DS-DE 12 Miami Beach Advisory Council M4 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Miami Beach Advisory Council OFFICE USE ONLY
Name
(2) 2618 Centennial Place 457 A%C 4A to 5/t1 1 'S
Address (number and street)
Tallahassee, FL 32308
City, State, Zip Code
[' Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought:
❑ Political Committee(PC)
51 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 04 / 01 / 15 To 04 / 30 / 15 Report Type: M04
51 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 5 ,000 . 00 Expenditures $ , 2 000. 00
Loans $ , , • Transfers to
Office Account $
Total Monetary $ _ , 5 , 000 . 00
Total Monetary $ , 2 000 . 00
In-Kind $ , , •
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 14, 250 . 00 $ , 10 , 500 . 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, correct, and complete:
(Type nay e) Mani Herron (Type name)
❑Individ al(only for 12 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electio een corn
X 4,AA,■-■ft, X
Signatur_ Signature
DS-DE 12(Re .11/1 SEE REVERSE FOR INSTRUCTIONS
CP I o F:3
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
04 01 15 04 30 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
720 Ocean Drive, LLC
04 28 15 dba/The Place
/ / 720 Ocean Dr.
Miami Beach, FL 33139 B Real Estate Check $5,000.00
1
/ /
/ /
/ /
/ /
/ /
1 / /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
ri4 Z DI- 3
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Miami Beach Advisory Council (2) I.D. Number
(3)Cover Period 04 / 01 / 15 through 04 / 30 / 15 (4) Page 1 of
(5) (7) (5) (9) (10) (11)
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
Triumph Fundraising Fundraising
04/14 /15 1619 Lenox Ave #8
Miami Beach, FL 33139 MON $2,000.00
1
/
/ /
/ /
/ /
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
te_ 3 ,13