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G2- MeltzCAMPAIGN TREASURER'S REPORT SUMMARY (1) JONATHAN MELTZ OFFICE USE ONLY Name (2) 157 NE 104 STREET Address (number and street) 03-15-19 15 : 09 R C V D 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: 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 02 / 01 / 19 To 02 / 28 / 19 Report Type: y2-- ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ Loans $ 100 .00 Transfers to Office Account $ Total Monetary $ Total Monetary $ 0 .00 In -Kind $ (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 100 00 $ 0 00 (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) JONATHAN MELTZ (Type name) JONATHAN SCOTT MELTZ ❑ Individual (only for IE EI Treasurer ❑ Deputy Treasurer 0 Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X L.�_ X Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Jonathan Meltz (3) Cover Period 02 / 01 / 19 through 02 / 28 / (2) I.D. Number 19 (4) Page 1 of 1 (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 02 22 19 Meltz, Jonathan 157 NE 104 Street Miami Shores, FL 33138 S Attorney LOA 100.00 1 0 / DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Jonathan Meltz (2) I.D. Number (3) Cover Period 02 /01 /19 through 02 /28 /19 (4) Page 1 of 1 (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 N/A N/A DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES