DS-DE 12 G3-13 M. Góngorar
' II
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(1) Michael Gongora for Mayor 2013
Name
(2) 326 71 Street
Address(number and street) M 94
4
Miami Beach,FL 33141
City,State,Zip Code -
❑ Check box if address has changed
(3) I.D.Number: 00000 _ p`
i�
(4) Check appropriate box(es):
X Candidate(office sought): Miami Beach 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 09/28/2013 To 10/11/2013 Report Type: G3
❑X Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash&Checks $18,660.00 Expenditures 590,334.52
Transfers to Office
Loans SO-00 Account $0.00
Total Monetary $18,660.00 Total Monetary $90,334.52
In-Kind $0.00 (8)Other Distributions $0.00
(9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date
$286,856.65 $235,177.74
(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 1 have examined this report and it is
true,correct and complete true,correct and complete
Laurence-A Hemi i Michael Gongora
nl for reasurer Deputy Treasurer Candidate Chairman(only for PC,PTY&
e Bering ❑ IX-1 ❑ electioneering commun.organization)
commun.
X
Signatu Sign ture
This form is based on DS-DE 12(Rev.08/04) Adju e,Inc.-Campaign ToolBox
1
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 1 of 8
(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 Amendment Amount
09/28/2013 Sordi,Amos I Healthcar CHE $500.00
269 Edgecombe Avenue#35 e
New York, NY 10031-0000
1
09/28/2013 Ogden, Winfield I Consultin CHE $500.00
1521 Alton Road,Apt. 125 g
Miami Beach, FL 33139-0000
2
09/30/2013 Ortuno, Carlos I Teacher CHE $50.00
475 48th Avenue
Long Island City, NY 11109-0000
3
10/01/2013 Mandler, Mitchell I Attorney CHE $ 125.00
13920 SW 72nd Court
Palmeto Bay, FL 33158-0000
4
10/01/2013 Chung, Royd I TV CHE $50.00
166 West 22nd Street Producer
New York, NY 10011-0000
5
10102/2013 Rasco Klock Perez&Nieto, P.L. B Law Firm CHE $250.00
283 Catalonia Avenue,2nd Floor
Coral Gables, FL 33134-0000
6
10/02/2013 Westchester Holdings, LLC B Real CHE $250.00
283 Catalonia Avenue,2nd Floor Estate
Coral Gables, FL 33134-0000
7
10/02/2013 Hogan, John I Attorney CHE $250.00
114 3rd San Marino Terrace
Miami Beach, FL 33139-0000
8
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox I
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1
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2) I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 2 of 8
(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 Amendment Amount
10/04/2013 Duarte-Viers Enterprises, LP B Real CHE $500.00
800 Jeronimo Drive Estate
Coral Gables, FL 33146-0000
9
10/05/2013 Mehmel, Brian I CHE $50.00
1025 Alton Road#703
Miami Beach, FL 33139-0000
10
10/07/2013 Lips,Alan I CPA CHE $500.00
666 71st Street
Miami Beach, FL 33141-0000
11
10/07/2013 Abuchiabe,Antonio I CHE $50.00
1776 James Avenue,Apt.4G
Miami Beach, FL 33139-0000
12
10/08/2013 Bakkum, Lori F. I CHE $50.00
1446 Lenox Avenue,Apt. 5
Miami Beach, FL 33139-0000
13
10/08/2013 Gilbert, David B. I CHE $ 100.00
6016 La Gorce Drive
Miami Beach, FL 33140-0000
14
10/08/2013 Arce, Kathleen I CHE $ 100.00
5838 Collins Avenue,Apt 7A
Miami Beach, FL 33140-0000
15
10/08/2013 Durham, Gayle I CHE $ 100.00
1455 West Avenue,Apt. 804
Miami Beach, FL 33139-0000
16
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/1112013 (4)Page 3 of 8
(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 Amendment Amount
10/08/2013 Hartford,William J. I CHE $ 100.00
1425 Cleveland Road
Miami Beach, FL 33141-0000
17
10/08/2013 Eve,Tegan M. I Professor CHE $200.00
155 North Shore Drive#5
Miami Beach, FL 33141-3925
18
10/08/2013 Courtney, Mario S. I Executive CHE $250.00
2335 Magnolia Drive
Keystone Pointe, FL 33181-0000
19
10/08/2013 Rogers,Alan J. I Attorney CHE $500.00
30 East 62nd Street
New York, NY 10065-0000
20
10/08/2013 Carbonell, Claudia M. I Executive CHE $500.00
6900 SW 71 st Court
Miami, FL 33143-3042
21
10/08/2013 Wallner, Paul G. I Investor CHE $500.00
1455 Ocean Drive
Miami Beach, FL 33139-0000
22
10/08/2013 Gimenez, Carlos J. I Attorney CHE $500.00
121 Alhambra Plaza, 10th Floor
Coral Gables, FL 33134-0000
23
10/08/2013 Carlos J. Gimenez, P.A. B Law Firm CHE $500.00
517 Minorca Avenue
Coral Gables, FL 33134-0000
24
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
A ,I / �-
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 4 of 8
(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 Amendment Amount
g
10!0812013
Firefighters of Miami Beach FirePAC PAC CHE $500.00
1521 Alton Road, Suite 114
Miami Beach, FL 33139-0000
25
10/08/2013 South Florida Council Firefighters PAC CHE $500.00
PAC
8000 NW 21st Street#205 G
Miami, FL 33122-0000
26
10/08/2013 Firefighters of Miami Beach Local PAC CHE $500.00
1510
2980 NW South River Drive G
Miami, FL 33125-0000
27
10/08/2013 Hialeah Fire PAC PAC CHE $500.00
752 East 1st Avenue
Hialeah, FL 33010-0000 G
28
10/08/2013 Coral Gables Professional Fire PAC CHE $500.00
Fighters Assoc. Local 1210 IAFF
P.O. Box 140071
Coral Gables, FL 33114-0000 G'
29
10/08/2013 Miami Firefighters PAC PAC CHE $500.00
2980 NW South River Drive
Miami, FL 33125-1146
L
30
10/08/2013 DP Real Estate Holdings LLC B Real CHE $500.00
2700 SW 8th Street Estate
Miami, FL 33135-0000
31
10/08/2013 Yumuri Farms LLC B Agricultur CHE $500.00
2700 SW 8th Street e
Miami, FL 33135-0000
32
This form is based on DS-DE 13(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 5 of 8
(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 Amendment Amount
10/10/2013 Killgore, Robert H. I CHE $50.00
1540 Meridian Avenue,Apt. 3E
Miami Beach, FL 33139-0000
33
10/10/2013 Browning, Mary-Leggett I Retired CHE $ 100.00
5255 Collins Avenue,Apt.6G
Miami Beach, FL 33140-2578
34
10/10/2013 Cory Waldman P.A. B CHE $ 100.00
2450 NE 135th Street,Suite 1007
North Miami, FL 33181-3615
35
10/10/2013 David H.Young LLC B Mediator CHE $250.00
2 South Biscayne Blvd., 21st Floor
Miami, FL 33131-0000
36
10/10/2013 Berger, David J. I Executive CHE $250.00
1836 West 23rd Street
Miami Beach, FL 33140-0000
37
10/10/2013 Gonzalez,Omar I Pharmac CHE $300.00
1411 Madison Avenue,Apt.2E eutical
New York, FL 10029-6942 Rep.
38
10/10/2013 Laird, IV., Francis J. I Executive CHE $500.00
1460 West 21 st Street
Miami Beach, FL 33140-0000
39
10110/2013 Barbosa,Julio C. I Attorney CHE $500.00
19306 SW 78th Avenue
Cutler Bay, FL 33157-8301
40
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
AT- 1�
I
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 6 of 8
(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 Amendment Amount
10/10/2013 Eisenberg, Dorothy S. I Accounta CHE $500.00
1620 NW 101 st Way nt
Plantation, FL 33322-0000
41
10/1012013 Gerson, Gary R. I CPA CHE $500.00
666 71st Street
Miami Beach, FL 33141-0000
42
10/10/2013 Preston,Jill I CPA CHE $500.00
19472 38th Court
Golden Beach, FL 33160-2298
43
10/10/2013 Arttrust Masters(Americas)Inc. B Art CHE $500.00
7701 Collins Avenue Galary
Miami Beach, FL 33141-2124
44
10/10/2013 SB Ice Management B Hospitalit CHE $500.00
927 Lincoln Road#208 y
Miami Beach, FL 33139-0000
45
10/10/2013 TC860, LLC B Hospitalit CHE $500.00
927 Lincoln Road#208 y
Miami Beach, FL 33139-0000
46
10/10/2013 720 Ocean Drive, LLC dba The Place B Restaura CHE $500.00
720 Ocean Drive nt
Miami Beach, FL 33139-0000
47
10110/2013 660 Ocean Drive, LLC Dba On B Restaura CHE $500.00
Ocean 7 Cafe nt
660 Ocean Drive
Miami Beach, FL 33139-0000
48
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013- 10/11/2013 (4)Page 7 of 8
(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 Amendment Amount
10/10/2013 South Beach Associates, LLC dba B Restaura CHE $500.00
Kitchen nt
1024 Ocean Drive
Miami Beach, FL 33139-0000
49
10/10/2013 Sea Cafe dba Sobe Operators, LLC B Restaura CHE $500.00
740 Ocean Drive nt
Miami Beach, FL 33139-0000
50
10/10/2013 Belil,Zachary I Real CHE $ 100.00
383 North Collingwood Avenue Estate
Syracuse, NY 13206-0000
51
10/11/2013 Wolff, Ronald R. I Property CHE $250.00
P. O. Box 190352 Manager
Miami Beach, FL 33119-0000
52
10/11/2013 Eriksen,Valentine I CHE $50.00
900 West Avenue#1239
Miami Beach, FL 33139-0000
53
10/11/2013 Lett,Winston T. I CHE $ 100.00
1800 Sunset Harbour Drive#712
Miami Beach, FL 33139-0000
54
10/11/2013 Benoit, Francis I CHE $60.00
1800 Sunset Harbour Drive,Apt.
#712
Miami Beach, FL 33139-0000
55
10/11/2013 Kamlot,Alan I Real CHE $250.00
1658 Bay Road#702 Estate
Miami Beach, FL 33139-0000 Broker _
56
This form is based on DS-DE 13(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
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1
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Michael Gongora for Mayor 2013 (2) I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 8 of 8
(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 Amendment Amount
10/11/2013 Oroza,Joseph I CHE $ 100.00
4643 Prairie Avenue
Miami Beach, FL 33140-0000
57
10/11/2013 McGoldrick, Charles I CHE $25.00
337 20th Street
Miami Beach, FL 33139-0000
58
10/11/2013 Bailey, Rodney I CHE $ 100.00
6180 Pine Tree Drive
Miami Beach, FL 33140-0000
59
10/11/2013 Williams, Henry I CHE $ 100.00
1971 Bay Drive#1
Miami Beach, FL 33141-0000
60
This form is based on DS-DE 13(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Michael Gongora for Mayor 2013 (2)I.D. Number 00000
(3)Cover Period 09/28/2013- 10/11/2013 (4)Page 1 of 5
(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 Amendment Amount
09130/2013 Birman,Alla Overage Refund- MON $50.00
1835 North Hallandale Beach Blvd. Amount exceeded
Hallandale. FL 33009-0000 cash limit.
1
09/30/2013 Mandala,Andrew Overage Refund- MON $50.00
2 South Biscayne Blvd., Suite 1870 Amount exceeded
Miami, FL 33131-0000 cash limit.
2
09/30/2013 Mejias,Carlos Overage Refund- MON $ 10.00
721 Michigan Avenue Amount exceeded
Miami Beach, FL 33139-0000 cash limit.
3
09/30/2013 Ryan, Michael T. Overage Refund- MON $ 10.00
400 South Pointe Drive, Suite 1602 Amount exceeded
Miami Beach, FL 33139-0000 cash limit.
4
09/30/2013 Bravo, Paul Alexander Overage Refund- MON $33.00
950 Brickell Bay Drive, PH 5406 Amount exceeded
Miami, FL 33131-0000 cash limit-
5
09/30/2013 Rich, Roger Overage Refund- MON $500.00
1617 Wingfield Drive Amount exceeded
Birmingham,AL 35242-0000 limit.
6
09/30/2013 Gongora, Michael Loan Refund- MON $ 10.00
5838 Collins Ave#3A Verifying Crdt Cd Site
Miamii Beach, FL 33140-0000
7
09/30/2013 Klein, Bruce D. Overage Refund- MON $50.00
242 West 36th Street, 11 th Floor Amount exceeded
New York, NY 10018-0000 cash limit.
8
This form is based on DS-DE 14(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Michael Gongora for Mayor 2013 (2) I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 2 of 5
(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 Amendment Amount
09/30/2013 Melendez,Ana Iris Phone Bank Worker MON $300.00
22621 SW 103rd Court
Cutler Bay, FL 33190-0000
9
09/30/2013 Martinez,Aracelly Phone Bank Worker MON $300.00
19370 SW 114th Place
Miami, FL 33157-0000
10
09/30/2013 Pimientel, Claribel Phone Bank Worker MON $300.00
7629 Dickens Avenue,Apt.5
Miami Beach, FL 33141-0000
11
09/30/2013 Fonseca, Coralia Phone Bank Worker MON $330.00
532 Michigan Avenue,Apt. 107
Miami Beach, FL 33139-0000
12
09/30/2013 Zamora, Gladys Phone Bank Worker MON $300.00
718 78th Street,Apt. 2
Miami Beach, FL 33141-0000
13
09/30/2013 Zavala, Maria Phone Bank Worker MON $300.00
12641 SW 35th Street
Miami, FL 33175-0000
14
09/30/2013 Castillo, Mercedes Phone Bank Worker MON $300.00
925 East 41 st Street
Hialeah, FL 33013-0000
15
09/30/2013 Pimientel, Miriam Phone Bank Worker MON $300.00
718 78th Street,Apt. 10
Miami Beach, FL 33141-0000
16
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Michael Gongora for Mayor 2013 (2) I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 3 of 5
(5) (7) (8) (9) (10) (11)
Date
Full Name
(6) (Last,Suffix,First,Middle) Purpose
Sequence Street Address 8 (add office sought if Expenditure
Number City,State,Zip Code contribution to a candidate) Type Amendment Amount
09/30/2013 Aguilar, Oscar Christian Phone Bank Worker MON $780.00
13080 Coronado Drive
North Miami, FL 33181-0000
17
09/30/2013 Aguilar, Oscar Christian Reimbursement for MON $261.73
13080 Coronado Drive Expenses
North Miami, FL 33181-0000
18
09/30/2013 Posillico,Angela J. Overage Refund- MON $30.00
1499 S Federal Highway#115 Amount exceeded
Boca Raton, FL 33435-0000 cash limit.
19
10/01/2013 Diamond, Clint Petty Cash Advance MON $200.00
8112 SW 73rd Avenue,Apt.#6 for Campaign
Miami, FL 33143-0000 Expenses
20
10/01/2013 Diamond, Clint Payroll for October MON $3000.00
8112 SW 73rd Avenue,Apt.#6
Miami, FL 33143-0000
21
10/02/2013 American Express Credit Card Service Fee MON $9.41
Processing
2965 West Corporate Lakes Blvd.
Weston, FL 33331-3626
22
10/02/2013 Authorize.Net Credit Card Service Fee MON $83.25
Processing
P.O. Box 8999
San Francisco,CA 94128-8999
23
10/02/2013 City National Bank of Florida Service Fee MON $25.78
300 71st Street
Miami Beach, FL 33141-0000
24
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
l�
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (4)Page 4 of 5
(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 Amendment Amount
10/03/2013 Unity Coalition Booth for the Orgullo MON $300.00
831 9th Street Festival
Miami Beach, FL 33139-0000
25
10/03/2013 M.V.Almer Productions, Inc. Service Fee MON $500.00
13333 SW 59th Court
Miami, FL 33156-0000
26
10/03/2013 M.V.Almer Productions, Inc. Campaing Event MON $390.00
13333 SW 59th Court Expenses
Miami, FL 33156-0000
27
10/03/2013 Miami Beach JCC Campaign Event MON $485.00
4221 Pine Tree Drive Expense
Miami Beach, FL 33140-0000
28
10/03/2013 Image Plus Graphics, Inc. Campaign Printing MON $ 1800.34
1440 NE 131st Street Expense
North Miami, FL 33161-0000
29
10/03/2013 Nu Art Signs Campaign Banners MON $ 17120.00
1222 16th Street
Miami Beach, FL 33139-0000
30
10/04/2013 Image Plus Graphics, Inc. Campaign Printing MON $2483.47
1440 NE 131st Street Expense
North Miami, FL 33161-0000
31
10/07/2013 Tasty Beach Cafe Campaign Event MON $703.13
4041 Royal Palm Avenue Expense
Miami Beach, FL 33140-0000
32
This form is based on DS-DE 14(Rev.08/03) Adjutant Software,Inc.-Campaign ToolBox
4 3 /V/
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name Michael Gongora for Mayor 2013 (2) I.D.Number 00000
(3)Cover Period 09/28/2013- 10/11/2013 (4)Page 5 of 5
(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 Amendment Amount
I
10/07/2013 Diamond, Clint Reimbursement& MON $424.43
8112 SW 73rd Avenue,Apt.#6 Petty Cash Advance
Miami, FL 33143-0000
33
10/07/2013 The Campaign Workshop Campaign Printing MON $37366.23
1129 20th Street, NW, Suite 200 Expense
Washington, DC 20036-0000
34
10/10/2013 Comcast Campaign MON $21228.75
1800 NW 49th Street,Suite 140 Broadcasting Ad
Fort Lauderdale, FL 33309-0000
35
This form is based on DS-DE 14(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
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CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1)Name Michael Gongora for Mayor 2013 (2)I.D. Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (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 Amendment Amount
Nothing to report on t is form
This form is based on DS-DE 14A(Rev.08103)[Note about Committees has been removed.] Adjutant Software,Inc.-Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1)Name Michael Gongora for Mayor 2013 (2)I.D.Number 00000
(3)Cover Period 09/28/2013-10/11/2013 (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 Amendment Amount
Nothing to report on th s for
This form is based on DS-DE 94(Rev.08103) Adjutant Software,Inc.-Campaign ToolBox
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