sherry Roberts (2) I.D. Number 00000
(3) Cover Period
10/30/2009 - 11 /11/2009
(4) Page
0 of 0
(5
Darte (~)
Full Name (8) (9) (10) (11)
(6)
Sequence
Number (Last, Suffer, First, Middy)
Street Address 8
City, State, Zp Code Purpose
(add office sough iF
Contritwtion to a carWidate)
Related
rxperwitrmes
mendmen
AmOUr1t
Nothing to report on t is form
DS-DE 14A (Rev. OB/03)
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CAMPAIGN TREASURER'S REPORT -FUND TRANSFERS
(1) Name Sherry Roberts (2) I.D. Number 00000
(3) Cover Period
10/30!2009 - 11 /11/2009
(4) Page
0 of 0
(5)
f~ (~)
Name of Financial (8) (9) (10) (11)
(6)
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Number Institution
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crty, stave, zP Code
Transfer
Type
Nature of
Account
mendmen
Amount
Nothing to report on th s for
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