HomeMy WebLinkAbout2018 - M2 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
Name
1(2) 4910 Woodlands Blvd
Address (number and street)
Tamarac, FI 33319
City, State, Zip Code
OFFICE USE ONLY
0
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
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 02 / 01 / 2018 To 02 / 28 / 2018 Report Type: 2018M02
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 350 00 Expenditures $
Loans $ 15 . 00
Total Monetary $ 1 , 365. 00
In -Kind $ , , 00. 00
(9) TOTAL Monetary Contributions To Date
$ 1 13 '99 83
Transfers to
Office Account $
Total Monetary $
27. 00
0 . 00
(8) Other Distributions
$ 0 , 00
(10) TOTAL Monetary Expenditures To Date
$ 1 1 , 841 . 36
01) 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 TOtI IOII (Type name) Michelle J Gomez
Individual (only for IE Treasurer ❑ Deputy Treasurer 171 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X 1-;_1
Signature l�
Signature Signature
DS-DE 12 (Rev. 11/131 LICE r^n
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez
(3) Cover Period 02 / 01
(2) I.D. Number
2018 02 26 2018 1 1
/ 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 Occupation
Type
Description
Amendment
Amount
02 06 2018
ILENE WINICK
667 Allwyn St
/
Baldwin, NY 11510
1
B
Rertired
CHE
100.00
SANDRA J HILL
02 / 06 /2018
4705 Banyan Lane
Tamarac, F1 33319
2
B
Artist
CHE
50.00
DR BARBARA WEINSTEIN
02 12
10050 Vestal Place
/2018
/
Coral Springs, FL
33071
B
CEO
CHE
100.00
3
MARTIN N WEINSTOCK
02 26 2018
3090 N Course Dr
/
Apt 307
Pompano Beach, FL
g
Retired
CHE
100.00
4
33069
02 26 201�
MICHELLE J GOMEZ
4910 Woodlands Blvd
Tamarac, F1 33319
S
Candidate
LOA
15.00
5
off expense 1 Cell
Phone
.1 4�1 acn KevCKbt 1-UK INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Michelle J Gomez (2) I.D. Number
(3) Cover Period 02 / 01 / 2016 through 02 / 28 / Zola (4) Page 1 of 1
(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
(g)
Sequence
Number
02 28 A018
TD Bank
1800 North Pine Island Road
Plantation, F1 33322
Bank Paper
Statement Fee,
Maintenance
CAN
12.00
1
02 26 2011
Metro PCS
5718 N University Dr
Tamarac, Fl 33321
Phone
MON
15.00
2
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES