HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
1
o-�_ Co�z OFFICE USE (MLY
Name
Address (number and street Ci ?0
Se�bcs�c;a � 3�`ls� U41);Ce�sbotian
City, State, Zip Codec
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought
❑ 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)
(6) Report Identifiers
Cover Period: From 0-71 Q l a 0 )s To U'7 / 33 l l p�1J Report Type: M-7
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ 0, 0, 0. O
Monetary
Expenditures $ Gy
11 ,O0
$ 1,0 �/
Loans f -
Transfers to
o
Office Account $ d Q
/�
Total Monetary $_ , 0. V
Total Monetary $ r)
In-Kind $ 0 U , G • 0
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 0 00
$ G C" C) u
(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) IIIAV_eeo. z , C(Type name) l�1 ✓v CLro� �✓
❑ Individual (only for IE X'Treasurer ❑ Dep u reasurer Candidate / ❑ Chairperson (only for PC an N)
or electioneering .)
X
Signature —1 Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(2) I.D. Number
(3) Cover Period 07_ / 01 0— l ,.?UIJ through Q_7 / ,3 l l aQI S (4) Page I of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Descriptio
(l1)
Amendment
(12)
Amount
(6)
Sequence
Number
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5e'�oc S%
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A
C1. C
C/YC
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nes aS tia
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C,AMPAIG TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name /� c n� kj ,���`/ (2) I.D. Number
(3) Cover Period 0 -7 / 0) /,;�O1Jthrough 07 /0_/ �ZD 1,5 (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
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
C1
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yes
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES