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Burch-G2CAMPAIGN TREASURER'S REPORT SUMMARY (1) Alice Burch Campaign OFFICE USE ONLY Name (2) 1235 NE 96 Street 03-14-19 10:12 R C v D Address (number and street) 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 Cover Period: From 2/1/2Q1 9 To 2/28/2019 Report Type: G2 n-/ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 5,365.16 Expenditures $ 2,181.85 Loans $ 0:00 Transfers to Office Account $ 0:00 Total Monetary $ 5,365.16 Total Monetary $ 2,181.85 In -Kind $ 0.00 (8) Other Distributions $ , , 0.00. (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 5,565.16 $ 12,181.85 (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 ❑ IndividuaLlonly for El Tre su ❑ Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY) or elect eeri m Signature Signature' DS -DE 12 (Rev. 11/13) 1 f SEE KEVEKSE I-UK IN51 KUL; I IUNJ CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign (1) Name 2/1/2019 (3) Cover Period / / (2) I.D. Number 2/28/2019 1 4 through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type occupation Type Description Amendment Amount 2/11/2019 George Burch I DVM CHE 1000.00 1440 NE 101 Street / Miami Shores, FL 33138 1 2/13/2019 Dennis & Loretta I RCT 96.80 Kleinman / 655 NE 97 Street Miami Shores, FL 33138 2 2/13/2019 Connie Benson I RCT 96.80 361 NE 102 Street Miami Shores, FL 33138 3 2/13/2019 Joan Lutton I RCT 96.80 167 NW 109 Street Miami Shores, FL 33138 4 2/13/2019 Jennifer Quinton I RCT 96.80 457 NE 96 Street \Miami / Shores FL 33138 5 2/14/2019 Douglas Barnes I RCT 48.25 10108 NE 1 Avenue / Miami Shores, FL 33138 6 2/15/2019 Melida Matos I RCT 97.16 9819 NE 4th Avenue Road Miami Shores, FL 33138 7 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign (1) Name 2/1/2019 (3) Cover Period / (2) I.D. Number 2/28/2019 / through / / (4) Page 2 4 of (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Des cri tion Amendment Amount 2/15/2019 David Briggs I Teacher CHE 100.00 1410 NE 102 Street Miami Shores, FL 33138 8 2/15/2019 Dion Sena I Retired CHE 250.00 1301 NE 104 Street Miami Shores, FL 33138 9 2/15/2019 Douglas Garber I School Adm CHE 200.00 53 NE 107 Street Miami Shores, FL 33161 10 2/15/2019 Denise Glinn I Homemaker CHE 100.00 1201 NE 102 Street Miami Shores, FL 33138 11 2/15/2019 COIA Law Group B Lawyer CHE 100.00 1900 N Bayshore Suite 1A Miami, FL 33132 12 2/15/2019 Elizabeth Allen I Real Estate CHE 1000.00 1290 NE 102 Street Miami Shores, FL 33138 13 2/15/2019 Mary Newman I Retired CHE 100.00 140 NE 95 Street Miami Shores, FL 3138 14 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE vALUE5 (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign 2/1/2019 2/28/2019 (2) I.D. Number (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Tvpe Occupation Type Description Amendment Amount 2/15/2019 Cheryl Calhoun I Teacher CHE 100.00 10601 NE 10 Place Miami Shores, FL 33138 15 2/15/2019 Martha P. Collins I CHE 50.00 525 NE 101 Street Miami, FL 33138 16 2/15/2019 Linda Mennes I Retired CHE 100.00 37 NE 104 Street Miami Shores, FL 3318 17 2/20/2019 Chester Morris I Doctor CHE 100.00 73 NE 119 Street Biscayne Park FL 33161 18 2/20/2019 Lorrie Wiborg I Manager CHE 200.00 1441 NE 103 Street Miami Shores, FL 33138 19 2/22/2019 Mary Benton I RCT 48.25 10108 NE 1 Avenue Miami Shores 20 2/25/2019 Mark Piper I RCT 48.25 1311 NE 103 Street Miami Shores, FL 3138 21 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign (1) Name 2/1/2019 (3) Cover Period / (2) I.D. Number 2/28/2019 / through / / (4) Page 4 4 of (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type I Occupation Type Descri tion Amendment Amount 2/25/2019 Gordon Moyer I RCT 96.80 54 NE 99 Street Miami Shores, F 33138 22 2/25/2019 Charles Del Vecchio I Businessman CHE 500.00 1330 NE 103 Street Miami Shores, FL 33138 23 2/25/2019 Robert Williamson I Businessman CHE 200.00 1235 NE 96 Street Miami Shores, FL 33138 24 2/25/2018 Colleen Huff I CHE 100.00 1290 NE 103 Street Miami Shores, FL 33138 25 2/28/2019 Jason Yao B RCT 96.80 915 NE 125th St # 200, North Miami, FL 33161 26 2/15/2019 Rebekkah Leonard I Retired CHE 100.00 9300 NE 4 Avenue Miami Shores, FL 33138 27 2/27/2019 Patricia Smith I Govt. Emp RCT 242.45 358 NE 101 Street Miami Shores FL 33138 28 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Alice Burch Campaign 2/1/2019 2/28/2019 (3) Cover Period / / through (2) I.D. Number 1 (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (add office sought if (6) Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number 2/1/2 19 Harland Clark Checks for campaign CAN 26.15 c/o TD Bank 9005 Biscayne Blvd 1 Miami, FL 33138 2/11/2019 Minuteman Press Postcards CAN 111.71 921 NE 79 Street Miami, FL 33138 2 2/15/2019 Miami Shores Country Club Kickoff food CAN 166.20 10000 Biscayne Blvd Miami Shores, FL 33138 3 2/20/2019 Miami Shores Village Unity Day CAN 110.00 10050 NE 2 Avenue Miami Shores, FL 33138 4 2/25/2019 Minuteman Press Signs CAN 966.53 921 NE 79 Street Miami, FL 33138 5 2/25/2019 Happy Ending T- Shirts Campaign T- Shirts CAN 240.00 651 NW 106 Street Miami, FL 33150 6 2/25/2019 Dizzy Doodle Face Painting Unity Day Face CAN 181.12 7680 Indigo Street Painting Miramar, FL 33023 7 Happy Ending T- Shirts Campaign T- Shirts CAN 245.14 2/27/2019 651 NW 106 Street Miami, FL 33150 8 DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Alice Burch Campaign (2) I.D. Number 2/1/2019 2/28/2019 2 (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 (6) Sequence Number 2/27/ 019 Minuteman Press 921 NE 79 Street Miami, FL 33138 Pins CAN 76.08 9 2/28/2019 Party City 15947 Biscaye Blvd North Miami, FL 33161 Unity Day CAN 58.92 10 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES