G2-RojasCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Miryam S. Rojas OFFICE USE ONLY
Name
(2) 534 NE 95 ST 03 -14 -1 9 15:42 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):
P/1 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 02 / 01 / 19 To 02 / 28 / 19 Report Type: G2
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 425. 00
Expenditures $ 4 , 098 .34
Loans $ 5, 100. 00
Transfers to
Office Account $ 0 . 00
Total Monetary $ 5 , 525. 00
Total Monetary $ 4 0_98. 34
In -Kind $ 0. 00
(8) Other Distributions
$ 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 5 525 00
$ 4 098 . 34
(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) Anthony J. Shaleesh (Type name) Miryam S. Rojas
❑ Individual (only for IE El Treasurer ❑ Deputy Treasurer 0 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm. .�
X X
Signature Sin e
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Miryam S. Rojas (2) I.D. Number
(3) Cover Period 02 / 01 / 19 through 02 / 28 / 19 (4) Page 1 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
City, State, Zip Code
candidate)
Type
Amendment
Amount
Biscayne Times
March Ad
02 06 19
5400 NE 4 CT 42
Miami, FL 33137
CAN
$445.00
1
02 08 19
GoDaddy.com, LLC
Website .COM Domain
4455 N. Hayden Rd. Suite 219
Registration
Scottsdale, AZ 85260
(miryamformiamishor
es.com)
CAN
$63.86
2
Greater Miami Shores Chamber of
Egret March Ad
02 12 19
Commerce
9620 NE 2nd Avenue, Suite 201
Miami Shores, FL 33138
CAN
$512.94
3
Miami Shores Village Parks & Rec
Miami Shores Unity
02 19 19
9617 Park Drive
Day Tent /Booth
Miami Shores, FL 33138
CAN
$110.00
4
Cityteez
Yard Signs (Qty
(12 20 19
2321 Pembroke Rd
250)
Hollywood, FL 33020
CAN
$1560.85
5
Bank of America
Bank Overdraft Fee
02 21 19
11 Schoodic Drive
Belfast ME 04915 -9962
CAN
$35.00
6
PROUD TSHIRTS COMPANY
Campaign T- shirts
02 25 19
2099 OPA LOCKA BLVD
Miami, Florida 33054
CAN
$476.69
7
Discount Mugs
Campaign Tote Bags
12610 NW 115 AVE
02 18 19
Miami, FL 33178
CAN
$760.25
8
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Miryam S. Rojas (2) I.D. Number
(3) Cover Period 02 / 01 / 19 through 02 / 2e / 19 (4) Page L 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
02 22 19
Minuteman Press
921 NE 79 ST
Miami, FL 33136
Campaign Stickers
CAN
$133.75
9
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miryam S. Rojas
(1) Name (2) I.D. Number
01 19 02 28 19
through / / (4) Page
02
(3) Cover Period
1 2
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
T e
Description
Amendment
Amount
Rojas, Miryam S.
01 09 19
534 NE 95 ST
/
Miami Shores, FL 33138
S
Property Mgr
LOA
ADD
$100.00
1
Rojas, Miryam S.
02 14 19
534 NE 95 ST
Miami Shores, FL 33138
2
S
Property Mgx
LOA
$2,000.00
Duffy, Patrick L.
02 17 19
501 Grand Concourse
/ /
Miami Shores, FL 33138
I
Realtor
CHE
$250.00
3
Hoffman, Carol M.
02 17 19
171 NE 102 ST
Miami Shores, FL 33138
4
I
Retired
CHE
$25.00
Newman, Mary
02 17 19
140 NE 95 ST
Miami Shores, FL 33138
5
I
Retired
CHE
$50.00
Rojas, Miryam S.
02 22 19
534 NE 95 ST
Miami Shores, FL 33138
6
S
Property Mgx
LOA
$3,000.00
Rojas, Pedro
02 25 19
4 Martine Avenue, #706
/ /
White Plains, NY 10606
7
I
Retired
CAS
$50.00
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Miryam S. Rojas
(1) Name (2) I.D. Number
01 19 02 26 19
through / / (4) Page
02
(3) Cover Period
2 2
of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Tvpe Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
02 25 19
/ /
Rojas, Soledad
4 Martine Avenue, #706
White Plains, NY 10606
I
Retired
CAS
$50.00
8
3
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN LOANS REPORT ITEMIZED
Page 1 of 1
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER:
FULL NAME AND ADDRESS OF LENDER:
Miryam S. Rojas (Candidate)
Miryam S. Rojas (Candidate)
534 NE 95 ST
534 NE 95 ST
Miami Shores, FL 33138
OCCUPATION: Property Manager
Miami Shores, FL 33138
OCCUPATION: Property Manager
AMOUNT OF LOAN: $2,000.00
AMOUNT OF LOAN: $3,000.00
DATE RECEIVED: 2/15/2019
DATE RECEIVED: 2/22/2019
FULL NAME AND ADDRESS OF LENDER:
FULL NAME AND ADDRESS OF LENDER:
Miryam S. Rojas (Candidate)
534 NE 95 ST
Miami Shores, FL 33138
OCCUPATION:
OCCUPATION: Property Manager
AMOUNT OF LOAN: $100.00
AMOUNT OF LOAN:
DATE RECEIVED: 1/9/2019
DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER:
FULL NAME AND ADDRESS OF LENDER:
OCCUPATION:
OCCUPATION:
AMOUNT OF LOAN:
AMOUNT OF LOAN:
DATE RECEIVED:
DATE RECEIVED:
DS -DE 73A (Rev. 08/03)