HomeMy WebLinkAbout2018 - M4- 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
❑ Ch k h
OFFICE USE ONLY
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ec ere H address has changed (3) ID Number:
(4) Check appropriate box(es): w
21 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 04 / 01 / 201E To 04 / 30 / 2018 Report Type: 2018M04
E-16riginal C_I Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ 00 00 Expenditures $ 19 50
Loans $__ Transfers to
Office Account $ Q QQ
Total Monetary ,
--- - - --
Total Monetary $ 0 .00
In -Kind $ 00. 00
(8) Other Distributions (-tr0cX)k `,':A
$ _1 3,35'j . U
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 1 13 , -132 . 33 $ 1 883 95
(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 Tof oll (Type name) Michelle J Gomez
0 Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X --
Signature
I] Candidate ❑ Chairperson (only for PC and PTY)
X
Signatute
It t"e"' "'-'''t SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT = r(5,. bONTRIBUTIONS
(1) Name Michelle J Gomez
(2) I.D. Number
04 01 2018 04 30 2018 1
(3) Cover Period / / through / / (4) Page of `'f"
(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
low
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04 26 2018
Brenner 2.0 LLC
/
28 Via Poinciana Lane
Boca Raton,Fl 33487
6
B
Property Mgz
Transfer
500.00
04 30 20108
Pamela T Le Mielle
7845 NW
78 Ave
Tamarac, FL 33321
7
I
Transfer
75.00
ua-vr 14 tnev. nns) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S S REPORT - ITEMIZEDrCONTRIBUTIONS
Michelle J Gomez
(1) Name
(2) I.D. Number
(3) Cover Period 04 / 01 2018
/
04 30 2018 2
through /
/ (4) Page
of
Date
(7)
Full Name
(8) (9) (10) (11)
(22)
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Contributor Contribution In -kind
Number
Ci , State, Zip Code
Type Occupation Type Description Amendment
Amount
04 30 2018
Equity Land Title LLC
525 Okeechobee Blvd
/
Suite 1570
7
West Palm Beach, F1
33401
B Title Compa Transfer
500.00
04/ 30
Dr Barbara Weinstein
10050 vestal Place
/2018
Coral Springs, Fl
8
33071
B CEO Transfer
100.00
�- �gooNow
d
04 30 201g
Oasis of Hope
501 NW 21 Ter
Ft Lauderdale, F1
10
33311
B
Counseling
Transfer
25.00
30
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REVERSE FOR INSTRUCTIONS
AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CON RIBUTIONS
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Contribution
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Amount
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Full Name
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Street Address &
City, State, Zip Code _ly2e
Contributor
Occupation
Contribution
Type
In -kind
Description__
Amendment
Amount
(6)
Sequence
Number
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CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Michelle J Gomez (2) I.D. Number
(3) Cover Period 04 / 01 / 2016 through 04 / 30 / 2016 (q) page 1 of 1
FSequence
(7)(8)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a
candidate)
(9)te
Expenditure
Type
,amendment
Amount
Number
04 30 018
TD Bank
1800 North Pine Island Road
Plantation, F1 33322
Bank Paper
Statement Fee and
maintenance fee
CAN
12.00
1
04 30 201
Metro PCs
5718 N University Dr
Tamarac, F1 33321
Phone
MON
7.50
2
DS-DE 14 (Rev. 1Ill 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES