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DS-DE 12 TR-09 1 LeyvaFLORIDA DEPARTMENT OF STATE DIVISION O F ELECTIONS CAMPAIGN TREASURER'S REPORT S UMMARY (1) Laura Rivero Levey 0~~~~ ) Name Z~10 FEB -3 P~ 4: 30 (2) 4777 Pinetree Drive Address (number and street) CITY i/~.E€~ps(`~ ~~~~~~ Miami Beach, FL 33140 City, State, Zip Code ^ 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 FILED (5) REPORT IDENTIFIERS Cover Period: From t o / 3 0 / a o 0 9 To a / 1 / a o l 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 $ Expenditures $ 2, 568.00 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 2, 568.00 In-Kind $ (8) Other Distributions 115.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9,235.00 $ 9,235.00 (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) Laura Rivero Levey ^Individual (only for QTreasurer ^ Deputy Treasurer /^ Candidate ^ Chairperson (only for PC, PTY & electioneering mun.) electione ring commun. organization) X X ~_ Signature Signature DS-DE 12 (Rev. 08/04) I /~ ~ ~'~~ CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES (1) Name Laura Rivero Levey (2)1.D. Number (3) Cover Period to / 30 / 2009 through 2 / 1 / 2010 (4) Page of (5) Date (~) Full Name ($) Purpose (9) (~ 0) (~~) (s) 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 REF $2,000.00 1007 12 09 09 LAURA RIVERO LEVEY REIMBURSEMENT REF $86.68 1004 12 30 09 VARIOUS FEES AND EXPENSES MON $96.32 us-ut is Rev. ogio3) ~ SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ~~~