Shelley 2021-M11 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
RECEIVED Avenutra, FL 33160 12/7/2021
City, State, Zip Code
F-1 Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
P/1 Candidate Office Sought: City of Aventura - Mayor
F-1 Political Committee (PC)
Fj Electioneering Communications Org. (ECO) F-1 Check here if PC or ECO has disbanded
F1 Party Executive Committee (PTY) F1 Check here if PTY has disbanded
F1 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 11 01 /2021 To 11 / 30 /2021 Report Type: 2021-M11
21 Original El Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 . 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
$ 1 3 0 00
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 8 250 00 $ 30 00
I
(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) Pian an g�, m (Type name) Robert Shelley
I
[I Individual(on%fo IE El e'asurer El Deputy Treasurer El Candidate ❑Chairperson(only for PC and PTY)
or electioneer M/r
X
Signature Signature
DS-DEzVZ(_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 11 / 01 / 2021 through 11 / 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
11/00/2021
1
11/00/2021
2
11/00/2021
3
11/00/2021
4
11/00/2021
5
11/00/2021
6
11/00/2021
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 11 / 01 / 2021 through 11 / 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
Sequence
Street Address & contribution to a Expenditure
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