HomeMy WebLinkAbout2018 - M3- 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
Michelle J Gomez
Name
(2) 4910 Woodlands Blvd
Address (number and street) CITY C," '1','V1ARA0
Tamarac, Fl 33319
City, State, Zip Code
F-1 Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought: Mayor Tamarac
E] Political Committee (PC)
El Electioneering Communications Org. (ECO) F-1 Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
E] Independent Expenditure (IE) (also covers an Ej Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(6) Report Identifiers
Cover Period: From 03 / 01 /2018 To 03 / 31 /2018 Report Type: 2018M03
� Original El Amendment El Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 9,215 00
Expenditures $ 18.56
Loans $ 10 007 15
Transfers to
Office Account $ 0 . 00
Total Monetary $ 19222. 15
Total Monetary $ 0 .00
In -Kind $ 00. 00
(8) Other Distributions
$ ) 1 18 56
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 19 222 15
$
(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:
name) Thomas Toffoli (Type name) Michelle J Gomez
-(Type
[Z] Individual (onforIE P1 Treasurer El Deputy Treasurer 121 Candidate El Chairperson (only for PC and PTY)
or ��electl 0
_XI"/ - X
Sign o(ure, IT� Signature
DS-DE 12 (Rev. 1"1111) SEE REVERSE FOR lN5TRUQTlUNb
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez (2) I.D. Number
03 01 2018 03 31 2018 1 5
(3) Cover Period / / through / (4) Page of —
(5)
(7)
(8)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Tvpe Occupation
Type
Description
Amendment
Amount
Ronald Cacciatore
03 30 2018
2675 Palmer Place
Weston, F1 33332
I
Appraiser
Transfer
500.00
Mark E Allsworth
03 30 2018
1177 SE 3rd Ave
—
Ft Lauderdale, Fl
33316
B
Attorney
Transfer
250.00
2
Herbert Daley
03 30 2018
6085 Sabal Palm Blvd
Apt 301
Tamarac, Fl 33319
1
Transfer
50.00
3
Santa Burke
03 30 2018
334 Peachtree Drive
t —
East Norwich, NY 11732
Transfer
50.00
4
West Boca Hearing
03 30 2018
Center
9178 Glades Road
Boca Raton, F1 33434
B
Hearing Aid
Transfer
100.00
5
Joseph Grossman
03 30 2018
1699 Grantham Dr
—
Wellington, F1 334141
Transfer
75.00
6
Big Dog Construction
03 30 2018
6308 NW 65 Terr
Parkland, F1 33067
2
Contractor
Transfer
100.00
7
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTION5 AND WW: VALUt:*
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Michelle J Gomez
(1) Name
(2) I.D. Number
(3) Cover Period 03 01 2018 5
through 03 1 31 / 2018 (4) Page 2 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
Tvpe occupation
Type
Description
Amendment
Amount
Doumar,Allsworth,
03 30 2018
Laystrom,Voight,Adair,
Dishowitz
1177 SE 3 Ave
3
Law Firm
Transfer
250.00
8
Ft Lauderdale, F1
33316
Law Offices of Richard
03 30 2018
Entin
1720 Harrison St
Suite 8D
B
Law Firm
Transfer
100.00
9
Hollywood, Fl 33020
Alan Wise
03 30 2018
5208 Buttonwood Ct
Tamarac, Fl 33319
1
Interior Des
M
Transfer
100.00
10
Pamela Tookhan
03 30 2018
7750 W McNab Road
Tamarac, Fl 33321
1
Transfer
25.00
—
11
William Duesler
03 30 2018
22056 Altona Drive
Boca Raton, FL 33428
1
Transfer
50.00
—
12
Barbara Tarnove
03 30 2018
8632 NW 79 St
Tamarac, Fl 33321
1
Transfer
20.00
13
Peter Mason
03 30 2018
7525 N Pine Island Rd
Suite 103
Tamarac, Fl 33321
1
Transfer
20.00
14
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUhb
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Michelle J Gomez
(1) Name (2) I.D. Number
03 01 2018 03 31 2018 3 5
(3) Cover Period I I through I 1 (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
Patricia Randall
03 30 2018
11860 NW 42 St
Sunrise, FL 33321
I
Transfer
50.00
15
Ilene Winick
03f 30
667 Allwyn St
/2018
Baldwin, NY 11510
B
Retired
Transfer
100.00
16
Q&Y Inc
03 30 2018
6980 W McNab Road
Tamarac, FL 33321
B
Transfer
1000.00
17
Trail Ridge landfill,
03 30
Inc
t2018
t
2700 NW 48 St
Pompano Beach, Fl
B
Landfill
Transfer
500.00
18
33073
Waste Management Inc
03 30 2018
of Florida
t 1
2700 NW 48 St
Pompano Beach, Fl
B
Refuse compn
Transfer
500.00
19
33073
Torre Family
03 30 2018
Partnership II LTD
1 1
1450 Quarton Road
Bloomfield, MI 48304
B
Contractor
Transfer
1000.00
20
Frank Torre Jr
03 30 2018
1450 Quarton Road
1 1
Bloomfield, MI 48304
1
Transfer
1000.00
21
DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUE5
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Michelle J Gomez (2) I.D. Number
03 01 2018 03 31 2018
(3) Cover Period / / through / (4) Page
4 5
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 I Occupation
Type
Description
Amendment
Amount
Greenspoon Marder
03 30 2018
100 W Cypress Creek Rd
Suite 700
Ft Lauderdale, Fl
3
Law Firm
Transfer
500.00
22
33309
Metro Broward Fire
03 30 2018
Fighters
304 NE 1 St
Pompano Beach, FL
B
Union
Transfer
1000.00
23
33060
Joseph Perry
03 30 2018
11046 wildlife Trail
Tallahassee, Fl 32312
1
Consultant
Transfer
500.00
24
Kathellen A Moran
03 30 2018
3045 Hobart St
f —
Apt 5B
Woodside, NY 11377
1
Retired
Che
1000.00
25
Michelle J Gomez
03 30 2018
4910 Woodlands Blvd
—
Tamarac, Fl 33319
S
Candidate
LOA
10,000.00
26
Mitch Rosenstein
03 30 2018
100 SE 3rd Ave
—
10th Floor
Ft Laudderdale, Fl
I
Contractor
CHE
300.00
27
33394
Christopher Rapp
03 30 2018
8201 Peters Road
/
Suite 4000
Ft Lauderdale, FL
I
CHE
25.00
28
33324
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND UQUE VALULb
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Michelle J Gomez
(1) Name (2) I.D. Number
03 01 2018 03 31 2018 5 5
(3) Cover Period l 1 through 1 / (4) Page of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
03 30 2018
Greg Evans
125 East 8 Ave
2nd Floor
Eugene, OR 97401
I
CAS
50.00
29
03 30 2018
Michelle J Gomez
4910 Woodlands Blvd
Tamaracf, F1 33319
Off Expense Cell phone
S
Candidate
LOA
7.50
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
Michelle J Gomez (2) I.D. Number
(3) Cover Period 03 / 01 / 201 through 03 / 31 / 2018 (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
(6)
Sequence
Number
03 31 018
Metro PCS
5718 N University Dr
Tamarac, F1 33321
Phone
MON
7.50
1
03 30 201E
Pay Pal
2211 North First St
San Jose, CA 95131
Fee processing
MON
11.06
2
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES