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Home My WebLink About2017 - M10- 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 (1) Debra Placko OFFICE USE ONLY Name 2017 NOV 13 A4 9: 28 (2) 8555 NW 77 Street Address (number and street) RECEIVED CITY OF TAMARAC Tamarac, Fl 33321 CITY CLERK City, State, Zip Code R Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 21 Candidate Office Sought: City of Tamarac Commissioner District 4 El Political Committee (PC) M Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded [:1 Party Executive Committee (PTY) F1 Check here if PTY has disbanded E:1 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (6) Report Identifiers Cover Period: From 10 / 02 /2017 To 10 / 31 /2017 Report Type: Jl 21 Original El Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 4 000. 00 Expenditures $ 754. 23 Loans $ 5 754. 23 Transfers to Office Account $ 0.00 Total Monetary $ 9 754. 23 Total Monetary $ 754. 23 In -Kind $ 0.00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 9 , 754 23 $ 754. 23 (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)Barbara Tarnove (Type name) Debra Placko [3 Individual (only for IE M Treasurer ❑ Deputy Treasurer EI Candid7El Chairperson (only for PC and PTY) or electioneering comm.) 2, I Signature Si DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Pl.ck. (1) Name (3) Cover Period 10 / 02 / 2017 through 10 / 31 (2) I.D. Number 2017 1 (4) Page 3 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 Placko, Ms.,Debra 10 02 2017 8555 NW 77th Street Tamarac, Florida 33321 S CANDIDATE LOA $5000.00 Dunay, Miskel and 10 02 2017 Backman, LLP J 14 SE 4 Street Suite 36 CHE LAW FIRM B $1000.00 2 Boca Raton, F1 33432 Charles -Atlas, Diana 10 07 2017 R. J 7719 NW 86 Way Tamarac, Fl 33321 CHE RETIRED 1 $500.00 3 Cummings, Joseph F, 10 10 2017 Maria Alice 8610 NW 77 Street Tamarac, Fl 33321 CHE RETIRED 1 $500.00 4 Design and Entitlement 10 12 2017 Consultants, LLC 2135 Bellcrest Court Royal Palm Beach,FL CHE Consultants B $500.00 — — 5 33411 Mak Landscaping 10 18 2017 Services, Inc 9203 NW 71 Street Tamarac, Fl 33321-3109 CHE LANDSCAPER B $350.00 — 6 10 19 2017 Weinstein,Dr. Barbara 1 10050 Vestal Place coral Springs Fl 33071 — 7 CHE DR. I $250.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Debra Placko (1) Name I.D. Number (3) Cover Period 10 02 2017 through 10 31 2017 2 - (4) Page 3 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 Fortier,Robert D 10 4 2017 Dunn,Dennis J 7777 NW 79 Street Tamarac, FL 33321-2989 CHE RETIRED 1 $200.00 Tarnove,Barbara 10 2 8632 NW 79 Street 12017 Tamarac, FL 33321 — — 9 CHE I $100.00 Robbins,Richard N. 10 5 2017 Robbins,Beverly 8711 NW 76 Court Tamarac, Fl 33321-1608 CHE $100.00 10 Krasner, Vivian 10 5 2017 236 Sedona Way Palm Beach Gardens FL 33418-1714 CHE I $100.00 — — 11 Temkin, Cheryl 10 17 2017 7634 NW 87 Avenue — Tamarac, FL 33321 — 12 CHE I $100.00 Home Repair FC 10 14 2017 remodeling specialist — i Inc. 7134 N. University CHE B $100.00 13 Drive Suite 170 Tamarac, FL 33321 Griffin, James 10 14 1 2017 7810 NW 85 Avenue Tamarac, Fl 33321-1667 — 14 CAS I $50,00 DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Debra Placko (3) Cover Period 10 02 / 2017through 10 (2) I.D. Number J 31 / 2017 3 () Page e _ 3 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 Griffin, Sandy 10 14 2017 7810 NW 85 Avenue / / © Tamarac, F1 33321-1667 CAS _ $50.00 15 Prentice, Philip D 10 / 14 /2017 7777 NW 79 Street Tamarac, FL 33321 16 CHE I $50.00 Rothman, Charles 10 17 Rothman, Sally /2017 / 7626 NW 87 Avenue Tamarac, FL 33321 CHE 1 $50.00 17 Placko, Debra 10 07 2017 8555 NW 77 Street Tamarac, Florida 33321 18 LOA S $556.50 Placko, Debra 10 23 2017 8555 NW 77 Street Tamarac, Florida 33321 19 LOA S $197.73 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Debra Placko (2) I.D. Number (3) Cover Period 10 j 02 / 2017 through 10 t 31 / 2017 (4) Page 1 Of 1 (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 Amount (6) Sequence Number 10 04 201', Union Printing 2321 Pembroke Road Hollywood, Fl 33020 Stationery and envelopes MON $556.50 0 10 23 201 Speedy Buttons Plainview, Mn 55964 Campaign buttons MON $197.73 2 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES