Burch-M1CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Alice Burch Campaign OFFICE USE ONLY
Name
(2) 1235 NE 96 Street
Address (number and street) 02-11-19 0 9: 2 9 R C v U
Miami Shores, FL 33138
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Miami Shores Village Council
0 Candidate Office Sought:
❑ 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
1 /1 /2 19 To 1/31/4019 / Re ort T e: M 1
Cover Period: From 9 P Yp
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash &Checks $ 200.00
Expenditures $ 0 ,
Loans $ 0
Transfers to
Office Account $ 0
$ 200
Total Monetary .00
Total Monetary $ 0 ,
In -Kind $ 0
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 200.00
$ 0 ,
(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) Robert Williamson (Type name) Alice Burch
❑ Individual (o41EE, asurer ❑ Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY)
or electioneerin
X
Sig Signatur e
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Alice Burch Campaign
(1) Name
1/1/2019 1/31/2019
(3) Cover Period / _ / through /
(2) I.D. Number
1 1
/ (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
1/11/2019
Robin D Heckler
555 NE 15 Street
Miami, FL 33132
I
Business
CAS
100.00
1
1/16/2019
Alice Burch
1440 NE 110 St.
Miami Shores, FL 33138
S
Business
CAS
100.00
2
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Alice Burch campaign (2) I.D. Number
1/1/2019 1/31/2019 1
(3) Cover Period / / through / / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(s)
Sequence
Number
$0
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES