HomeMy WebLinkAboutGilliams TR Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY
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OFFICE USE ONLY
Name
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(2) "1 3 lti-`y pore; ,7l
D
Address (number and street)
tits
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CltYoi 02015
City, State, Zip Code
C//yC/esebas
❑ Check here if address has changed
(3) ID Number: doe
(4) Check appropriate box(es):
j
�`
[Candidate Office Sought:
ST `✓� 7-
❑ 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
ver Period: From c / / , y
To ; / -2 / ; S Report Type: 'T2
9Original ❑ Amendment ❑
Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $
Loans $
Transfers to
Office Account $
Total Monetary $
_
Total Monetary $
In-Kind $
(13) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ ��, czS
$ oys
(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) �`I I`v°""`S
f t
(Type name) (---n
ff Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer candidate ❑ Chairperson (only for PC and PTY)
or elect' neertn comm.)
X ��
Signature
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
(2) I.D. Number
(3) Cover Period 10 / .7 ( / (-k through Z / -1.- /I'S (4) Page k of _
(s)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
l l
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e�,s asy.
en
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
;� CAMPAIQN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name t/(�v `r t� ttj (,9.—
_5 (2) I.D. Number
(3) Cover Period 0/ 31 / I`( through Z/ 2 / I' (4)Page I of 1
(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
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
P06 3c -k
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i A. PO.Z,
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LL)a-\j
F4 t46)9
F,
8 �
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 7 3 1 • " J