HomeMy WebLinkAbout2018 - M3 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
(2) 4910 Woodlands Blvd
Address (number and street)
Tamarac, FI 33319
City, State, Zip Code
OFFICE USE ONLY ..
s� 2M
O
❑ Check here if address has changed O 3 ID Number:
(4) Check appropriate box(es): o
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 03 / 01 / 2018 To 03 / 31 / 2018 Report Type- 2018M03
❑ Original ✓❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ 25 00 Expenditures $ 27 00
Loans $__ 7 50 Transfers to
Office Account $ 0 00
Total Monetary $ 32. 50
In -Kind $ 00. 00
(9) TOTAL Monetary Contributions To Date
$ , 13 , ^,32 , 33
Total Monetary $ 1 0 . 00
(8) Other Distributions
$ , 7 , 840 00
(10) TOTAL Monetary Expenditures To Date
$ , 1 , 864 45
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 Toffoli (Type name) Michelle J Gomez
171 Individual (only for IE Tlreasurer ❑Deputy Treasurer E' Candidate ❑ Chairperson (only for PC and PTY)
dr electioneering comm.)
X
Signature
DS-DE 12 (Rev. 11/131
X
Signature
�cc .�cvcrcJc rvrc INQ I KUG I IUN,
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez
(2) I.D. Number
03 01 2018 03 31 2018 1
(3) Cover Period through (4) Page Of 4
(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
03 12 2018
Oasis of Hope CDC
501 NW 21 ter
/
Ft Lauderdale, F1
33311
B
CHE
25.00
1
MICHELLE J GOMEZ
03/ 30 /2018
4910 Woodlands Blvd
Tamarac, Fl 33319
off expense 1 Cell
S
Candidate
LOA
7 50
2
Phone
Ronald Cacciatore
03 / 30 / 2018
2675 Palmer Place
Weston, F1 33332
3
1
Appraiser
Trans Out
500.00
Mark E Allswcrth
03 30 2018
1177 SE 3 Ave
Ft Lauderdale, FL
33316
B
Attorney
Trans Out
250.00
4
03 30 2018
Herbert Daley
JIL
6085 Sabal Palm Blvd
Apt 301
Tamarac, F1 33319
1
Trans Out
50.00
5
03 30 2018
Santa Burke
/
334 Peachtree Drive
East Norwich, NY 11732
6
I
Trans Out
50.00
03 30 2018
West Boca Hearing
Center
9178 Glades Road
7
Boca Raton, Fl 33434
g
Hearing Aid
Trans Out
100.00
"�-L#V- ij tRdv lit w/ SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez
(2) I.D. Number
03 01 2018 2 4
03 31 2018
(3) Cover Period through / / (4) Page of
(5)
(7)
(8)
(9)
(10)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Type Occupation
T e
Description
Amendment
Amount
03 30 2018
Joseph Grossman
1699 Grantham Dr
Wellington, FL 33414
8
I
Trans Out
75.00
Big Dog Construction
03/ 30
6308 NW 65 Terr
12018
Parkland, F1 33067
9
B
Constructior.
Trans out
100.00
Doumar, Allsworth,
03 30 2018
Laystorm,
/ /
Voight,Adair,Dishowitz
1177 SE 3 Ave
Ft Lauderdale, F1
B
Attorney
Trans Out
250.00
10
33316
Law Offices of Richard
03 30 2018
Entin
1720 Harrison St
11
Suite 8D
Hollywood, F1 33020
B
Attorney
Trans Out
100.00
Alan Wise
03 30 2018
111-
5208 Buttonwood Ct
Tamarac, Fl 33319
12
I
Interior DeE
Trans out
100.00
03 30 2018
Pamela Tookhan
7750 W McNab Road
Tamarac, F1 33321
13
I
Trans Out
25.00
03 30 2018
William Duessler
22056 Aloma Drive
Boca Raton, F1 33428
14
I
Trans Out
50.00
•� % w 'a► see KLVt: Zbe FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez
(2) I.D. Number
(3) Cover Period
03 01 2018 through 03 31 2018 ( ) Page g 3 4
/ / 4 of
(5)
(7)
(8)
(9)
(��)
(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
03 30 2018
Barbara Tarnove
/
8632 NW 79 St
/
Tamarac, F1 33321
15
I
Trans Out
20.00
Peter Mason
03/ 30 /2018
7525 N Pine Island Rd
Suite 103
Tamarac, F1 33321
1
Trans out
20.00
16
Patricia Randall
03 / 30 / 2018
11860 NW 42 St
Sunrise, F1 33321
17
I
Trans Out
50.00
Ilene Winick
03 / 30 /2018
667 Allwyn St
Baldwin, NY 11510
18
B
Retired
Trans Out
100.00
03 30 2018
Q&Y Inc
EL
6980 W McNab Rd
Tamarac, FL 33321
19
B
Media
Trans Out
1000.00
03 30 2018
Trail Ridge Landfill
Inc
2700 NW 48 St
Pompano Beach, Fl
33073
g
Landfill
Trans Out
500.00
20
03 30 2018
Waste Management Inc
of Florida
2700 NW 48 St
21
Pompano Beach, Fl
33073
B
Refuse
Trans Out
500.00
a) att MtvtRSt FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez
03 (3) Cover Period / / O1 2018 through 03
(2) I.D. Number
/ 31 / 2018 (4) Page
4 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
03 30 2018
Torre Family
Partnership II LTD
1450 Quarton Road
Bloomfield, MI 48304
1
Trans Out
1000.00
22
Frank Torre Jr
03/ 30 /2018
1450 Quarton Road
Bloomfield, MI 48304
23
I
Trans Out
1000.00
Greenspoon Marder
03 / 30 / 2018
100 W Cypress Creek Rd
Suite 700
Ft Lauderdale, FL
33309
B
Law Firm
Trans Out
500.00
24
Metro Broward Fire
03 / 30 /2018
Fighters
304 NE 1 St
25
Pompano Beach, F1
B
Union
Trans Out
1000.00
33060
03 30 2018
Joseph Perry
11046 Wildlife Trail
Tallahassee, FL 32312
26
I
Consultant
Trans Out
500.00
.,a-uc 1.3 tmev. "111141 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Michelle J Gomez
(2) I.D. Number
(3) Cover Period 03 / 01 / 201J6 through 03 / 31 / 2018 1 1
(4 ) Page Of
(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
03 31 018
TD Bank
1800 North Pine Island Road
Bank Paper
Statement Fee and
Plantation, F1 33322
maintenance fee
CAN
12.00
1
03 26 201E
Metro PCs
Phone
5718 N University Dr
Tamarac, Fl 33321
MON
7.50
2
03 26 201
Pay Pal
2211 North First St
Fee Processing
San Jose, CA 95131
CAN
3.59
3
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES