DS-DE 12 Miami Beach Advisory Council G1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Miami Beach Advisory Council 20 OFFICE USE ONLY
Name
�5 9 P 4: 21
UC:
(2) 2618 Centennial Place L L ! ;, OFF
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)
12 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 09 / 01 / 15 To 10 / 02 / 15 Report Type: G1
0 Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ ,500 . 00 Expenditures $ , 1 , 382.39
Loans $ • Transfers to
Office Account $
Total Monetary $ , 500 . 00
Total Monetary $ , 1 , 382.39
In-Kind $ •
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 30, 500 • 00 $ , 16 , 502 . 39
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certif that I have examined this report and it is true, correct, and complete:
(Type me) Ma Herron (Type name)
❑Indi dual( ly fo'IE 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or elec oneering omm.)
X -At n•• X
Signat Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
103
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
09 01 15 10 02 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
09 14 15 Centerplate
/ / 1 Independence Pointe,
Suite 305 B Catering Check $500.00
Greenville, SC 29615
•
/ /
/ /
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Z 0(3
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Miami Beach Advisory Council (2)I.D. Number
(3)Cover Period 09 / 01 / 15 through 10 / 02 / 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
Image Plus Graphics, Inc. Mailing
10/01 /15 1440 NE 131st Street
North Miami, FL 33161 $1,382.39
1
/
/
/ /
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
2 3 0(