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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