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HomeMy WebLinkAbout2018 - M1- 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 FICE USE ONLY Name 7818 FEB PM 2:14 (2) 4910 Woodlands Boulevard R Address (number and street) CITY � Tamarac, FL 33319 CI_,.._, City, State, Zip Code EJ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): R] Candidate Office Sought: Commissioner for Tamarac District 2 ❑ Political committee (PC) ❑ Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) El Check here if PTY has disbanded E] 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 J 01 /2018 To 01 / 31 /2018 Report Type: 2018M01 2 Original El Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 2,328 00 Expenditures $ 1 169 .06 Loans $ 1,159 06 Transfers to Office Account $ 0 00 - Total Monetary $ 3, 487.06 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 $ 12 242 83 1 $ 1 814 .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) C h6��f�C� (Type name) Michelle J Gomez [D Individual (only for IE Deputy eputy Treasurer 121 Candidate El Chairperson (only for PC and PTY) or electioneering comm.) r X z1111ala, a/ X r. Signat6're Signature LJ,7-IJF- !& knuv. I Irl 01 SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michelle J Gomez (1) Name (2) I.D. Number � 0 1 Ol 2018 Ol 31 2018 (3j-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 I Occupation Type Description Amendment Amount Ronald Cacciatore 01 29 2018 2675 Palmer Place © Weston, Florida 33332 I Appraiser CHE $500.00 1 Joslyn Ward 01 / 29 `2018 8150 W McNab Rd Tamarac, Fl 33321 2 I CAS 13.00 Mark E Allsworth PA 01 , 29 12018 1177 SE 3rd Ave Ft Lauderdale, Fl 33316 B Attorney Che 250.00 3 Karen M Long 01 29 /2018 4607 Bayberry Lane Tamarac, F1 33319 4 I Che 50.00 01 29 2018 Herbert Daley l 6085 Sabal Palm Blvd Apt 301 Tamarac, F1 33319 I Che 5 50.00 01 29 2018 Joel Davidson 4608 Norfolk Island Pine Drive 6 Tamarac, F1 33319 I Che 50.00 01 29 2018 Harriet Slatzman 1 7650 W McNab Rd Apt 301 Tamarac, FL 33321 I Che 7 �n 20.00 --- I wV. I Ott KtvtKbI= I -UK INSTRUCTIONS AND CODE VALUES 1 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number (3) Cover Period 01 01 2018 through 0 1 31 2018 2 6 — — _ (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 _ Type Description Amendment Amount Santa Burke 01 29 2018 334 Peachtree Drive East Norwich, NY 11732 — 8 I Che 50.00 Ina Ellen Wendler 01 29 2018 6351 N. University Drive, Unit 104 Tamarac, FL 33321 I Che — 9 25.00 West Boca Hearing 01 29 2018 Center 9178 Glades Road Boca Raton, FL 33434 B Hearing Aid Che 100.00 — 10 Joseph Grossman 01 29 2018 1699 Grantham Drive Wellington , FL 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 2018 Big Dog Construction 6308 NW 65 Terr Parkland, FL 33067 — 13 B Contractor Che 100.00 01 29 2018 Doumar, Allsworth, Laystrom, Voigt, Adair, Dishowitz 1177 SE 3 Ave B Law Firm Che 14 Ft Lauderdale, FL 250.00 L 33316 ..—I Ott Kr_VtKbt [-UK lNbTKUCTIONS AND CODE VALUES 0 . CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number (3) Cover Period 01 01 2018 through 01 31 2018 (4) Page 3 of 6 (5) (7) (8) (9) (10) (12) Date Full Name (Last, Suffix, First, Middle) (6) Seauence Street Address & Contributor Contribution In -kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Law Offices of Richard 01 29 2018 Entin 1720 Harrison St Suite 8D Hollywood, FL 33020 B Law Firm Che 100.00 15 Judith Goldman 01 f 29 2018 2006 Granada Drive Coconut Creek, FL 33066 1 Che 20.00 — 16 M. E. De La Rosa 01 f 29 2018 6211 SW 3rd street Margate, FL 33068 — 17 I Che 25.00 Marcia E Oban 01 i 29 2018 P. O. Box 26054 Tamarac, FL 33320 18 I Che 75.00 Alan Wise 01 29 2018 5208 Buttonwood Ct Tamarac, FL 33319 19 I Interior Dez Che 100.00 01 29 2018 S Pannaman 1 7301 NW 75 Ct Tamarac, FL 33321 — 20 I Che 25.00 01 29 2018 Pamela T. Le Mielle 7845 NW 78 Ave Tamarac, FL 33321 — 21' I Che 75.00 ____ . % V. i btt KtVtKbF= FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Michelle J Gomez (1) Name 01 01 (3) Cover Period (2) I.D. Number 2018 01 31 2018 4 6 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 Pamela Tookhan 01 29 2018 7750 West McNab Road Tamarac, FL 33321 I Cas 25.00 22 William Duesler 01 29 2018 22056 Altona Drive Boca Raton, FL 33428 — 23 I Cas 50.00 01 29 2018 Lauren Kaufman 9000 Portofino Cirlce Palm Beach Gardens, FL I Cas 40.00 24 33418 Tracie Scott -Thompson 01 29 2018 5904 Cedar Circle Tamarac, FL 33319 25 I Cas 60.00 Walter S Morris 01 29 2018 6562 NW 98 Ter Tamarac, FL 33321 — 26 I Cas 30.00 Barbara Tarnove 01 29 2018 8632 NW 79 St Tamarac, FL 33321 27 I Cas 20.00 01 29 2018 Peter Mason 7525 N. Pine Island — Rd., Suite 103 Tamarac, FL 33321 I Cas 20.00 28 Wb-Ut I J (Kev. iwi;s) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number (3) Cover Period ')l 01 2018 through 01 31 2018 5 6 — — _ (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 Type Description Amendment Amount Saul Chapnick 01 29 2018 100 Golden Isles Dr Apt 415 Hallandale, F1 33009 1 Cas 20.00 29 Roxanne Leitner 01 29 2018 6351 N University Drive Apt 314 Tamarac, F1 33321 1 Cas 20.00 30 Esther Tiburcic, 01 29 2018 4915 Woodlands Bouelvard Tamarac, FL 33319 I Cas 20.00 31 Patricia Randall 01 J 29 2018 11860 NW 42 St Sunrise, Fl 33321 32 I Cas 50.00 01 24 2018 Carol J. Gomez 63-61 99 St Rego Park, NY 11374 33 I Mother In Kind Metro Diner 783.00 (Kickoff Party food and service) 01 01 2018 Michelle J. Gomez 4910 Woodlands Blvd. Tamarac, FL 33319 of Expense 1 (Photographs) S Candidate LOA 265.00 34 01 10 2018 Michelle J. Gomez 4910 Woodlands Blvd. Tamarac, FL 33319 of Expense 2 (Cell phone) S Candidate LOA 15.00 35 1 - t wV. 1 1,01 btt: KtVt:Kbh FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Michelle J Gomez (2) I.D. Number (3) Cover Period 01 O:L 2018 through 01 31 2018 6 6 - - _ (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Tvpe Occupation Contribution Type (10) In -kind Description (1 Amendment (12) Amount (6) Sequence Number 12 2018 Michelle J. Gomez 4910 Woodlands Blvd. Tamarac, FL 33319 of Expense 3 (Pens) s Candidate Loa 508.06 — 36 14 2018 Michelle J. Gomez 4910 Woodlands Blvd. Tamarac, FL 33319 of Expense 4 (Clings) s Candidate Loan 371.00 37 IJ k wV. I it 10) bt:t KI:VhK5F= FOR INSTRUCTIONS AND CODE VALUES a (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Michelle J Gomez (2) I.D. Number (3) Cover Period 01 / 01 / 2016 through 01 31 / 2018 (4) Page 1 of (5) (7) (8) (9) (10) (11) 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 1 018 Skye Dazzle Photography 7650 Westwood Drive Photographs Headshots Apt 507 Tamarac, FL 33321 MON 265.00 01 10 /018 Metro PCS 5718 North University Drive Phone — Tamarac, FL 33321 MON 15.00 2 01 12 018 4 Imprint 101 Commerce St Pens P 0 BOX 320 Oshkosh, WI 54901 MON 508.06 3 01 14 2018 Type Styles Inc 9381 W Sample Road clings Ste 200 Coral Springs, FL 33065 MON 371.00 4 01 31 201E TD Bank 1800 North Pine Island Road Plantation, FL 33322 Bank Paper Statement Fee MON 10.00 5 DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES