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DS-DE 12 Miami Beach Advisory Council M7-1
WU)/ (6-' 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 City, State, Zip Code _- III Check here if address has changed (3) ID Number: _ (4) Check appropriate box(es): -r; ❑ Candidate Office Sought: _ „ , ❑ Political Committee(PC) 1 D 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 07 / 01 / 15 To 07 / 31 / 15 Report Type: M07 ❑ Original 1 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 10, 000. 00 Expenditures $ , 1, 500. 00 Loans , , • Transfers to Office Account $ Total Monetary $ , 10, 000. 00 Total Monetary $ , 1 500 . 00 In-Kind $ , (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 30, 000 . 00 $ , 13 , 620 . 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 n-me) Mark Herron (Type name) ❑Indivi• at(only fo 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY) or electi., eering co 1 .) X X Signatu Signature DS-DE 12(Re .11/ 3) SEE REVERSE FOR INSTRUCTIONS � I ©4 3 CAMPAIGN T EASURER'S REPORT— ITEMIZE® ONTRIBUTIONS Miami Beach Advisory Council (1) Name (2) I.D. Number 07 01 15 07 31 15 1 1 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) 1 (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 07 13 15 969 Bay Dr., #1 / / Miami Beach, FL 33141 B Real Estate Check $5,000.00 1 Miami Municipal 07 / 13 / 15 Strategies, LLC 4000 Malaga Ave. Miami, FL 33133 B Business Con Check $5,000.00 2 gil / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES . --*-1 01--,1 • • CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Name Miami Beach Advisory Council (2) I.D. Number (3)Cover Period 07 / 01 / 15 through 07 / 31 / 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 07/13 /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 451