HomeMy WebLinkAbout21M12 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Andre Williams OFFICE USE ONLY
City or Miami i s
Name Recdve: ' ' the Office of,;-!e City Cleric
(2) 1850 NW 170 Street Date: I
Address (number and street) Time:
Miami Gardens, FL 33056
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑r Candidate Office Sought: Councilman, Seat 6, City of Miami Gardens
❑ 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 12 / 01 / 21 To 12 / 31 / 21 Report Type: 21M12
❑Original ❑Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ , , • Expenditures $ , , .
Loans $500 , • Transfers to
Office Account $ , .
Total Monetary $ , •
Total Monetary $ 518 ,
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 525 , , $ 518 ,
(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)Andre Williams (Type name)Andre Williams
❑Individual(only for IE 9 Treasurer 0 Deputy Treasurer 0 Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.) ., 3
n
X amo, L
L/VLL(cM'I4-
Signature I Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Andre Williams
(1) Name (2) I.D. Number
(3) Cover Period 12 / V / through / i / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
Andre Williams
12 01 21 1850 NW 170 Street
/ / Miami Gardens, Fl 33056
I Attorney LOA consulting 500
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT-ITEMIZED EXPENDITURES
(1)Name Andre Williams (2) I.D. Number 21M12
(3)Cover Period 12 / 01 / 21 through 12 / 01 2021 (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
SILVER STAR South Florida, LLC consulting
12)/ 01/ 2: 2161 SW 80th Terr
Miramar, Fl 33025
DIS 510
/
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES