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DS-DE 12 Q2-13 J Libbin FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS 1N� F..r CAMPAIGN TREASURER'S REPORT SUMMARY" gr��Ce t1SEJQPLY#`'ill t i (1) Jerry Libbin Name (2) 1125 North Shore Drive Address(number and street) Miami Beach,FL 33141 City, State,Zip Code ❑ Check box if address has changed (3) I.D. Number: 00000 (4) Check appropriate box(es): X Candidate(office sought): Mayor Political Committee ❑ Check if PC has DISBANDED Committee of Continuous Existence Party Executive Committee ❑ Check if CCE has DISBANDED Electioneering Communication ❑ Check if no other electioneering communication reports will be filed (5) REPORT IDENTIFIERS Cover Period: From 04/01/2013 To 06/30/2013 Report Type: Q2-4? ❑X Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash&Checks $46,388.00 Expenditures $15,399.93 Transfers to Office Loans $50,000.00 Account $0.00 Total Monetary $96,388.00. Total Monetary $15,399.93 In-Kind $900.00 (8) Other Distributions $0.00 (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date $142,308.99 $15,399.93 (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 complete true,correct and complete Jerry Libbin Jerry Libbin ❑ Individual(only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairman(only for PC,PTY& electioneering X X electioneering commun.organization) commun.) X X Sign a Z Sig re This form is based on DS-DE 12(Rev.08104) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 1 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 04/07/2013 Torregrosa, Luis I Retired CHE $ 100.00 1900 Purdy Ave.#2309 Miami Beach, FL 33139-0000 1 04/07/2013 Bibas Montero, Barbara I Finance CHE $250.00 1900 Sunset Harour Dr.#2208 Miami Beach, FL 33139-0000 2 04/07/2013 Rivo, Karen I Nurse CHE $500.00 4566 Prairie Ave. Miami Beach, FL 33140-0000 3 04/07/2013 Libbin, Martin I Attorney CHE $100.00 27 Arlen Way West Hartford,CT 06117-0000 4 04/07/2013 Doug Johnson&Associates B Plumbing CHE $500.00 1387 Shotgun Road Supplies Sunrise, FL 33326-0000 5 04/14/2013 Montero, Manuel I Finance CHE $250.00 1900 Purdy Ave.#2208 Miami Beach, FL 33139-0000 6 04/14/2013 Wein, Barbara I Attorney CHE $500.00 3005 Flamingo Dr. Miami Beach, FL 33140-0000 7 04/14/2013 Gardiner,John I Investor CHE $500.00 1521 Alton Rd.#633 Miami Beach, FL 33139-0000 8 This form is based on DS-DE 13(Rev.08/03) Adjut Software,Inc.-Ca paign ToolBo CAMPAIGN TREASURERS REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 2 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution (n-kind Number city,State,Zip Code Type Occupation Type Description Amendmeni Amount 04/14/2013 Gardiner, Natalie I Home CHE $500.00 28 W. Rivo Alto Dr. Maker Miami Beach, FL 33139-0000 9 04/14/2013 Vidaurreta,Augusto I Nutritioni CHE $250.00 744 Lakeview Dr. St Miami Beach, FL 33140-0000 10 04/14/2013 Vidaurreta, Mary Jean I Nutritioni CHE $250.00 744 Lakeview Dr. St Miami Beach, FL 33140-0000 11 04/14/2013 Esther Percal, PA B Realtor CHE $200.00 6330 Pine Tree Dr. Miami Beach, FL 33141-0000 12 04/14/2013 Rosen, Michael I Attorney CHE $200.00 325 Hibiscus Dr. Miami Beach, FL 33139-0000 13 04/14/2013 Di Geronimo, Cory I Doctor CHE $100.00 19495 Biscayne Blvd.#200 Miami, FL 33180-0000 14 04/14/2013 Dickstein,Jeffrey I Attorney CHE $250.00 80 W. Rivo Alto Rd. Miami Beach, FL 33139-0000 15 04/14/2013 Naneva Capital, LLC B Finance CHE $250.00 1413 20th St.#409 Miami Beach, FL 33139-0000 16 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox G 3 �. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 3 of 18 (5) (7) (8)_ (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 04/14/2013 Davis, Laurie I Not for CHE $ 100.00 5965 Alton Rd. Profit Miami Beach, FL 33140-0000 17 04/14/2013 Mormeneo,Carlos I Demolitio CHE $100.00 1000 Venetian Way#1403 n Miami, FL 33139-0000 18 04/14/2013 Evensky, David I Wealth CHE $500.00 2333 Ponce De Leon#1100 Manage Coral Gables, FL 33134-0000 ment 19 04/14/2013 6752 Collins Avenue Corp. B Real CHE $500.00 555 NE 185 Street#201 Estate Miami, FL 33179-0000 20 04/14/2013 In-Flight Holdings, LLC B Real CHE $500.00 555 NE 185 Street#201 Estate Miami, FL 33179-0000 21 04/14/2013 151st Street Holdings, LLC B Real CHE $500.00 555 NE 185 Street#201 Estate Miami, FL 33179-0000 22 05/02/2013 David Benson Rev.Trust B Trust CHE $100.00 1901 Brickell Ave.#B1809 Miami, FL 33129-0000 23 05/02/2013 Wilzig, Naomi I Entertain CHE $300.00 300 S. Pointe Dr.#3801 ment- Miami Beach, FL 33139-0000 Museum 24 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox 6�z CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 4 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/02/2013 Hoffman, Carol I Clergy CHE $50.00 4740 Alton Rd. Miami Beach, FL 33140-0000 25 05/02/2013 Stella,Johanna I Hair CHE $ 100.00 615 Fairway Dr. Salon Miami Beach, FL 33141-0000 26 05/02/2013 Hoffman-Hansford, Rosemary I Finance CHE $250.00 5632 Lagorce Dr. Miami Beach, FL 33140-0000 27 05/07/2013 Berson-Levinson,Judith I Retired CHE $500.00 900 Bay Dr. PH 1 Miami Beach, FL 33141-0000 28 05/07/2013 Levinson, Steve I Retired CHE $500.00 900 Bay Dr. PH 1 Miami Beach, FL 33141-0000 29 05/11/2013 Andrew Nullman, P.A. B Physician CHE $500.00 4302 Alton Rd. Ste. 760 Miami Beach, FL 33140-0000 30 05/11/2013 Lamas,Gervasio I Physician CHE $300.00 881 Ocean Terrace Dr.#6H Key Biscayne, FL 33149-0000 31 05/11/2013 Furst, Lilliam I Homema CHE $ 150.00 800 Lakeview Dr. ker Miami Beach, FL 33140-0000 32 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 5 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/11/2013 Sterling, Harriet I Retired CHE $ 100.00 5500 Collins Ave.#1101 Miami Beach, FL 33140-0000 33 05/11/2013 Maltagliati, Lucila I Homema CHE $ 100.00 4560 N.Jefferson Ave. ker Miami Beach, FL 33140-0000 34 05/11/2013 Green Comet LLC B Real CHE $500.00 350 Ocean Dr. Estate Miami Beach, FL 33139-0000 35 05/11/2013 Cometsa LLC B Real CHE $500.00 350 Ocean Dr. Estate Miami Beach, FL 33139-0000 36 05/11/2013 Waterview Management, LLC B Real CHE $ 150.00 6640 Allison Road Estate Miami Beach, FL 33140-0000 Manage ment 37 05/11/2013 Omar El-Dada, CHA PA B Real CHE $ 150.00 401 69th St. Ste. 1201 Estate Miami Beach, FL 33141-0000 Broker 38 05/11/2013 Dada Enterprises, Inc. B Real CHE $100.00 401 69th St. Ste. 1201 Estate Miami Beach, FL 33141-0000 Broker 39 05/11/2013 Dada Enterprises, Inc. B Real CHE $ 150.00 401 69th St. Ste. 1201 - Estate Miami Beach, FL 33141-0000 Broker 40 This form is based on DS-DE 13(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox 4 �' "�/ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 6 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/11/2013 Omar El Dada 07.86 B Real CHE $150.00 401 69th St. Ste. 1201 Estate Miami Beach, FL 33141-0000 Broker 41 05/11/2013 Barron, Charlotte I Realtor CHE $200.00 818 NE 3rd St. Hallandale, FL 33009-0000 42 05/11/2013 Libbin, Martin I Attorney CHE $400.00 27 Arlen Way West Hartford, CT 06117-0000 43 05/11/2013 Libbin, Joyce I Homema CHE $500.00 27 Arlen Way ker West Hartford, CT 06117-0000 44 05/11/2013 Pozzoli, Raquel I CAS $20.00 3820 SW 58th Ave. Miami, FL 33155-0000 45 05/11/2013 Vickers,John I Physical CHE $100.00 1050 93rd St.#3C Therapist Bay Harbor Islands, FL 33154-0000 46 05/11/2013 Accord TV Properties B Televisio CHE $100.00 2140 S. Dixie Hwy. Ste. 301 n Miami, FL 33133-0000 Productio n 47 05/11/2013 Baum, Michael I Chiroprac CHE $250.00 9 La Gorce Circle for Miami Beach, FL 33141-0000 48 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,I -Campaign ToolBox / 0 y G� CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 7 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/11/2013 Velasco,Ana Cecilia I Business CHE $ 100.00 9111 E. Bay Harbor Dr. PH B Executive Bay Harbor Islands, FL 33154-0000 49 05/11/2013 Golomb, David I Retired CHE $ 100.00 7441 Wayne Ave. Miami Beach, FL 33141-0000 50 05/11/2013 Bostwick,Jessica I CAS $20.00 1900 Meridian Ave.#505 Miami Beach, FL 33139-0000 51 05/11/2013 Johnson,Jessica I CAS" $20.00 1054 Jefferson Ave.#12 Miami Beach, FL 33139-0000 52 05/19/2013 Hand, Francinelee I Homema CHE $ 100.00 53313 N. Bay Rd. ker Miami Beach, FL 33140-0000 53 05/19/2013 Samuel J. Rabin,JR. P.A. B Attorney CHE $ 150.00 799 Brickell Plaza, Ste.606 Miami, FL 33131-0000 54 05/19/2013 Aaron, Harvey I Accounta CHE $500.00 5 Hagen Rd. nt Newton, MA 02459-0000 55 05/19/2013 Shugar, Irving I Dentist CHE $ 100.00 755 Lakeview Dr. Miami Beach, FL 33140-0000 56 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox i CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 8 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/28/2013 Bonfill DR Investments, LLC B Real CHE $500.00 9360 SW 72nd St. Ste.265 Estate Miami, FL 33173-0000 Investme nts 57 05/29/2013 Libbin,Jerry S Business LOA $ 1125 N. Shore Dr. Executive 50000.00 Miami Beach, FL 33141-0000 58 05/29/2013 Roth, Ric I Advertisi CHE $500.00 21 SE 1 st Ave. Ste.300 ng Miami, FL 33131-0000 59 05/30/2013 Boers, Frits I Attorney CHE $100.00 524 Ocean Dr. Miami Beach, FL 33139-0000 60 05/31/2013 Cohen,Judson I Attorney CHE $250.00 7955 SW 128th St. Pinecrest, FL 33156-0000 61 05/31/2013 Lior Lesser, P.A. B Attorney CHE $250.00 1000 6th St. Ste.200 Miami Beach, FL 33139-0000 62 05/31/2013 SoBeDentist B Dentist CHE $100.00 2895 Collins Ave. Miami Beach, FL 33140-0000 63 05/31/2013 Decardenas, Freixas,Stein,8r B CHE $ 18.00 Zachary, P.A. 25 SE 2nd Ave. Ste.425 Miami, FL 33131-0000 64 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox /11�1 ��_ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 9 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/31/2013 Mark J.Wohl, P.A. B Realtor CHE $250.00 1688 West Avenue#808 Miami Beach, FL 33139-0000 65 05/31/2013 Benchmark Realty Group LLC B Real CHE $250.00 14 NE First Ave.2nd Floor Estate Miami, FL 33132-0000 66 05/31/2013 The Charre Group B Real CHE $250.00 2333 Ponce De Leon Blvd. FI 10 Estate Coral Gables, FL 33134-0000 67 05/31/2013 Kozyak,John I Attorney CHE $250.00 2525 Ponce De Leon 9th Fl Coral Gables, FL 33134-0000 68 05/31/2013 Romanello, Madeleine I Real CHE $500.00 119 Washington Ave. Estate Miami Beach, FL 33139-0000 69 05/31/2013 Weimer, Paul I Real CHE $500.00 3015 Orange St. Estate Miami, FL 33133-0000 70 05/31/2013 Versailles On The Ocean LLC B Hotel CHE $500.00 512 Seventh Ave. 15th Floor New York, NY 10018-0000 71 05/31/2013 CG Sunny Isles LLC B Hotel CHE ' $500.00 512 Seventh Ave. 15th Floor New York, NY 10018-0000 72 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox 4 Id j��/ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 10 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 05/31/2013 CG Tides Village LLC B Hotel CHE $500.00 512 Seventh Ave. 15th Floor New York, NY 10018-0000 73 05/31/2013 CG Fairwinds LLC B Hotel CHE $500.00 512 Seventh Ave. 15th Floor New York, NY 10018-0000 74 05/31/2013 Greenburger, Francis I Business CHE $250.00 55 Fifth Ave. Floor 15 Executive New York, NY 10003-0000 75 06/01/2013 Klitzner,Steven I Attorney CHE $ 180.00 2627 NE Ives Dairy Rd. Ste.213 N. Miami Beach, FL 33180-0000 76 06/04/2013 Bernard, David I Advertisi CHE $250.00 1222 16th St. ng Miami Beach, FL 33139-0000 77 06/11/2013 Lorenzo, David I Consulta CHE $ 180.00 19418 E.Country Club Dr. nt Aventura, FL 33180-0000 78 06/11/2013 Banchs, Sebastian I Insuranc CHE $100.00 3032 Orange St. e Miami, FL 33133-0000 79 06112/2013 Villalobos,Michelle I Marketing CHE $ 100.00 261 Navarre Ave.#102 Executiv Coral Gables, FL 33134-0000 e 80 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 11 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,zip Code Type Occupation Type Description Amendmeni Amount 06/13/2013 Mark,Ari I CHE $50.00 50 Lexington Ave.VA New York, NY 10010-0000 81 06/17/2013 Blanco, Eddy I Pharmaci CHE $ 100.00 1000 SW 1 St St. St Miami, FL 33130-0000 82 06/20/2013 Davidson, Daniel I Investor CHE $250.00 1415 Euclid Ave. Miami Beach, FL 33139-0000 83 06/24/2013 Kaye, Robert I Hotelier INK event $450.00 444 E. 52nd St. expenses New York, NY 10016-0000 84 06/24/2013 Gellerd,George I Hotelier INK event $450.00 2 Atlanta Plaza expenses Elizabeth, NJ 07202-0000 85 06/29/2013 Friedman, Stanley I Hospitalit CHE $500.00 5225 Collins Ave. y Miami Beach, FL 33140-0000 86 06/29/2013 The Alexander All Suite Oceanfront B Hotel CHE $500.00 Resort 5225 Collins Ave. Miami Beach, FL 33140-0000 87 06/29/2013 The Peebles Corporation B Investme CHE $500.00 5937 Collins Ave. nts Miami Beach, FL 33140-0000 88 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 12 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) In-kind Sequence Street Address& Contribution Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/29/2013 Hochberg, Irwin I Retired CHE $500.00 450 Seventh Avenue New York, NY 10123-0000 89 06/29/2013 Stratton, Douglas I Attorney CHE $500.00 4615 North Bay Rd. Miami Beach, FL 33140-0000 90 06/29/2013 Polisar, Steven I Attorney CHE $500.00 407 Lincoln Rd. Ste. 2a Miami Beach, FL 33139-0000 91 06/29/2013 Lubin, Michael I Entrepre CHE $500.00 817 Meridian Ave.#2 nuer Miami Beach, FL 33139-0000 92 06/29/2013 Sanchez, Ivette I Entrepre CHE $500.00 2315 SW 63 Ave. nuer Miami, FL 33155-0000 93 06/29/2013 Wallack,Joshua I Entertain CHE $500.00 254 NE 101 St. ment Miami Shores, FL 33138-0000 94 06/29/2013 Tides Restaurant Venture LLC B Restaura CHE $500.00 1220 Ocean Dr. nt Miami Beach, FL 33139-0000 95 06/29/2013 Maspeth 5718 Associates, Inc. B Real CHE $500.00 512 7th Avenue Estate New York, NY 10018-0000 96 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBo CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 13 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/29/2013 90-100 Trinity Owner, LLC B Real CHE $500.00 404 5th AVe.4th Floor Estate New York, NY 10018-0000 97 06/29/2013 Chevet Comfort LLC B Real CHE $500.00 404 5th Ave. FL 6 Estate New York, NY 10018-0000 98 06/29/2013 Miami Beach Resort Owner LLC B Hotel CHE $500.00 4833 Collins Ave. Miami Beach, FL 33140-0000 99 06/29/2013 CG Tides LLC B Real CHE $500.00 1220 Ocean Drive Estate Miami Beach, FL 33139-0000 100 06/29/2013 Cameo Theater, LLC B Entertain CHE $500.00 690 Lincoln Rd.#201 ment Miami Beach, FL 33139-0000 101 06/29/2013 Star Island Entertainment LLC B Entertain CHE $500.00 690 Lincoln Rd. Ste. 201 ment Miami Beach, FL 33139-0000 102 06/29/2013 320 Lincoln LLC B Entertain CHE $500.00 690 Lincoln Rd. ment Miami Beach, FL 33139-0000 103 06/29/2013 Mokai Lounge B Entertain CHE $500.00 690 Lincoln Rd. Ste. 201 ment Miami Beach, FL 33139-0000 104 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox IA �vr CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 14 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/29/2013 Togmiami LLC B Entertain CHE $500.00 690 Lincoln Rd. Ste. 201 ment Miami Beach, FL 33139-0000 105 06/29/2013 Brett Haber_Revocable Trust B Trust CHE $100.00 400 NE 14th Ave.#524 Hallandale, FL 33009-0000 106 06/29/2013 Douglas, Camille I Real CHE $500.00 328 E. 51 st St. Estate New York, NY 10022-0000 107 06/29/2013 Malnick, Shareef I Restaura CHE $500.00 432 41 St. nt Miami Beach, FL 33140-0000 108 06/29/2013 The Forge B Restaura CHE $500.00 432 Arthur Godfrey Rd. nt Miami Beach, FL 33139-0000 109 06/29/2013 Frankel, Randy I Entrepru CHE $500.00 2001 Collins Ave. ener Miami Beach, FL 33139-0000 110 06/29/2013 Frankel, Barbara I Homema CHE $500.00 2001 Collins Ave. ker Miami Beach, FL 33139-0000 111 06/29/2013 3420 Collins Avenue LLC B Real CHE $500.00 3201 Collins Ave. Estate Miami, FL 33140-0000 112 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox i CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 15 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) In-kind Sequence Street Address& Contribution Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/29/2013 3315 Tower, LLC B Real CHE $500.00 3201 Collins Ave. Estate Miami Beach, FL 33140-0000 113 06/29/2013 3201 Hotel LLC B Hotel CHE $500.00 3201 Collins Ave. - Miami Beach, FL 33140-0000 114 06/29/2013 Butler, Robert I Hotel CHE $500.00 1200 Anastasia Dr. Manage Coral Gables, FL 33134-0000 ment 115 06/29/2013 Calico Travel B Travel CHE $500.00 1200 Anastasia Ave. Agency Coral Gables, FL 33134-0000 116 06/29/2013 South Florida Out-Of-Home Media, B Media CHE $500.00 Inc. 3195 Ponce De Leon Blvd. Coral Gables, FL 33134-0000 117 06/29/2013 Hoffman,Carol I Clergy CHE $50.00 4740 Alton Rd. Miami Beach, FL 33140-0000 118 06/29/2013 Breslin, Ray I Hotelier CHE $100.00 2395 Lake Pancoast Dr.#4 Miami Beach, FL 33140-0000 119 06/29/2013 Van Bryce,Gabriole I Not for CHE $ 100.00 439 15th St. #5 Profit Miami Beach, FL 33139-0000 Executive 120 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox pf'5L /(�4-� CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 16 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/29/2013 Marzec,Aleksandra I Realtor CHE $ 100.00 1691 Michigan Ave.#530 Miami Beach, FL 33139-0000 121 06/29/2013 R.A.Aviation Line Maintenance, Inc. B Aviation CHE $250.00 5200 NW 36th Street Doral, FL 33166-0000 122 06/29/2013 Ponce, Daniel I Attorney CHE $500.00 7117 NW 20 Place Gainesville, FL 32605-0000 123 06/29/2013 AkJ Design Concepts, LLC B Interior CHE $500.00 1100 Biscayne Blvd. Ste.3403 Design Miami, FL 33132-0000 124 06/29/2013 Johnson, David I CHE $50.00 1119 Biarritz Dr. Miami Beach, FL 33141-0000 125 06/29/2013 Lawson,Jeffrey I Entrepre CHE $ 150.00 17965 Courtside Landing Circle nuer Punta Gorda, FL 33955-0000 126 06/29/2013 Stay,Jeffrey I Entrepre CHE $500.00 420 Aledo Ave. nuer Coral Gables, FL 33134-0000 127 06129/2013 Rothenberg, Robert I Real CHE $500.00 192 Lexington Ave. Estate New York, NY 10016-0000 128 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox A�_)_ ,� -� / CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 17 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/30/2013 Cohen, Craig I Physical CHE $500.00 .. 20120 NE 23rd Ct. Therapist Miami, FL 33180-0000 129 06/30/2013 Susi, Diana I Educator CHE $ 100.00 1375 N. Biscayne Point Miami Beach, FL 33141-0000 130 06/30/2013 Hertz, Stephen I Attorney CHE $250.00 565 N. Shore Dr. Miami Beach, FL 33141-0000 131 06/30/2013 Wasman, Goldie I Nurse CHE $ 100.00 765 N. Shore Dr. Miami Beach, FL 33141-0000 132 06/30/2013 Fuller, Lawrence I Attorney CHE $150.00 925 N. Shore Dr. Miami Beach, FL 33141-0000 133 06/30/2013 Rasken,Adria I Grant CHE $500.00 5987 N. Bay Rd. Writer Miami Beach, FL 33140-0000 134 06/30/2013 Llera, Ruben I Medical CHE $500.00 9390 SW 117th Terrace Miami, FL 33176-0000 135 06/30/2013 Nunez, Maria I Homema CHE $500.00 1551 SW Bird Rd. ker Coral Gables, FL 33146-0000 136 i This form is based on DS-DE 13(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 18 of 18 (5) (7) (8) (9) (10) (11) (12) Date Full Name Contributor (6) (Last,Suffix,First,Middle) Sequence Street Address& Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendmeni Amount 06/30/2013 Superior Living LLC B Adult CHE $500.00 3001 SW 3rd Ave. Living Miami, FL 33129-0000 Facility 137 06/30/2013 Havana Humidor In Sunset, LLC B Tobacco CHE $500.00 7313 SW 107 Ave. Miami, FL 33173-0000 138 06/30/2013 Havana Humidor, LLC B Tobacco CHE $500.00 8353 SW 40 Street Miami, FL 33155-0000 139 06/30/2013 Tender Touch Home Health, LLC B Home CHE $500.00 4943 SW 75 Avenue#1 Health Miami, FL 33155-0000 Care 140 06/30/2013 Partners IN Radiology LLC B Radiologi CHE $500.00 11801 SW 90th St.#102 St Miami, FL 33186-0000 141 06/30/2013 Diversified Investment Group of B Financial CHE $500.00 Miami, Inc. 10021 SW 80th Ave. Miami, FL 33156-0000 142 06/30/2013 Someillan Hearing Health B Hearing CHE $500.00 3431 SW 107 Ave. Center Miami, FL 33165-0000 143 06/30/2013 Professional Health Diagnostics, Inc. B Medical CHE $500.00 31 Almeria Ave. Lab Coral Gables, FL 33134-0000 144 This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox 4. rK C"7�/ CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 1 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address& (add office sought if Expenditure Number City,State,Zip Code contribution to a candidate) Type Amendmeni Amount 04/27/2013 Venero, Eddy Consulting MON $750.00 449 Swallow Dr.#10 Miami Springs, FL 33166-0000 1 05/04/2013 Venero, Eddy Consulting MON $750.00 449 Swallow Dr.#10 Miami Springs, FL 33166-0000 2 05/11/2013 Venero, Eddy Consulting MON $750.00 449 Swallow Dr.#10 Miami Springs, FL 33166-0000 3 05/14/2013 Genisis Group Global Consulting MON $ 1000.00 4900 Clarke St. Hamburg, NY 14075-0000 4 05/14/2013 Arroyo, Georgina Consulting MON $ 1500.00 150 Alton Rd.#7 Miami Beach, FL 33139-0000 5 05/14/2013 Genisis Group Global Consulting MON $ 1000.00 4900 Clarke St. Hamburg, NY 14075-0000 6 05/15/2013 Democracy Engine, LLC Account Fee MON $37.90 85-Quincy Street, NW#402 Washington, DC 20011-0000 7 05/18/2013 Venero, Eddy Consulting MON $750.00 449 Swallow Dr.#10 Miami Springs, FL 33166-0000 8 This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox /'-�' O) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 2 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address& (add office sought if Expenditure Number City,State,Zip Code contribution to a candidate) Type Amendmeni Amount 05/21/2013 Alas Consulting Group Consulting MON $3800.00 13899 Biscayne Blvd. Ste. 12 North Miami Beach, FL 33181-0000 9 05/21/2013 Eagles Wings Campaign event MON $1200.00 PO Box 450 Clarence, NY 14031-0000 10 05/24/2013 Genisis Group Global Consulting MON $ 1000.00 4900 Clarke St. Hamburg, NY 14075-0000 11 06/03/2013 Ocean Press of Dade County, Inc. Printing MON $342.40 2450 Wet 82nd Street#304 Hialeah, FL 33016-0000 12 06/04/2013 3 Dimension Graphics, Inc. Printing MON $1990.20 8031 NW 14 Street Doral, FL 33126-0000 13 06/05/2013 Democracy Engine, LLC Data Processing fee MON $39.42 85-Quincy Street, NW#402 Washington, DC 20011-0000 14 06/12/2013 Democracy Engine, LLC Data Processing Fee MON $9.57 85-Quincy Street, NW#402 Washington, DC 20011-0000 15 06/19/2013 Democracy Engine, LLC Data Processing Fee MON $ 16.92 85-Quincy Street, NW#402 Washington, DC 20011-0000 16 This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 3 of 3 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address& (add office sought if Expenditure Number City,State,Zip Code contribution to a candidate) Type Amendmeni Amount 06/23/2013 Gibralter Private Bank and Trust Wire Fee MON $25.00 55 Alhambra Plaza Coral Gables, FL 33134-0000 17 06/26/2013 Democracy Engine, LLC Data Processing Fee MON $13.52 85-Quincy Street, NW#402 Washington, DC 20011-0000 18 06/29/2013 Liam Crotty Photography Photography MON $ 175.00 3661 Palmetto Ave.#6 Coconut Grove, FL 33133-0000 19 06/29/2013 McKinley Pierre Productions Video MON $250.00 7855 W.2nd Ct. Bay#3 Hialeah, FL 33014-0000 20 This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS (1) Name Jerry Libbin (2) I.D. Number 00000 (3)Cover Period 04/01/2013-06/30/2013 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11) Date Full Name (6) (Last,Suffix,First,Middle) Purpose Sequence Street Address& (add office sought if Related Number City,State,Zip Code contribution to a candidate) Expenditures Amendmeni Amount Nothing tO report on this form This form is based on DS-DE 14A(Rev.08/03)[Note about Committees has been removed.] Adjutant Software,Inc.-Campaign ToolBox CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name Jerry Libbin (2) I.D. Number 00000 (3) Cover Period 04/01/2013-06/30/2013 (4) Page 0 of 0 (5) (7) (8) (9) (10) (11) Date Name of Financial (6) Institution Transfer Nature of Sequence Street Address& Number City,State,Zip Code Type Account Amendmeni Amount Nothing to report on th s for This form is based on DS-DE 94(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox PAY "-� V