Burch-G4 AmendmentCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Alice Burch Campaign
OFFICE USE ONLY
Name
(2) 1235 N E 96 Street
04 -23 -19 11 X54 RC VD �
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 3/23/2019 To
4/4/2919 Report Type: G4
El Original 21 Amendment E] Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
1450.00
Cash & Checks $
406.87
Expenditures $ ,
Loans $ 0
Transfers to
Office Account $ 0
$ 1450.00
Total Monetary
Total Monetary $ 406.87
In -Kind $ 0
(8) Other Distributions
$ 0 ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 13,340.16
$ 11,072174 ,
(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:
Robert Williamson
(Type name)
(Type name) Alice Burch
❑ Individual (only for IE El Treasurer ❑ Deputy Treasurer
EI Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X;
X
Si nair -
Signature
DS- DE'712'(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Alice Burch Campaign
(1) Name
3/23/2018
(3) Cover Period
through
4/4/2019
(2) I.D. Number
(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
4/4/2019
Miami Association of
Realtors
700 S Royal Ponciana
Blvd - Suite 400
Miami, FL 33166
B
Realtors
Assoc.
CHE
ADD
1000.00
6
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES