Shelley 2021-M9 Report CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Robert Shelley OFFICE USE ONLY
Name
(2) 1508 Island Blvd CITY OF AVENTURA
Address (number and street) Office
Avenutra, FL 33160 RECEIVED City, State, Zip Code 101 1
❑ Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: City Of AVentUra - Mayor
❑ 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 09 / 01 /2021 To 09 / 30 / 2021 Report Type: 2021-Mo9
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 . 00 Expenditures $ 10 . 00
Loans $ 00 . 00 Transfers to
Office Account $ 00 . 00
Total Monetary $ 00 . 00
Total Monetary $ 10 . 00
In-Kind $ 00. 00
(8) Other Distributions
$ 0 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 250 00 $ 30 _ 00
(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) Diana Aleman (Type name) Robert Shelley
❑ Individual( y for I Treasurer ❑ Deputy Treasurer ❑+ Candidate El Chairperson(only for PC and PTY)
or electioneeri corn .)
X
Si Signa ure
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name ROBERT SHELLEY (2) I.D. Number N/A
(3) Cover Period 09 / 01 / 2021 through 09 / 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
00/00/2021
1
2
3
4
5
6
7
DS-DE 13(Rev. 11A3) 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 09 / 01 / 2021 through 09 / 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
9/30/2021
Wells Fargo Bank, NA
P.O. Box 6995 Monthly eccount
Fee
MON 10.00
1 Portland, OR 97228-6995
2
3
4
5
6
7
8
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES