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Shelley 2021-M6 Report CAMPAIGN TREASURER'S REPORT SUMMARY (1) Robert Shelley OFFICE USE ONLY Name CITY OF AVENTURA (2) 1508 Island Blvd Office of the City Clerk RECEIVED 7/8/2021 Address (number and street) ROM Avenutra, FL 33160 City, State, Zip Code F1 Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): Rl Candidate Office Sought: City of Aventura - Mayor F-1 Political committee (PC) ❑ Electioneering Communications Org. (ECO) El Check here if PC or ECO has',disbanded F-1 Party Executive Committee (PTY) f-1 Check here if PTY has disbanded ❑ 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 06 / 01 /2021 To 06 / 30 / 2021 Report Type: 2021-MO6 0 Original ❑ Amendment F1 Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 00 . 00 Expenditures $ 00 . 00 Loans $ 200 . 00 Transfers to Office Account $ 00 . 00 Total Monetary $ 200. 00 Total Monetary $ 00 . 00 In-Kind $ 00. 00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 250 00 $ 0 00 (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 nam4, DiOa)Aleman (Type name) Robert Shelley El Individual 1nly fj IIE/ 0 Treasurer ❑ Deputy Treasurer 121 Candidate ❑Chairperson(only for PC and PTY) or eleclioneet Co M.) X Signature DS-DE 12&#'l 1/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name ROBERT SHELLEY (2) I.D. Number N/A (3) Cover Period 06 / 01 / 2021 through 06 / 30 / 2021 (4) Page 1 of 1 (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 06/08/2021 Robert Shelley 1508 Island Blvd S Candidate LOA 200.00 1 Aventura, FL 33160 2 3 4 5 6 7 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE',VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name ROBERT SHELLEY (2) I.D.Number N/A (3) Cover Period 06 / 01 / 2021 through 06 / 30 / 2021 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a P Number City,State,Zip Code candidate) Type Amendment Amount 1 2 3 4 5 6 7 8 DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES