Burch-G4CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Alice Burch Campaign
OFFICE USE ONLY
Name
(2) 1235 NE 96 Street
0 4 -04 -1 9 16 :31 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):
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)
(5) Report Identifiers
Cover Period: From 3/23/2019 / To
4/4/2819 / Report Type: G4
[D Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 450.00
Expenditures $ 406.87 ,
Loans $ 0
Transfers to
Office Account $ 0 ,
Total Monetary $ 450.00
Total Monetary $ 406.87
In -Kind $ 0
(8) Other Distributions
$ 0 ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 12,340.16
$ 11, 072, 74 ,
(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 21 Treasurer ❑ Deputy Treasurer
Q Candidate ❑ Chairperson (only for PC and PTY)
or electioneering co m.)
X 2�4
Signature
DS -DE 12 (Rev. 11/13) 1 SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Alice Burch Campaign
(1) Name
(3) Cover Period
(2) I.D. Number
3/23/2019 4/4/2019 1 1
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
3/25/2019
Larrie S Blasberg
I
Retired
CHE
100.00
1155 NE 103 St
Miami Shores, FK 33138
1
3/25/2019
David A Puyanic
I
Real estate
CHE
100.00
9259 N Bayshore Dr
/
Miami Shores FL 33138
2
3/26/2019
CHE
50.00
Miami Shores FAP
B
4051 NW 66 Ave
'
Virginia Gardens FL
3
33166
I
Caterer
CHE
100.00
3/26/2019
Jackie Butler
/
1461 NE 102 St
Miami Shores, FL 33138
—
4
3/28/2019
Robert Ader
I
Lawyer
CHE
A!:.*c-
100.00
100 SE 2 Street
Ste 3550
5
Miami, FL 33131
us -Ut is (Kev. ivi3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name Alice Burch Campaign
3/23/2019
(3) Cover Period /
4/4/2019
through
(2) I.D. Number
1
(4) Page of
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a
candidate)
Expenditure
Type
Amendment
Amount
(6)
Sequence
Number
3/29/ 019
TD Bank
Bank Fees
CAN
2.00
9005 Biscayne Blvd
Miami Shores, FL 33138
1
3/29/2019
TD Bank
Bank fees
CAN
10.00
9005 Biscayne Blvd
Miami Shores, FL 33138
2
4/1/2019
Minuteman Press
Printing
CAN
104.93
921 NB 79 Street
Miami, FL 33138
3
4/1/2019
Sarahlu Confections
Campaign food
CAN
51.36
175 NE 96 Street
Miami Shores, FL 33138
4
4/1/2019
Facebook
Advertising
CAN
25.00
1 Hacker Way
Menlo Park, CA 94026
5
4/2/2019
Minuteman Press
Printing
CAN
188.58
921 NE 79 Street
Miami, FL 331384/1/2019
6
- 4/4/2019
Miami Shores Village
Filing
CAN
25.00
10050 NE 2 Avenue
Miami Shores, FL 33138
7
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES