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Shelley 2022-Termination Report CAMPAIGN TREASURER'S REPORT SUMMARY (1) Robert Shelley OFFICE USE ONLY Name (2) 1508 Island Blvd CITY OF AVENTURA Address (number and street) OffTce of the City Clerk L Avenutra, FL 33160 City, State, Zip Code RECEIVED 2/15/2022 ❑ Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): ❑✓ Candidate Office Sought: City of AyerltUra - 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 02 / 01 /2022 To 02 / 15 /2022 Report Type: 2022- R1 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 00 00 Expenditures $ (30 . 00) Loans $ ,(250 . 00) Transfers to Office Account $ 00. 00 Total Monetary $ 00 . 00 Total Monetary $ (30 . 00) In-Kind $ 00. 00 (8) Other Distributions $ , , 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 8 , 000 . 00 $ 3 85 000 . 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 e mined his report and it is true, correct, and complete: (Type name) D6"a Ale n (Type name) Robert Shelley ❑ Individual(only fof reasurer El Deputy Treasurer El Candidate El Chairperson(only for PC and PTY) or electioneering corm f � y . p X Xa f ' Signature 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 02 / 01 / 2022 through 02 / 15 / 2022 (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 Robert Shelley 1508 Island Blvd S Candidate REF (250.00) 1 Aventura, FL 33160 2 3 12/00/2021 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 02 / 01 / 2022 through 02 / 15 / 2022 (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 02/01/2022 G &G Salvage, Corp. Uncleared 60 Canary Cres Contribution REF (1000.00) 1 Manhasset, NY 11030-4022 Reimbursement 02/14/22 Make—A—Wish America 1702 East Highland Ave, Suite 400 Charitable MON 485.00 2 Phoenix, AZ 85016 Contribution 02/14/22 St.Jude Children's Research Hospital 501 St.Jude Place Charitable MON 485.00 3 Memphis,TN 38105 Contribution 4 5 6 7 8