Shelley 2021-M10 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 of the City Clerk
Avenutra, FL 33160 RECEIVED 11/8/2021
City, State, Zip Code
❑ 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 10 / 01 /2021 To 10 / 31 /2021 Report Type: 2021-M10
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 8 , 000. 00 Expenditures $ 00 . 00
Loans $ 00 . 00 Transfers to
Office Account $ 00 . 00
Total Monetary $ 00 • 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
$ 8 250 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 Ala leman (Type name) Robert Shelley
❑ Individual( ly for IE v Treasurer ❑ Deputy Treasurer El Candidate ❑Chairperson(only for PC and PTY)
or electioneeri o m.)
X X
Signat ure
DS-lrE 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 10 / 01 / 2021 through 10 / 31 / 2021 (4) Page 1 of 2
(5) (7) (8) (9) (1 0) (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
10/11/2021
JS I LLC
19950 West Country Club Drive B Real Estate CHE 1000.00
10`h Floor
1 Aventura,FL 33180-4601
10/11/2021
FB Parcel 220 LLC
19950 West Country Club Drive B Real Estate CHE 1000.00
10`h Floor
2 Aventura,FL 33180-4601
10/11/2021
Fountainebleau Development LLC
19950 West Country Club Drive B Real Estate CHE 1000.00
10`h Floor
3 Aventura,FL 33180-4601
10/11/2021
Bercow Radell Fernandez&Larkin
200South Biscayne Blvd B Law Firm CHE 1000.00
Suite 850
4 Miami,FL 33131
10/11/2021
The Big Easy Casino
831 North Federal Highway B Entertainment CHE 1000.00
5 Hallandale Beach,FL 33009
10/20/2021
Summer Get Together LLC
9 Banksville Road B Law Firm CHE 1000.00
6 Armonk, NY 10504
10/20/2021
Burack Communications LLC
53 Greenway Ln. B Entertainment CHE 1000.00
7 Rye Brook,NY 10573-1515
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ROBERT SHELLEY (2) I.D. Number N/A
(3) Cover Period 10 / 01 / 2021 through 10 / 31 / 2021 (4) Page 2 of 2
(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
10/20/2021
G &G Salvage Corp
60 Canary Cres B Salvage CHE 1000.00
Manhasset,NY 11030-4022
1
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 10 / 01 / 2021 through 10 / 31 / 2021 (4) Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(Last,Suffix, First, Middle) (add office sought if
(6) Street Address & contribution to a Expenditure
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
1
2
3
4
5
6
7
8
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES