DS-DE 12 Miami Beach Advisory Council M6 CAMPAIGN TREASURER'S REPORT SUMMARY: r; .� f
(1) Miami Beach Advisory Council OFFCcE5usE ONLY
Name
(2) 2618 Centennial Place
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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)
FA 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 06 / 01 / 15 To 06 / 30 / 15 Report Type: MO6
51 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 5, 000. 00 Expenditures $ , 1, 500. 00
Loans $ Transfers to
Office Account $
Total Monetary $ 5 000. 00
Total Monetary $ , 1 , 500 . 00
In-Kind $ •
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 20, 000 . 00 $ , 12 , 120 . 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 nam ) Mark Herron (Type name)
❑Individu•I(only for IE 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or election,ering comm.)
_ A ■.. _ X
Signatur- Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
06 01 15 06 30 15 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
Wilfredo Quintana
06 15 15
969 Bay Dr., #1
/ / Miami Beach, FL 33141
B Real Estate Check $5,000.00
1
/ /
/ /
/ /
DS-DE 13(Rev.11113) 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 06 / 01 / 15 through 06 / 30 / 15 (4) Page 1 of
(5) (7) (8) (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
06/19 /15 1619 Lenox Ave #8
. Miami Beach, FL 33139 MON $1,500.00
1
/
/ /
/ /
/
/ /
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES