Shelley 2021-M12 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 1/4/2022
City, State, Zip Code
R Check here if address has changed (3) ID Number: N/A
(4) Check appropriate box(es):
F/I Candidate Office Sought: City of Aventura - Mayor
F-1 Political committee (PC)
F-1 Electioneering Communications Org. (ECO) M Check here if PC or ECO has disbanded
F1 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)
(5) Report Identifiers
Cover Period: From 12 / 01 /2021 To 12 / 31 /2021 Report Type: 2021-M12
F/� Original F] Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 00 . 00 Expenditures $ 8 000 . 00
Loans $ 00 . 00 Transfers to
Office Account $ 00 . 00
Total Monetary $ 00 . 00 Total Monetary $ 8 000 . 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 $ 8 , 030 . 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 ave examined this report and it is true, correct, and complete:
(Type na4tbiana Ale,man (Type name) Robert Shelley
El Individu 11 my fo I I E Treasure N [] Deputy Treasurer E1 Candidate Ej Chairperson(only for PC and PTY)
co
or election ,Uinco N
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re , I Aniture
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 12 / 01 / 2021 through 12 / 31 / 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
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 12 / 01 / 2021 through 12 / 31 / 2021 (4) Page 1 of 1
(5) (7) (8) (9) (1 0) (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
12/21/21
JS IP LLC
19950 West Country Club Drive Contribution
RMB 1000.00
10th Floor Reimbursement
1 Aventura,FL 33180-4601
12/21/21 FB Parcel 220 LLC
19950 West Country Club Drive Contribution RMB 1000.00
10th Floor
2 Aventura,FL 33180-4601 Reimbursement
12/21/21 Fountainebleau Development LLC
19950 West Country Club Drive Contribution RMB 1000.00
102h Floor
3
Aventura,FL 33180-4601 Reimbursement
12/21/21 Bercow Radell Fernandez&Larkin Contribution
200 South Biscayne Blvd Reimbursement RMB 1000.00
Suite 850
4 Miami,FL 33131
12/21/21 The Big Easy Casino
831 North Federal Highway Contribution RMB 1000.00
Hallandale Beach, FL 33009 Reimbursement
5
12/21/21 Summer Get Together LLC
9 Banksville Road Contribution RMB 1000.00
Armonk,NY 10504 Reimbursement
6
12/21/21 Burack Communications LLC
53 Greenway Ln. Contribution RMB 1000.00
Rye Brook,NY 10573-1515 Reimbursement
7
12 21 21
G&G Salvage Corp
60 Canary Cres Contribution RMB 1000.00
8
Manhasset,NY 11030-4022 Reimbursement
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES