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Home My WebLink About2018 - M1 2nd Amendment - Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Michelle J GomezCAMPAIGN TREASURER'S REPORT SUMMARY (1) Michelle J Gomez _ OFFICE USE ONLY Name a^7 (2) 4910 Woodlands Blvd Address (number and street) Tamarac, FI 33319 City, State, Zip Code ❑ Check here if address has changed (3) ID Number. (4) Check appropriate box(es):'s 0 Candidate Office Sought: Commissioner for Tamarac District 2 ❑ 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 01 / 01 / 2018 To 01 / 31 / 2018 Report Type: 2018M01 ❑ Original [✓] Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 9 03 . 00 Expenditures $ 1 169 06 Loans $ 1 , 159 . 06 Transfers to Office Account $ 0 00 Total Monetary $ 5, (_''62 . 06 Total Monetary $ 1 169 06 In -Kind $ 783. 00 -- (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 13 , 034 .83 $ 1 1814 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, correct, and complete: (Type name) Thomas Toffoll (Type name) Michelle J Gomez Individual (only for IE ®'Treasurer ❑ Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X Signa re Signature D5-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michelle J Gomez (1) Name (2) I.D. Number 0 1 01 2018 01 31 2018 (3) Cover Period / / through / / (4) Page 1 6 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 Ronald Cacciatore 01 16 2018 2675 Palmer Place Weston, Florida 33332 1 I Appraiser CHE $500.00 Joslyn Ward 01 / 29 /2018 8150 W McNab Rd Tamarac, F1 33321 2 I CAS 13.00 Mark E Allsworth PA 01 / 29 12018 1177 SE 3rd Ave Ft Lauderdale, F1 33316 B Attorney Che 250.00 3 Karen M Long 01 29 2018 4607 Bayberry Lane Tamarac, F1 33319 4 I Che 50.00 Herbert Daley 01 29 2018 6085 Sabal Palm Blvd Apt 301 Tamarac, F1 33319 I Che 50.00 5 01 29 2018 Joel Davidson / 4608 Norfolk Island Pine Drive Tamarac, F1 33319 1 Che 50.00 6 O1 29 2018 Harriet Slatzman 7650 W McNab Rd Apt 301 7 Tamarac, FL 33321 I Che 20.00 ua-uc -is tKev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number 0 1 01 201E 2 6 O1 31 201E (3) Cover Period / / through / / (4) Page of (5) (7) (8) (g) (10) 0 1) (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 Santa Burke O1 29 201E 334 Peachtree Drive / East Norwich, NY 11732 8 I Che 50.00 Ina Ellen Wendler 01 / 29 /2018 Max A Wendler I Che 25.00 9 West Boca Hearing 01 29 Center /2018 / 917E Glades Road Boca Raton, F1 33434 B Hearing Aid Che 100.00 10 Joseph Grossman 01 29 2018 1699 Grantham Drive Wellington , F1 33414 11 I Che 75.00 01 29 2018 Suzaanne McCall 7650 W McNab Rd Apt 216 Tamarac, Fl 33321 1 Che 12 20.00 01 29 201E Big Dog Construction 6308 NW 65 Terr Parkland, F1 33067 13 B Contractor Che 100.00 01 29 201E Doumar, Allsworth, Laystrom, Voigt, Adair, Dishowitz 14 1177 SE 3 Ave Ft Lauderdale, F1 B Law Firm Che 250.00 33316 % V. 11 1,J► Stt KtvtR5E FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number 01 01 2018 01 31 2018 (3) Cover Period / / through 3 6 (4) Page of (5) Date (7) (g) (9) (10) (11) (12) 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 01 29 2018 Law Offices of Richard Entin 1720 Harrison St 15 Suite 8D B Law Firm Che Hollywood, F1 33020 100.00 01 / 29 Judith Goldman 2006 Granada Drive /2018 Coconut Creek, F1 16 33066 I Che 20.00 M. E. De La Rosa 01 / 29 /2018 6211 SW 3 St Margate, F1 33068 17 I Che 25.00 01 29 Marcia E Oban /2018 / P 0 BOX 26054 Tamarac, FL 33321 18 I Che 50.00 01 29 2018 Alan Wyse 5208 Buttonwood Ct Tamarac, F1 33319 19 I Interior De Che 100.00 01 29 2016 S Pannaman 7301 NW 75 Ct Tamarac, F1 33321 20 j Che 25.00 O1 29 2018 Pamela T. Le Mielle 7845 NW 78 Ave Tamarac, F1 33321 21 I Che 75.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michelle J Gomez (1) Name (2) I.D. Number 01 01 2018 01 31 2018 4 6 (3) Cover Period through (4) Page Of (5) (7) (8) (9) (10) (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 O1 Pamela Tookhan 29 2018 7750 West McNab Road Tamarac, F1 33321 22 i Cas 25.00 TIP Vim William Duesler 01 / 29 /2018 22056 Altona Drive Boca Raton, Fl 33428 24 I Cas 50.00 01 29 Lauren Kaufman Palm Beach Gardens, F1 /2018 / 33418 25 I Cas 40.00 01 29 2018 Tracie ��tt-Thompson 5904 Ce4ar Circle Tamarac, F1 33319 26 I Cas 30.00 01 29 2018 Walter S Morris 6562 NW 98 Ter Tamarac, Fl 33321 27 I Cas 30.00 01 29 2018 Barbara Tarnore 8632 NW 79 St Tamarac, F1 33321 28 I Cas 20.00 DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number 01 01 2018 01 31 2018 6 (3) Cover Period / / through 6 (4) Page of Date Full (8) Full Name (9) (10) (12) (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code TyPe Occu ation Type Description Amendment Amount 01 12 2 018 4 Imprint 101 Commerce St PO BOX 320 36 Oshkosh, WI 54901 S Loa 508.06 01 / 29 /2018 Ed Thompson 5904 Cedar Circle Tamarac, F1 33319 37 I Cas 30.00 Alvin Entin 01 / 29 /2018 110 SE 6 St Ft Lauderdale, FI 33301 I Attorney CHE 100.00 38 01 29 2018 Waste Management of Florida 2700 NW 48 St 39 Pompano Beach, F1 33073 B Refuse CHE -6,00.00 O1 29 2018 JKM Tamarac village LLC 2300 Glades Road Suite 202E Boca Raton, F1 33431 B Constructior CHE 1000.00 40 QV- 1+ t 214 �{u1�(�� (��i� S Lam-., �z�t� tv,�� DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number O1 0 1 2018 Ol 31 2018 (3) Cover Period / / through / / (4) Page 5 of 6 (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 01 29 2018 Peter Maso(j �5�` N• �neTS[a•�dr2� l l 29 3 3-3 Lt 1 Cas 20.00 Saul Chapnick 01 29 2018 / / 100 Golden Isles Dr Apt 415 Hallandale, F1 33009 I Cas 30 20.00 Roxanne Leitner 01 / 29 /2018 6351 N University Drive Apt 314 Tamarac, F1 33321 I Cas 20.00 31 Esther T i b"('0_ o 01 29 2018 l l L( Cl I S won tO-A S J W' I Cas 20.00 32 'l(1yi�(rlAc� 3'�3i�i ti Patricia Randall 01 29 2018 / / 11860 NW 42 St Sunrise, F1 33321 33 I Cas 50.00 O1 24 2018 Campaign Kickoff Metro Diner paid by Ct:«".1 Gomez 34 63-61 99 St I Mother 1nKtn7 783.00 Rego Park, NY 11374 01 14 2018 Type Styles Inc 9381 W Sample Road Ste 200 Coral Springs, Fl 33065 S LOA 371.00 35 Paid by Michelle Gomez Candidate I.Pt^aV• 1111.31 *= KEVEK5E FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Michelle J Gomez (2) I.D. Number (3) Cover Period 01 / 01 / Z_ °� through of / 31 / 2018 (4) Page 1 of 1 (5) (7) (8) (9) (10) 0 1) Date Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Purpose (add office sought if contribution to a candidate) Expenditure Type Amendment Amount (6) Sequence Number 01 31 AO18 TD Bank 1800 North Pine Island Road Plantation, F1 33322 Bank Paper Statement Fee CAN 10.00 1 01 01 018 Skye Dazzle Photography 7650 Westwood Dr Apt 507 Photographs Headshots Tamarac, F1 33321 CAN 265.00 2 01 24 201 Metre QL S 5717�6 N University Dr A- Tam�rac, FL 33321 CAN Ij.00 3 01 12 2018 4 Imprint 101 Commerce St Samba Pen P O BOX 320 Oshkosh, WI 54901 CAN 508.06 4 Type Styles Inc Cling6 01 14 201E 9381 W Sample Road Ste 200 Coral Springs, Fl 33065 CAN 371.00 5 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES