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HomeMy Public PortalAboutCampaign Treasurer's Report (7)CAMPAIGN TREASURER'S REPORT (1) (vrar` T_ 1bodyI SUMMARY OFFICE USE ONLY '1, LO‘ Cri e d . 3 b i , IA , Name (2) PCB Zox 9 3y 2 Address (number and street) 0 r lcty ac) , Et_ 32202 City, State, Zip Code ❑ Check here if address has changed (3) (4) Check appropriate box(es): } 1 ❑ Candidate Office Sought: 1 T t1 G Y(n1 ` O Y 1Uo'It,IG ID Number: Cm \OA(( 0 i yr r c i 5 ❑ Political Committee (PC) ❑ 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 66 / 01 / 1 To 06 / 30 / 11 Report Type: 11 G ( Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ , ` , 38 . 02 (7) Expenditures Monetary Expenditures Transfers Office Account Total Monetary This Report $ , , V P, . 12 Loans $ , to $ , , . Total Monetary $ , 1 , ?ki • QI 2 $ C L In -Kind $ , • (8) Other Distributions $ , , (9) TOTAL Monetary Contributions To Date $ , ( , <-2)(61 .C2 (10) TOTAL Monetary Expenditures To Date $ , , . -12 (11) Certification It is a first degree misdemeanor for any person I certify that I have examined this report and it is true, correct, j � (Type name) jr L I,_.(.\V` j . to falsify a public record (ss. 839.13, F.S.) and complete: (0l / (Type name) \Thia'� �,1 ,) [— I Y )ClCk 1 ■ Individual for IE Treasurer IN Deputy Treasurer or election ingdomm.) X � "' Candidate • Chairperson (only for PC and PTY) X Q�L(��ti 0(41v; Signature Signatu e J DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Sarah Elbadri (1) Name 06/01/2017 (3) Cover Period / 06/30/2017 through / (2) I.D. Number (4) Page 1 3 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 6/6/17 / / Sarah Peerani 2120 Blake St #219, Denver, CO 80205 I Marketing Manager CHE $500.00 1 6/16/2017 / / Nicole Higgins 860 North Orange Avenue 153 Orlando, PL, 32801 I Project Manager CHE $20.17 2 6/16/17 / / Gregg Pollack 150 E. Robinson St Unit 2902 Orlando, FL, 32801 I Technology Entrepreneur CHE $100.00 3 6/16/17 _ / Brock Monroe 11 Adelaide Street Boston, MA, 02130 I Engagement Manager CITE $20.17 4 6/16/17 / / Sara Jensen 726 Tam 0 Shanter Dr Orlando, FL, 32803 I Finance Director CHE $100.00 5 6/16/17 / / Jonathan Wachob 1720 Aster Drive Winter Park, FL, 32792 I Technology Executive CHE $10.00 6 6/19/17 / / David Plotkin 537 Broadway Avenue Orlando, FL, 32803 I Consultant CHE $20.17 7 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Sarah Elbadri (1) Name 06/01/2017 (3) Cover Period / / through 06/30/2017 (2) I.D. Number (4) Page 2 3 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 6/20/17 / / Peter Martinez 345 Ponce De Leon Plac e 8 Orlando, FL, 3 2801 Change 9 Management Consultant CHE $50.00 8 6/20/17 / / Sally Kobylinski 545 North Hampton Aven ue Orlando, FL, 3 2803 I Florist CHE; $100.00 9 6/20/17 / Andrea Perez 1912 Weber Street Orlando, FL, 32803 I Community Manager CHE $100.00 10 6/20/17 / / Eric Kovar 1140 S Orange Ave, Mai tland, FL 32751 1 Technology Entrepreneur CHE 5100.00 11 6/30/17 / / Kyle Steele 2701 Jamie Circle Orlando, FL, 32803 1 Technology Entrepreneur CHE $50.00 12 6/30/17 / / Kyle Steele 2701 Jamie circle Orlando, FL, 32803 1 Technology Entrepreneur CHE 5100.00 13 6/30/17 / / Ian Cummings 2816 Huntington St Orlando, FL, 32803 I Video Game Developer CHE $20.17 14 DS -DE 13 (Rev. 11/ 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Sarah Elbadri (1) Name (2) I.D. Number 06/01/2017 06/30/2017 3 (3) Cover Period / / through / / (4) Page of 3 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type (8) Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (8) Sequence Number Brendan O'Connor 6/30/17 1101 Montana Street / / Orlando, FL, 32803 15 I Artist CITE $20.17 Dana Roquemore 6/30/17 440 Westminster Street / / Orlando, FL, 32803 16 I Event CHE $20.17 Professional Nicole Higgins 6/30/17 860 North Orange / / Avenue 153 Orlando, 17 FL, 32801 I Project CHE $50.00 Manager / / / / / / / / DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Sarah Flbaari (3)CoverPeriod o6/01/P17 / through o6/30/2017 / (2) I.D. Number 2 (4) Page 1 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 6/7/1,/ / Squarespace 8 Clarkson St; New York, New York 10013 Website CAN $26.00 6/16/}7/ ! Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $1.28 2 6/16/1,7 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee 190N $5.20 6/16/17 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON 1.28 4 6/16/y7 / Stripe 185 Berry 5t #550, San Francisco, CA 94107 Fee 110N $5.20 5 6/16/17 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $0.79 6 6/19/;7 / // Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $1.28 7 6 /20/y7 / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $2.75 8 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Sarah albadri (3) Cover Period o6/ov�an / through o6/3o/,2017 / (2) I.D. Number (4) Page 2 of 2 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 6/20//17 / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $5.20 9 6/2027 / Stripe 185 Berry St #550, San Francisco, CA 94107 Pee MON $5.20 10 6/30/],7 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $2.75 11 6/30/17 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $5.20 12 6 /30/y7 / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee 110N $1.28 13 6/30/17 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $1.28 14 6/30/1,7 / !/ Stripe 165 Berry St #550, San Francisco, CA 94107 Fee MON $1.28 15 6/30 / / Stripe 185 Berry St #550, San Francisco, CA 94107 Fee MON $2.75 16 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES