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Holly, Herta
r' FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Herta Holly OFFICE USE ONLY Name (2) 9660 NE 5th Avenue Road Address (number and street) Miami Shores, FL 33138 City, State,Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): Miami Shores Village Council ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period,: From 3 / 18 / 2013 To 4 / 4 / 2013 Report Type s Original ❑Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 1,170.00 Expenditures $ 4,286.10 Loans $ Transfers to Office Account $ Total Monetary $ 1,170.00 Total Monetary $ 4,286. 10 In-Kind $ (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 10,390.00 $ 8,652.46 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Robert Williamson (Type name) Herta Holly ❑Individual(only for ✓ Treasurer ❑Deputy Treasurer ❑✓ Candidate ❑Chairperson(only for PC,PTY& eleXtfi�ee;rin mmun electioneering commun.organization) X Signature Signature --� DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number (3) Cover Period 3 18 / 2013 through 4 4 2013 4) Page 1 of 2 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount Angelo Napolitano, I Business CHE 150.00 4 / 1 /13 1521 NW 165th man Street., Miami Gardens, FL 33169 1 Lucille Clum, 1430 I Retired CHE 100.00 4 / 1 /13 NE 102nd. St., Miami Shores, FL 33138 2 Joyce Lange, 689 I Busines CHE 100.00 A / 1 1i' NE 92nd Street, swoman Apt. 9G, Miami Shores, FL 33138 3 Patricia Cocchi, I Busines CHE 50.00 4 / 1 /13 1089'NE 104th swoman Street, Miami Shores, FL 33138 4 William Tenney, I Retired CAS 20.00 4 / 1 / 13 1183 NE 99th Street, Miami Shores, FL 33138 5 Andrew Huntington, I Busines CHE 50.00 4 / 1 #3 PO Box 530567, sman Miami Shores, FL 33153 6 4 1 Alice Burch 1440 I Business CHE 50.00 / 1 13 � NE 101 St., Miami woman Shores, FL 33138 7 Donna Hurtak, I Busines CHE 100.00 4 / 1 ]3 10800 Biscayne swoman Blvd. , Suite 520, Miami, FL 33161 8 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Hert Holly (2) I.D. Number (3) Cover Period 3 / 18 / 2013 through 4 / 4 / 2013 (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation T e Description Amendment Amount William Derrer, I Contract CHE 250.00 4 / 4 /13 5010 NE Quayside or Terrace, Miami, FL 33138 9 Robert F Swan, I Busines CHE 100.00 4 / 4 /13 Jr., 770 NE 98th sman Street, Miami Shores, FL 33138 10 ' C. Martin Mennes, I Busines CHE 100.00 4 / 4 1� 317 NE 104th sman Street, Mimai Shores, FL 33138 11 Dr. Robert Butler, I Chiropr CHE 100.00 4 / 4 / 13 10932 NE 6th Ave., actor Miami, FL 33161 12 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name Herta Holly (2)I.D. Number (3)Cover Period 3 / 18 / 2013 through 4 / 4 / 2013 (4)Page 1 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Street Address& contribution to a Expenditure Sequence City,State,Zip Code candidate) Type Amendment Amount Number Serigraphic Printing, 13982 Printing MON $847.48 3 23 13 NW 58th CT. , Miami Lakes, FL 33014 1 Serigraphic Printing, 13982 Printing MON $583.15 3 /27/13 NW 58th CT., Miami Lakes, FL 33014 2 Herta Holly, 9660 NE 5th Postage and MON $915.46 3 /30/13 Avenue Road, Miami Shores, printing FL 33138 3 Cushman School, 592 NE 60th Substitute MON $80.00 4 4 13 Street, Maimi, FL 33137 poll worker 4 TotalBank, 2720 Coral Way, Bank Fees MON $30.00 4 4 13 Miami, FL 33145 5 Herta Holly, 9660 NE 5th Postage MON $460.00 4 4 13 Avenue Road, Miami Shores, FL 33138 6 REM Creative Group, 2665 website MON $1,250.00 4 4 13 Bayshores, Cococnut Grove, FL 33133 7 John Holly, 9660 NE 5th Gas MON $40.01 4 4 13 Avenue Road, Miami Shores, reimbursement FL 33138 8 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1) Name Herta Holly (2)I.D.Number (3)Cover Period 3 / 18 / 2013 through 4 / '' 4 / 2013 (4) Page 2 of 2 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Miami-Dade County Elections Absentee MON $80.00 4 4 13 Department, 2700 NW 87th ballot lists Ave., Doral, FL 33172 9 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Herta Holly OFFICE USE ONLY Name (2) 9660 NE 5th Avenue Road Address (number and street) Miami Shores, FL 33138 City, State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): Q Candidate(office sought): Miami Shores village.Council ❑ Political Committee ❑CHECK IF PC HAS DISBANDED Committee of Continuous-Existence ❑CHECK IF CCE HAS DISBANDED- ❑ Party Executive Committee ❑Electioneering Communication ❑CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5)REPORT IDENTIFIERS Cover Period: From 4 / 5 / 13 To 6 / 8 / 13 Report Type TR ❑Original ❑Amendment ❑Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (T) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 0.00 Expenditures $ 1,737.54 Loans $ 0.00 Transfers to Office Account $ -Total Monetary $ 0.00 Total Monetary $ 1,737.54 In-Kind $ 0.00 (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 10,390.00 $ 10,390.00 (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 itis true, I certify that I have examined this report and itis true, correct, and complete. correct, and complete. (Type name) Robert Williamson (Type name) Herta Holly ❑Individual(only for 7Treasurer ❑Deputy Treasurer Q Candidate 0 Chairperson(only for PC,PTY&- elleecti e m n.) v electioneering commun.organization) 1 4-J11 X Signa Signature DS-DE-12(Rev.08/04) CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name Herta Holly (2)I.D.Number (3)Cover Period 4 / 5 / 2013 through 6 / 8 / 2013 (4)Page 1 of 1 (5) (7) (8) (9) (10) (1 1) Date Full Name Purpose (S) (Last,Suffix,First,Middle) (add office sought If Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount Miami Shores Chamber of Flyer MON $550.00 4 5 13 Commerce Advertising 9701 NE 2nd Ave. 1 Miami Shores, FL 33138 Alice Burch Victory Party MON $191.97 4 /11/13 1440 NE 101 Street Food Miami Shores, FL 33138 2 Susan Ackley Victory Party MON $224.20 4 /11/13 1119 NE 99 Street Food Miami Shores, FL 33138 3 Herta Holly Postage and MON $206.74 4 /11/13 9660 NE 5th Avenue Road Supplies Miami Shores, FL 33138 4 Herta Holly Food MON $143.01 4 15 13 9660 NE 5th Avenue Road Miami Shores, FL 33138 5 Herta Holly Supplies and MON $64.82 5 3 13 9660 NE 5th Avenue Road Postage Miami Shores, FL 33138 6 Ana Blackman Food for MON $65.00 5 3 13 1240 NE 96th Street Victory Party Miami Shores, FL 33138 7 Doctors' Charter School Donation DIS $291.80 6 / 7 /13_ Miami Shores, FL 33138 8 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Herta Holly OFFICE USE ONLY Name (2) 9660 NE 5th Avenue Road Address (number and street) Miami Shores, FL 33138 City, State,Zip Code ❑ CHECK IF-ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): Miami Shores Village Council ❑ Political Committee ❑CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 2 / 1 / 2013 To 3 / 17 / 2013 Report Type s ❑ Original ®Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 9,220.00 Expenditures $ 4,366.36 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ 4,336.36 In-Kind $ 9,220.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9,220.00 $ 4,336.36 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Robert Williamson (Type name) Herta Holly ❑Individual(only for [Z]Treasurer ❑Deputy Treasurer ✓0 Candidate ❑Chairperson(only for PC,PTY& electi ed m n.) " electioneering commun.organization) X Signature Signature DS-DE 12(Rev.08/04) CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number 3)Cover Period 2 / 1 / 2013 through 3 / 17 / 2013 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix, First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation T Description Amendment Amount Teigland, Dr. M., I Retired CAS DEL 100.00 2 / 20 /13 9780 NE 5th Avenue, Miami Shores FL 33138 5 Teigland, Dr. M., I Retired CHE 100.00 3 / 27 /13 9780 NE 5th Avenue, Miami Shores FL 33138 38 Allison Holly, I Investm CAS DEL 100.00 2 / 22 2p13 4403 San Amaro, ent Coral Gables, FL Advisor 33146 15 Allison Holly, I Investm CHE 100.00 3 / 27 ?013 4403 San Amaro, ent Coral Gables, FL Advisor 33146 39 DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DMSION OF ELECTIONS CAMPAIGN! TREASURER'S REPORT SUMMARY (1) Herta Holly OFFICE USE ONLY Name (2) 9660 NE 5th Avenue Road Address(number and street) Miami Shores, FL 33138 City, State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number. (4) Check I appropriate box(es): ©Candidate(office sought): Miami Shores village council ❑ Political Committee ❑CHECK IF PC HAS DISBANDED ❑Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee Electioneering C oi?i tis_nicuiioi ��>fxf: 11tiT?d!i568 e' %�*....'sem' L-✓ (5) REPORT IDENTIFIERS Cover Period: From .2 / 1 / 2013 To 3 / 17 / 2013 Report Type s Original ❑Amendment ❑Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash&Checks $ 9,020.00 Expenditures $ 4,166.36 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9,020.00 $ 4,166.36 (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, I certify that I have examined this report and it is true, correct,and complete. correct,and complete. (Type name) Robert Williamson (Type name) Herta Holly ❑i:^.a's:icuai(cn!y for QTreasurer ❑Deputy Treasurer Q Candidate ❑Chairperson(only forPc,PTY i£ electic^eering cc-ni^un.; eiecicLr �n mmr*gin.org�r ticn) X Signature Signature DS4)E 12(Rev.08104) J . CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1)Name Herta Holly (2)I.D. Number (3)Cover Period 2 / 1 / 2013 through 3 / 17 / 2013 (4) Page 1 of 1 (5) (7) (8) (9) (10) (1 1) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Street Address& contribution to a Expenditure Sequence Number City,State,Zip Code candidate) Type Amendment Amount Teigland, Dr. M., 9780 NE Refund cash ADD $100.00 3 27 13 5th Avenue, Miami Shores FL 33138 6 Allison Holly, 4403 San Refund cash ADD $100.00 3 27 13 Amaro, Coral Gables, FL 33146 7 DS-DE 14(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES o^ Ir CD -, I F F I I A r M Postage $ CU Certified Fee C3 Postmark O Return Receipt Fee Here p (Endorsement Required) C3 Restricted Delivery Fee O (Endorsement Required) C3 Total Postage&Fees $ 3 r tSJ Sent To ` p N l�'�-1!�!1- - � Street,Apt.No.; N or PO Box No. City,State,ZIP+4 Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of, delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee'or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 JIM McCoy NORM MAYOR 5 ,tic.1932 �, w s HUNT DAVIS � � 11illa VICE MAYOR 1111.1111Mtaunt ores che AL DAVIS 10050 N.E.SECOND AVENUE COUNCILMAN MIAMI SHORES,FLORIDA 33138-238 2 STEVE LOFFREDO �ORIDp TELEPHONE(305)795-2207 COUNCILMAN FAX(305)756-8972 JESSE WALTERS COUNCILMAN TOM BENTON VILLAGE MANAGER BARBARA ESTEP, MMC VILLAGE CLERK RICHARD SARAFAN March 25, 2013 VILLAGE ATTORNEY Mrs. Herta Holly 9660 N.E. 5th Avenue Road Miami Shores, FL 33138 Dear Mrs. Holly: The Campaign Treasurer's Report for the period ending March 17, 2013 filed with my office was submitted on March 22, 2013 and does not comply with the requirements of Florida Statute 106.09 for the following reasons: - Cash contributions received exceed statutory allowance. As such,you are required to rectify the cash contribution issue within seven (7) days of your receipt of this notice. Please submit an amended report addressing this matter to my office. Failure to file a complete report constitutes a violation of Chapter 106, Election Laws of the State of Florida. To assist you with submitting an amendment report, please review section 16 of the Candidate Qualifying Handbook located in the candidate notebook you previously received. If you have any questions, please do not hesitate to contact my office. Sincerely, Barbara A. Estep, MMC Village Clerk Enclosure Certified Mail Receipt#7012 1010 0000 8434 8997 FLORIDA DEPARTMENT OF STATE WSION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Herta Holly OFFICE USE ONLY Name (2) 9660 NE 5th Avenue Road Address (number and street) Miami Shores, FL 33138 City,State,Zip Code ❑CHECK IF ADDRESS HAS CHANGED (3) ID Number. (4) Check appropriate box(es): ©Candidate(office sought): Miami Shores village Council ❑ Political Committee ❑CHECK IF PC HAS DISBANDED ❑Committee of Continuous Existence ❑CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 2 / 1 / 2013 To 3 / 17 / 2013 Report Type S Original ❑Amendment ❑Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash &Checks $ 9,020.00 Expenditures $ 4,166.36 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9,020.00 $ 4,166.36 (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, I certify that I have examined this report and it is true, correct, and complete. correct,and complete. (Type name) Robert Williamson (Type name) Herta Holly [:]In ' tdu (onty for rer ❑Deputy Treasurer 0 Candidate ❑Chairperson(ordy for PC,PTY& el ng electioneeri (,mun.organization) Signature Signature DS-DE 12(Rev.08104) CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number 3 Cover Period `�2/ ,t / 2013 through / / 2013 (4) Page 1 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount Williamson, Mr. I Writer CHE 250.00 1 25 2013 Robert F. 1235 NE 96th Street, Miami 1 Shores, FL 33138 Holly, Mr. John I Busines CHE 500.00 i 25 013 H., 9660 NE 5th sman Avenue Rd, Miami Shores, FL 33138 2 Holly, Mr. Edward I Teacher CHE 200.00 1 31 2p13 H., 806 Bonito Lane, Rey Largo, FL 33037 3 Greenfield, Mrs. I Retired CHE 100.00 2 11 ?013 Ruth W., 752 NW 7t1i Street Road, Miami, FL 33136 4 Teigland, Dr{., M. I Retired CAS 100.00 2 20 /2013 5 M 3?i3✓ Margolis, Senator I Senator CHE 200.00 2/ ZO 013 Gewn L., 2 Grove Isle Dr., Apt. 209, Miami, FL 6 33133 2Gardner, Mr. I Business CHE 500.00 14 013 peter C., 3599 man Moorings Way, Coconut Grove, FL 7 33133 Bennett, Mr. I Busines CHE 200.00 2 20 013 George H., 10007 swan NE 4th Avenue, Miami Shores, FL 8 33138 DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number 3 Cover Period *2./ 1 / 2013 through 3 / 17 / 2013 4 Page 2 of 5 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code T e Occupation Type Description Amendmerd Amount National B Public CHE 500.00 2 / 25 /2013 Communication Relation Limited, 80 SW 8th s Street, Suite 9 2230, Miami, FL 33130 p William A. Davis, I Busines CHE 200_00 2 22 013 405 NE 99th swan Street, Miami Shores, FL 33138 10 William C Serda, I Busines CHE Ikoo.00 2 20 2p13 Jr., 463 100th sman Street, Miami Shores, FL 33138 11 William A. Davis, I Busines CHE 100.00 2 20 ?013 405 NE 99th swan Street, Miami Shores, FL 33138 12 Gunnard Rubini, I Busines CHE 100.00 2 21 2013 1420 NE 101 St., swan Miami Shores, FL 33138 13 2 22 ?013 Andres Holly, I Student CAS 20.00 &A'403 Salt k b%V Coy d GWK R 14 33w 2 22 ?013 Allison Holly I Investme CAS 100.00 4VD 3 .SQ.�i QK47�ID Advisor 15 COY" 60kk 33,1. to 1 Charles Del I Busines CHE 500.00 2 26 013 Vecchio, 1330 NE swan 103rd Street, Miami Shores, FL 16 33138 DS-0E 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES i CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number 3)Cover Period 4 / 1 / 2013 through , 3 / 17 / 2013 (4) Page 3 of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number ,State,Zip Code TyDe OccuDation Type Description A—nannt Amount Patricia A. I CHE 50.00 2 1 23 12013 Cocchi, 1089 NE 104th, Miami Shores, FL 33138 17 Chester Morris, I CRE 25.00 2 1 27 013 MD, 734 NE 119th Street, Biscayne Park, 33161 18 William N. Jones, I CPA CHE 125.00 3 1 2 2P13 1352 NE 104th Street, Miami Shores, FL 33138 19 J.B. Williamson B Real CHE 250.00 3 1 4 ?013 Company, Inc., Estate 2210 SW 28th Street, Cococnut 20 Grove, FL 33133 Florida Republic B Real CHE 250.00 3 1 4 12013 Properties, Inc., Estate 2210 SW 28th Street, Cococnut 21 Grove, FL 33133 Patrick Duffy, 501 I Real CHE 100.00 3 1 5 013 Grand Concourse, Estate Miami Shores, FL 33138 22 3 Roxane Davies, I Business CHE 100.00 1 5 12013 1041 NE 94th woman Street, Miami Shores, FL 33138 23 Andrew McIntosh, I Busines CHE 100.00 3 1 4 013 434 Grand sman Concourse, Miami Shores, FL 33138 24 DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D.Number 3 Cover Period ? 1/ 2013 through 3 / 17 / 2013 4 Page 4 of (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last,Suffer,First,Middle) Sequence Street Address t£ Contributor Contribution ln4dnd Number City,State,Zip Code TvDe Occupation Description nmwdmeM Amount Darren E. Patz, I Business CHE 250.00 3 8 2013 253 NE 99th man Street, Miami Shores, FL 33138 25 Charles and Susan I Retired CHE 100.00 3 5 ?013 Allen, 1234 NE 96th Street, Miami Shores, FL, 33138 26 Ted L. I Busines CHE 200.00 3 5 2Q13 Rretzschmar, 5011 sman London Walk, Miami Shores, FL 27 33138 Roma Financial B Financi CHE 500.00 3 6 F013 Services, 269 NE al 99th Street, Miami Service Shores, FL 33138 s 28 George Burch, I DVM CHE 500.00 3 10 2013 1440 NE 101 Street, Miami Shores, FL 33138 29 3 8 ?013 Robert M. Levy B Real CHE 500.00 Associates, 780 NE Estate 69yj Street, Apt 1703, Miami, FL 30 33138 3 11 ?013 Cathy Sena, 1301 I Business CHE 500.00 NE 104th Street, woman Miami Shores, FL 33138 31 Deborah Clifford, I Busines CHE 500.00 3 15 ?013 1490 NE 103rd swoman Street, Miami Shores, FL 33138 32 DS-0E 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name Herta Holly (2) I.D. Number 3) Cover Period Z / 1 / 2013 through 3 / 17 2013 (4) Page 5 of 5 (5) (7) (8) t9) (10) (11) (12) Date Full Name (6) (Last,Suffix,First,Middle) Sequence Street Address& Contributor Contribution In-kind Number City,State,Zip Code Type Occupation Type Description Amendment Amount Penn Davis, 384 NE I Business CHE 100.00 3 / 14 2013 94th Street, Miami man Shores, FL 33138 33 Dade County PBA C CHE 500.00 3 / 15 013 Comm of Cont Existence, 10680 NW 25th Street, 34 Miami FL 33172 Dade County PBA C CHE 500.00 3 / 15 2p13 PAC, 10680 NW 25th Street, Miami FL 33172 35 R.C. Davis, 384 NE I CHS 50.00 3 / 14 F013 94th Street, Miami Shores, FL 33138 36 Herbert Spahn, I CHE 50.00 3 / 14 /2013 1005 NE 95th Street, Miami Shores, FL 33138 37 1 / DS-DE 13(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES (1)Name Herta Holly (2)I.D.Number (3)Cover Period 2 / 1 / 2013 through 3 / 17 / 2013 (4)Page 1 of 1 (5) ( ) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) TYPe Amendment Amount Miami Shores Recreation Unity Day Tent MON $50.00 2 15 13 Department, 9617 Park Drive, Miami Shores, FL 33138 1 Serigraphic Printing Corp, Printing - MON $750.00 2 /25/13 13982 NW 58 Ct., Miami Deposit Lakes, FL 33014 2 Serigraphic Printing Corp, Printing MON $3,305.30 3 7 13 13982 NW 58 Ct., Miami. Lakes, FL 33014 3 Susan Ackley, 1119 NE 99th Tape MON $36.06 3 /11/13 Street, Miami Shores, FL 33138 4 Miami Shores Recreation Election Day MON $25.00 3 15 13 Department, 9617 Park Drive, Tent Rental Miami Shores, FL 33138 5 DS-0E 14(Rev.08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES