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Q3 - 2009 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY Check appropriate box(es): [{] Candidate (office sought): Boynton Beach City Commission - District 1 o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication (5) REPORT IDENTIFIERS Cover Period: From 7 I 1 I 09 To 9 I 30 I 09 Report Type Q3 -- --- o Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (7) EXPENDITURES THIS REPORT Monetary Expenditures (1) William "Bill" Grlove Name (2) 2459 SW 23rd Cranhrook Drive Address (number and street) Boynton Beach, FL 33436-5718 City, State, Zip Code o CHECK IF ADDRESS HAS CHANGED (4) (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 3,197.00 Loans $ 0.00 Total Monetary $ 3,197.00 In-Kind $ 50.00 (9) TOTAL Monetary Contributions To Date $ 4,297.00 OFFICE USE ONLY Cl \.D o n -of I (') <;':.,;;.; ::;.i<: :;~ en ;n~ (3) 10 Number: :J:a ::I: - , .))_<1. o O".k. ~ ~ w ::x: o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED $ 40.52 Transfers to Office Account $ Total Monetary 0.00 $ 40.52 (8) other Distributions $ 0.00 (10) TOTAL Monetary Expenditures To Date $ 40.52 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F .5.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. William Orlove ,f Treasurer 0 Deputy Treasurer x Signature OS-DE 12 (Rev. 08/04) William Orlove Chairperson (only for PC, PTY & lectioneering commun. organization) x Signature CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name william "Bill" Grlove (2) 1.0. Number 7 1 09 9 30 09 1 f 3 (3) Cover Period I I through I I (4) Page 0 (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, Zio Code Tvoe Occuoation Tvoe DescriDtion Amendment Amount Harriette Tucker 1 Retired CHE $100 7 1 3 109 Berger 2407 SW 23rd Cranbrook Drive 1 Boynton Beach, FL 33436 a 7 6 p9 Mike/Bobbie Cohen 1 Retired CHE $50 1 12209 Callaway Gardens Road Boynton Beach, FL 2 33437 Alan/Paula Litroff 1 Compute CHE $200 7 , 6 0)3 14079 Glenlyon Ct. r Delray Beach, FL special 33446 ist/Edu 3 cator Alan Gluck 1 Relativ CHE $25 7 6 109 21 Brian Lane 1 e Hyannis. MA 02601 4 Doris Kesten 1 Relativ CHE $500 7 1 6 1 09 97 Silverleaf Lane e West Yarmouth, MA 02673 5 7 17 ,09 Roberta Shapiro 1 Retired CHE $50 , 85 Sheep Meadow Road West Barnstable, 6 MA 02668 7 17 1 09 Barbara Macke 1 Relative CHE $25 1 2705 Hayes Lane Bloomington, IL 61704 7 Max and Lil I Relativ CHE $500 7 1 17 109 Kleiman e 2107 W. Norfolk Court 8 Mequon, WI 53092 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name William "Bill" Orlove (2) 1.0. Number 3)C p 7 I 1 I 09 th h 9 I 30 I 09 ( p 2 f 3 ( over erlod roug 4) age 0 (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, lio Code TVDB Occunation Tv"", Descriotion Amendment Amount Nina Kaplan Glaser I Public CHE $36 7 1 17 1 09 4833 N. Lee Road relation Delray Beach, FL s 33445 9 7 17 1 09 Harvey and Miriam I Relativ CHE $50 1 Orlov e 1108 Hunter Road Glenview, IL 60025 10 Jon OrIove I Relativ CHE $200 7 117 109 816 washington e Evanston, IL 60202 11 Ellen deRoxtro I Educato CHE $100 7 24 109 518 Live Oak Lane 1 r Boynton Beach, FL 33436 12 Bill/Myrna Elkins 1 Retired CHE $25 7 1 24 1 09 84 Rolling Hitch Road Centerville, MA 13 02632 7 24 09 Mert/Dottie Rotter 1 Retired CHE $50 1 I 2115 w. Norfolk Court Mequon, WI 53092 14 7 31 09 Jeff/Jackie Grlove I Relative CHE $500 1 1 2122 stonebridge Court Wheaton, IL 60187 15 Joanne Ulrich 1 Store CHE $200 8 1 7 1 09 4283 F Wood Drive Manager Boynton Beach, FL 33436 16 n~_nl= 1::l: lR,.v OA.In:n ~~F R~FR~F FOR IN!'tTRIIr.:TION.C:; ANn r.:nnF VAIIII::~ CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name william "Bill" Grlove (2) I.D. Number 7 1 09 9 30 09 3 3 (3) Cover Period I I through I 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 Citv, State, Zio Code Tvoe Occuoation Tun<> Descriotlon Amendment Amount Mark Kleiman 1 Relative CHE $75 8 1 14 1 09 2013 Curtis Avenue unit B Redondo Beach, CA 17 90278 8 14 09 Patrick Voetberg 1 Film CHE $100 1 1 25941 Royal Oaks editor Road Stevenson Ranch, 18 CA 91381 Patrick Jasperse 1 Attorne CHE $50 8 I 22 109 407 Hamilton y Avenue Silver Spring, MD 19 20901 Randy/Diane Lott 1 Store CHE $50 8 1 28 109 53 Joy Haven Drive Manager Sebastian. FL IEducat 32958 or 20 Neal and Judy Sher 1 Relativ CHE $36 8 1 28 1 09 2837 Glenhurst e Ave. South St. Louis Park, MN 21 55416 8 29 09 Kaci Collins 1 Art INK Graphic $50 1 I 117 Elysium Drive directo design West palm Beach, r work FL 33411 22 9 4 09 Ingrid Mendoza 1 Resident CHE $25 1 1 2637 SW 23rd ial Cranbrook Ct. managerne Boynton Beach, FL nt 23 33436 Lucille Epstein I Retired CHE $250 9 1 18 109 7528 Sagunto street Boynton Beach, FL 24 33437 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES William "Bill" Orlove (2) I.D. Number (3) CoverPeriOd~/~~through~~/~ (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, state, lip Code candidate) Type Amendment Amount /31 /09 Bru I s Room Dinner with MON $21.82 7 1333 N. Congress Ave. campaign Boynton Beach, FL 33426 consultant 1 Green Owl Breakfast with MON $18.70 9 /26 /09 1889 Woolbright Road community Boynton Beach, FL 33426 leader 2 / / I I I I I / I / I / DS.DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES