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DS-DE 12 TR-09 LeveyFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Laura Rivero Levey ~ o OFFICE USE ONLY Name ! ~' ~ I r~ ~ ,-- _ (2) 4777 Pinetree Drive ! r`LL t°°~ t -~i Address (number and street) i r r.- '' <~' Miami Beach, FL 33140 -v ~ ~ :-T'9 City, State,'Zip Code I ~ ~ ~ .~a ^ 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 FILEv (5) REPORT IDENTIFIERS Cover Period: From 11 / 01 / 2009 To 1 / 31 / aol~o Report Type TR-9 I ~ Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 25.00 Expenditures $ 2, 568.00 Loans $ Transfers to Office Account $ Total Monetary $ 25.00 Total Monetary $ 2, 568.00 In-Kind $ {8) Other Distributions $ 140.00 (9) TOTAL Monetary Contributions To Date ! (10) TOTAL Monetary Expenditures To Date $ 9,260.00 $ 9,260.00 (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 compl ete. (Type name) Lewis J. Levey (Type name) i Laura Rivero Levey ^Individual (only for /^Treasurer ^ Deputy Treasurer /^ Candidate ^ Chairperson (only for PC, PTY & electioneering c mun.) electioneering co un. organization) X ~( /~ ~ - Signa ure Signature D5-DE 72 (Rev. OS/04) CAMPAIGN TREASURER'S REPORT (1) Name Laura Rivero L i - ITEMIZED EXPENDITURES (2) I.D. Number (3) Cover Period 11 / 01 / 2009 through 1 / 31 / 2010 (4) Page of (5) Date (7) Full Name (8) Purpose (9) (10) (~ 1) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount 11 04 09 PAUL YAVIS FEES MON $500.00 1006 11 04 09 LAURA RIVERO LEVEY REIMBURSEMENT MON $2,000.00 1007 12 09 09 LAURA RIVERO LEVEY REIMBURSEMENT MON $86.68 1004 I DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Laura Rivero Levey (2) I.D. Number (3) Cover Period 11 / 01 / 2009 through 1 / 31 / 2010 (4) Page of I (5) Date (~) Full Name (8) (9) (~~) (~~) (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 11 ~ 03 2009 Carol R. Wander Jacob Wander I Ch 25 5188 Oak Hill LN Apt 1112 Miami Beach, 33484 / 7 - - - --- - - - - _- - _. __-.._-- / / / / / / / / / / / / DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS i ND CODE VALUES