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Burch-G3CAMPAIGN TREASURER'S REPORT SUMMARY (1) Alice Burch Campaign Name (2) 1235 NE 96 Street Address (number and street) Miami Shores, FL 33138 OFFICE USE ONLY 03 -26 -1 9 08 :59 RC VD V/P- City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): p Candidate Office sought: Miami Shores Village Council ❑ 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) Cover Period: From 311 /2819 0 Original ❑ Amendment (6) Contributions This Report I Cash & Checks I Loans I Total Monetary I In -Kind $ 6,325.00 $0 $ 6,325.00 $0 (5) Report Identifiers To 3/22/4019 1 Report Type: G3 ❑ Special Election Report (7) Expenditures This Report Monetary Expenditures $ 8,484.02 Transfers to Office Account $ 0 Total Monetary $ 8,484.02 (8) Other Distributions $ 0 , , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 11,890f16 $ 10,665.87 , (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 (only for IE El Treasdirer ❑ Deputy Treasurer E I Candidate or electio rin ) ❑Chairperson (only for PC and PTY) X X gnature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign (1) Name (2) I.D. Number _ 3/1/2019 3/22/2019 1 2 (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 Type Occupation Type Description Amendment Amount 3/1/2019 Alice Burch S Business CHE 5000.00 1440 NE 110 Street / Miami Shores, FL 33138 1 3/7/2019 Andrew Huntington B CPA CHE 150.00 Box 530567 Miami Shores, FL 33153 2 B CHE 50.00 3/7/2019 Diana Wiggins Box 530747 Miami, FL 33153 3 3/7/2019 I Ernest Hinterkopf Retired CHE 100.00 / 1200 NE 102 Street Miami Shores, FL 33138 4 B CHE 50.00 3/7/2019 Brady and Assoc LLC ^ 1080 NE 95 Street Miami Shores, FL 33138 5 3/7/2019 Carol M. Hoffman I CHE 25.00 / 171 NE 102 Street Miami Shores, FL 33138 6 3/7/2019 VanLuck LLC B Real Estate CBE 200.00 12000 N Bayshores Dr # 403 7 North Miami, FL 33181 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Alice Burch Campaign (1) Name _ (2) I.D. Number 3/1/2019 3/22/2019 2 2 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name [(Last,, Suffix, First, Middle) (6) Sequence treet Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount 3/7/2019 Patricia Cocchi I Retired CHE 100.00 1089 HE 104 Street / Miami Shores, FL 33138 8 3/11/2019 Francis Muscarella I Psychologist CHE 300.00 53 NE 107 Street Miami Shores, FL 33138 9 3/11/2019 William Serda I Arbitrator CHE 200.00 463 NE 110 Street Miami Shores, FL 33138 10 3/20/2019 On Sight Home B CHE 50.00 Inspection Services 565 Grand Concourse Miami Shores, FL 33138 I Retired 100.00 11 3/20/2019 Dinorah Cassola CHE 9325 N Bayshore Dr. Miami Shores, FL 33138 12 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Alice Burch Campaign (2) I.D. Number 3/1/2019 3/2/2019 1 2 (3) Cover Period / / through / / (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (add office sought if (6) Sequence Street Address & contribution to a Expenditure Number I City, State, Zip Code candidate) Type Amendment Amount 3/4/2 19 Minuteman Press Printing CAN 259.43 921 NE 79 Street Miami FL 33138 1 3/4/2019 Dizzy Doodle Face Painting Unity Day Face CAN 201.13 7680 Indigo Street Miramar, FL 33023 Painting 2 3/4/2019 Miami Dade County Electiom Data CAN 40.00 2700 NW 87 Ave. Miami, FL 33172 3 3/4/2019 Publix Unity Day Food CAN 20.27 9100 Biscayne Blvd Miami Shores, FL 33138 4 3/4/2019 Miami Shores Village Unity Day CAN 25.00 10050 NE 2 Avenue Miami Shores, FL 33138 5 3/4/2019 Tony Rodriguez Campaign Management CAN 2500.00 631 E 39 Street Hialeah, FL 33013 6 3/4/2019 Alice Burch Reimburse check for CAN 966.53 1440 NE 110 Street Yard Signs Miami Shores, FL 33138 7 3/11/2019 Dollar Tree Campaign gathering CAN 10.70 9055 Biscayne Blvd. Miami Shores, FL 33138 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 3/1/2019 3/22/2419 (3) Cover Period / / through / 2 2 (4) Page of (5) (7) (8) (8) (10) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (add office sought if (6) Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount 31111 019 Publix Campaign gathering CAN 7,57 9100 Biscayne Blvd Miami Shores, FL 33138 9 3/12/2019 Jason Yao Refund campaign CAN 100.00 915 NE 125 Street contribution # 200 10 North Miami, FL 33161 3/14/2019 Flight Wine Lounge Campaign gathering CAN 700.00 9711 NE 2 Avenue Miami Shores, FL 33138 11 3/18/2019 Greater Miami Shores CC Campaign CAN 270.00 9620 NE 2 Avenue advertising Miami Shores, FL 33138 12 3/19/2019 Minuteman Press Campaign signs CAN 784.18 921 NE 79 Street Miam, FL 33138 13 3/21/2019 Minuteman Press Printing CAN 101.43 921 NE 79 Street Miam, FL 33138 14 3/22/2019 Minuteman Press Signs CAN 1713.60 921 NE 79 Street Miam, FL 33138 15 3/22/2019 Minuteman Press Printing CAN 784.18 921 NE 79 Street Miam, FL 33138 16 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES