Weinberg 2021-M5 Report AMPAIGN TREASURER'S REPORT SUMMARY
fCA,� "�'�A
OFFICE USE ONLY
Name
CITY OF AVENTURA
(2)
A Office of the City Clerk
dd
M.
T
rrss (number and street)
RECEIVED
City, State, Zip Code
Fj Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought:
EJ Political Committee (PC)
[j Electioneering Communications Org. (ECO) r] Check here if PC or ECO has disbanded
Party Executive Committee(PTY) F-1 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)
L_' 1 (5) Report Identifiers Report Type:
Cover Period: From D To d'O,
U2/original [I Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks Expenditures $
Loans Transfers to
Total Monetary Office Account $
Total Monetary $
In-Kind
(8) Other Distributions
$ - I - I -
(9) TOTAL Monetar ContributionsT o Date ( ---.....10) TOTAL Monetary Expenditures To Date
T
$ $ -- (",......
(111) 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
e name )
(" ) 1r)
F7I tridividual(only for IE Treasurer ;�DeprjtyT'r4/asrjrer Candidate F-IChai erson(only for PC and PTY)
or election ni.)
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Signatu�e Signatu e
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DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name
(2) I.D. Number
(3) Cover Period through (4) Page of
(5) (7) (8) (l 0) (12)
Date Full Narne
(6) (Last,Suffix, First, Middle)
11T 2e Amendment Ariount
Sequence Street Address Contributor Contribution In-kind
In s, T ccu ration jype
Number C!�y, State,Zi2Code scri or�
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C 0 00
.............-7
11
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,2 SEER VERSE FOR INSTRUCTION AND COD;iV�A LU6ES
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
r'T
(1) Name (2) I.D. Number
(3) Cover Period ......
through (4) Page of
. ......
(5) (7) (9) 0 0) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address Contributor Contribution In-kind
'Ty Sc
Number ��tate, Code pe Occupation r, Arriendment Amount
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............
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Number (34,St8t0l,Zip Code candiaat*,�, Type
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Amendment
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SEE REVUSE FOR AND CODE VMXES
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