DS-DE 12 Miami Beach Advisory Council R1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Miami Beach Advisory Council OFFICE USE ONLY
Name `alb / 1 s-
(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):
El Candidate Office Sought:
❑ Political Committee(PC)
SI Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
El 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 10 / 30 / 15 To 10 / 30 / 15 Report Type: R 1
El Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , 0 .00 Expenditures $ , 3, 282. . 61
Loans $ • Transfers to
Office Account $
Total Monetary $ , , 0.00
Total Monetary $ 3 282 ..61
In-Kind $ •
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 34, 000 . 00 $ 31 , 424 . 63
(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 narnz Mark ierron (Type name)
❑Individua;(only for IE 0 Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electione ring cbmm.)
X AA, �' X
Signature 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
10 30 15 10 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
/ /
/ /
/ /
/ /
/ /
/ /
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 10 / 30 / 15 through 10 / 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
Image Plus Graphics, Inc. Mailing
10/30 /15 1440 NE 131st Street
North Miami, FL 33161 MON $3,282.61
1
/ /
/ /
/
•
/ /
/
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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