HomeMy WebLinkAboutHill TR Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jim Hill OFFICE USE ONLY
Name RECEIVED
(2) 235 Stony Point
Address (number and street) JAN 2 12015
Sebastain, FL 32958
Uty of Sebastian
City, State, Zip CodeGity Clerk's Office
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
21 Candidate Office Sought: Sebastian City Council
❑ 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
10 31 14
Cover Period: From / / To / Qti I Report Type:
21 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ , 585 .
Loans $
Transfers to
Office Account $ .
Total Monetary $
Total Monetary $ .
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 42310
$ 9 4 , 310
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is true, correct, and complete:
(Type name) Jim HIII (Typq name) Jim HIII
❑ Individual (only for IE (usurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
or electionee ' g co m.)
X x
Signa re Signatur
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Jim Hill
(3) Cover Period 10 1-,I/I 1j. through ll l 061 / ) `Z
(2) I.D. Number
(4) Page of
(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
(1 0)
Amendment
(1 1)
Amount
(6)
Sequence
Number
11 04 14
Pizza Pie and Wing Co.
Sebastian Blvd
Sebastian, FL 32958
Party
MON
500
1
11 04 14
Jim Hill
235 Stony Point Dr
Sebastain, FL 32958
Repay Loan
MON
85
2
le
`Zt,yo
At
e
DS -DE 14 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Jim Hill
(1) Name
(2) I.D. Number
(3) Cover Period l ! l through I ! (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(1 0)
In-kind
Description
(1 1)
Amendment
(12)
Amount
(6)
Sequence
Number
I I
QFC
O
1 1
C;
Ofs
/erk OS f�
,O
1 I
I
1
DS -DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES