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Home My WebLink About2018 - M1 Amendment- Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Debra PlackoCAMPAIGN TREASURER'S REPORT SUMMARY Debra Placko OFFICE USE ONLY 1818 FEB 15 PM 3:54 Name (2) 8555 NW 77 Street Address (number and street) 77: 171 CITY C:- T".",4 RAC Tamarac, Florida 33321 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): E Candidate Office Sought: Tamarac City Commissioner District 4 R Political Committee (PC) ❑ Electioneering Communications Org. (ECO) F1 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 01 01 /2018 To 01 1 31 /2018 Report Type: M01 El Original FZ] Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 6, 200. 00 Expenditures $ Loans $ - Transfers to Office Account $ Total Monetary $ 6, 200. 00 Total Monetary $ 7754.23 In -Kind $ 200. 00 (8) Other Distributions $ 0. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 24 104 23 1 $ 754 . 23 (111) 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) Barbara Tarnove (Type name) Debra Placko [I Individual (only for IE El Treasurer 171 Deputy Treasurer 0 Candidate n Chairperson (only for PC and PTY) or electioneering comm.) _X Signature 69nature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Plack. (1) Name (2) I.D. Number (3) Cover Period 01 01 2018 01 31 2018 1 4 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 I Occupation Type Description Amendment Amount Brown, Linda 01 07 2018 7910 NW 87 Avenue Tamarac, Florida 33321 CHE Realtor 1 $150.00 Waste Management Inc 01 13 2018 of Florida 2700 Wiles Road Coconut Creek, Florida CHE Waste Mgt. B $500.00 2 33073 Bowman Consulting 01 13 2018 Group LTD Ft. J Lauderdale Florida 3683 Centerview Dr. CHE Consultant B $250.00 3 Ste 300 Chantilly, Va 20151 Creighton Construction 01 13 2018 & Management, LLC 900 SW Pine Island Road, Suite 202 Cape CHE Constructior. B $250.00 — 4 Coral, Fl 33991 Gunster Pac, Inc C/o 01 13 2018 Gunster Yoakley & Stewart PA 777 S Flagler Dr. Ste CHE Law Firm B $250.00 5 500E West Palm Beach, Florida 33401 JKM Tamarac Village, 01 19 2018 LLC 2300 Glades Road Suite 202E CHE Developer B $1000.00 6 Boca Raton, Florida 33431 Siegel, Lucinda N. and 01 19 2018 Stanley J. 7862 NW 77th Avenue Tamarac, Florida CHE Retired 1 $200.00 — 7 1 33321-2983 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Pl.cko (1) Name (2) I.D. Number '1 01 2018 01 31 2018 (3) Cover Period - / I through - / - /. (4) Page 2 4 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 Warner, John H. 01 19 2018 7710 NW 87 th Avenue Tamarac, Florida 33321 CHE I $50.00 8 Siskin, Phyllis 01 20 2018 7648 NW 87 Avenue 1 Tamarac, Florida 33321-1643 CHE I $50.00 — 9 Dellavalle, Rosemary 01 22 2018 1. r f 8530 NW 77 Street Tamarac, Florida 33321 CHE Retired 1 $200.00 10 West, Phyllis L. 01 23 7473 Granville Drive 12018 Tamarac, Florida 33321 — 11 CHE Retired 1 $200.00 Chapnick, Saul 01 24 2018 100 Golden Isles Drive 1 Apt 413 Hallendale Beach, CHE 1 $100.00 — 12 Florida 33009-5823 Basilone, John 01 28 2018 7757 NW 79 Street Tamarac, Florida 33321 — 13 CHE 1 $50.00 Michelson, Blaine M. 01 28 2018 7736 NW 78 Court Tamarac, Florida 33321-2997 CHE 1 $50.00 — 14 DS-DE 13 (Rev. 11M3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Pl.ck. (1) Name (2) I.D. Number 01 01 2018 01 31 2018 (3) Cover Period — /_ / through — / — / — (4) Page 3 4 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 Houff, Karel F. 01 28 2018 7787 NW 79 Street Tamarac, Florida 33321 ICHE 1 $50.00 15 Bgagwandin, Avinaish 01 28 2018 Vyas, Ja8anti 1 Bhagwandin 7767 NW 79 Street CHE 1 $50.00 — 16 Tamarac, Florida 33321-2989 Garrett, Brian 01 28 2018 7744 NW 78 Court Tamarac, Florida 33321 CHE 1 $100.00 17 Fortier, Robert D. 01 28 2018 7777 NW 79th Street Tamarac, Florida 33321-2989 CHE I $100.00 — 18 Le Melle, Pamela T. 01 29 2018 7845 NW 78 Avenue Tamarac, Florida 33321 — 19 CHE 1 $100.00 GreenspoonMarder LLP 01 29 2018 100 W. Cypress Creek Road, Suite 700 Fort Lauderdale, CHE Law Firm B $500.00 — 20 Florida 33309 Equity Land Title LLC 01 29 2018 525 Okeechobee Blvd Suite 1570 West Palm Beach, CHE Title LLC B $500.00 21 Florida 33401 DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Placko (1) Name (2) I.D. Number 01 01 2018 Ol 31 2018 4 4 (3) Cover Period / / through / / (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 01 29 2018 / / The Pugliese Company 101 Pugliese,s Way Delray Beach, Florida 33444 CHE Real Estate B $500.00 22 01 / 30 /2018 F & G Food Store Inc. 6980 W. McNab Road Fort Lauderdale, Florida 33321 CHE Food Store B $1000.00 23 01 / 27 /2018 Prentice, Philip 7777 NW 79 Street Tamarac,Florida 33321 INK retired I fund raiser $200.00 i 1 DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Debra Placka (2) I.D. Number 01 01 208 31 2o1a (3) Cover Period 1 10l i through 1 / (4) Page of (6) 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� DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES