DS-DE 12 G1-11-1 Crystal tv• h1/41-tt-M6e6
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Dave Crystal ° OFt~CE I NLY
Name 2011 OCT -7 AM 10: 55
(2) PO Box 416151
Address (number and street) CITY CLERK'S OFF CE
Miami Beach, FL 33141
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
▪ Candidate (office sought): Mayor of the City of Miami Beach
❑ 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 07 / 01 / 11 To 09 / 23 / 11 Report Type � 1
❑ Original ® Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 8,041.00 Expenditures $ 7,706.00
Loans $ Transfers to Office
Account $
Total Monetary $ 8,041.00 Total
Monetary $ 7,706.00
In -Kind $ 165.00
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 17,399.00 $ 14,432.41
(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 complete.
(Type name) Isaac Rosenblum (Type name) Dave Crystal
❑Individual (only for 12 Treasurer ❑ Deputy Treasurer 0 Candidate ❑ Chairperson (only for PC, PTY &
electioneer: g commu ) actin eering commun. organization)
, - X
Signature Signature
DS -DE 12 (Rev. 08/04)
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Dave Crystal (2) I.D. Number
(3) Cover Period 07 01 / 11 through 09 / 23 / 11 (4) Page 1 of 1
(5) ( ( ( ( (
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
Tomchei Shabbos Charity MON DEL $100.00
09 /22 /11 1545 Washington Ave.
Miami Beach, FL 33139
49
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DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
PA l e ub--t
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Dave Crystal (2) I.D. Number
(3) Cover Period 07 / 01 / 11 through 0 9 / 23 / 1 (4) Page 1 of 1
(5) ( ( ( ( ( (
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
Chabad of Venetian B Religio- CHE DEL 100.00
08 / 09 /11 Causeway us
14 Farrey Ln. Organiz-
Miami Beach, FL ation
15 33139
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DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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