DS-DE 12 Miami Beach Advisory Council 2015-G3 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:
El Political Committee(PC)
0 Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) El Check here if PTY has disbanded
El Independent Expenditure(IE) (also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 10 / 17 / 15 To 10 / 29 / 15 Report Type: G3
D Original El Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , 3 , 000 . 00 Expenditures $ , 6, 484. . 20
Loans $ Transfers to
Office Account $ •
Total Monetary $ 3 , 000.00
Total Monetary $ , 6 , 484 ..20
In-Kind $ •
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 34, 000 . 00 $ 28 , 142 . 02
(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 name) Mara erron (Type nam
❑Individu. (only for 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering
X • .,(A." _.__ X .. ,
Signatur- Signature
DS-DE 12(Rev.11/1 ), SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miami Beach Advisory Council
(1) Name (2) I.D. Number
10 17 15 10 29 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
10 23 2015 P3 Management NA, LLC
/ / 0 2929 SW 3rd Ave, Ste
212
1 B Management Check $2,500.00
Miami, FL 33129
Common Sense
10 / 28 /2015 P.O. Box 1701
Tallahassee, FL 32302
PC Political Co Check $500.00
2
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
o 3
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Miami Beach Advisory Council (2) I.D. Number
(3)Cover Period 10 / 17 / 15 through 10 / 29 / 15 (4) Page 1 of_1
(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
10/19 /15 1440 NE 131st Street
North Miami, FL 33161 MON $2,484.20
1
10 28 15 Diaz Consulting Group Communications and
/ /
P.O. Box 454351 Consulting
® Miami, FL 33245 MON $4,000.00
2
/ /
/
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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