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DS-DE 12 Miami Beach Advisory Council M2 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Miami Beach Advisory Council OFFICE USE ONLY Name (2) 2618 Centennial Place Address (number and street) Tallahassee, FL 32308 a7i City, State, Zip Code n- '_� 111 - `_-.,Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 4r. r ❑ Candidate Office Sought: ; v-77 El Political Committee(PC) 2 Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE) (also covers an ❑ Check here if no other IE or EC reports will be filed • individual making electioneering communications) (5) Report Identifiers Cover Period:' From 02 / 01 / 15 To 02 / 28 / 15 Report Type: M02 Original ❑Amendment ❑ Special Election Report (6) Contributions This Report . (7) Expenditures This Report Monetary Cash & Checks $ , 1 , 250 . 00 Expenditures $ , 1, 000. 00 Loans $ Transfers to Office Account $ , , . Total Monetary $ , 1 , 250 . 00 Total Monetary $ 1 00(_, 00 1 In-Kind $ --k :4 (8) Other Distributions .� — __.r° (9) . TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures ToTDate ,, $ 5 , 000 . 00 $ , 2 , 500 • -0:0 •• ry r7 1 (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, correct, and complete: (Type na e) May Herron . (Type name) ❑ Individ .I(only for Treasurer 0 Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electio e- ng com. X X I Signatu Signature DS-DE 12(Rev. 11/1 ) SEE REVERSE FOR INSTRUCTIONS • CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Miami Beach Advisory Council (1) Name (2) I.D. Number 02 01 15 02 28 15 1 1 . (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) 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 02 02 15 Alexander I. Tachmes / / 5660 Collins Ave., #11C 1 I Attorney Check $250.00 Miami Beach, FL 33140 West Flagler Assoc. 02 / 02 / 15 LTD P.O. Box 350940 Miami, FL 33135 B Gaming Check $1,000.00 2 LID F t n r.. i .rya / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES • CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Miami Beach Advisory Council (2) I.D. Number (3)Cover Period 02 01 / 15 through 02 28 / 15 (4) Page of (5) (7) • (8) (9) (10) (11) Date Full Name Purpose (s) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount • Triumph Fundraising Fundraising 02/04 /15 1619 Lenox Ave #8 Miami Beach, FL 33139 MON $1,000.00 1 / •• • • / / / / / •0�+may / ] AT, `�1 �✓ i" 11 ;p' I ``) -n • DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES