DS-DE 12 Miami Beach Advisory Council M8 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
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought:
❑ Political Committee(PC)
0 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 08 / 01 / 15 To 08 / 31 / 15 Report Type: MO8
GI Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , Expenditures $ , 1, 500. 00
Loans $
•
Transfers to
Office Account $_ •
Total Monetary $ -
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 $ , 15 , 120 . 00
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is true, correct, and complete:
(Type na -) Mara& erron (Type name) .
El Individu:I(, ly for 0 Treasurer ❑Deputy Treasurer ❑Candidate 1=I Chairperson(only for PC and PTY)
or election ering o
X X
Signatur- Signature
DS-DE 12(Rev.11/'3) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
08 01 15 08 31 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
•
/ /
/ /
/ /
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 08 / 01 / 15 through 08 / 31 / 15 (4) Page 1 of
•
(5) (7) (8) (9) (1 0) (1 1)
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
08/10 )( 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