HomeMy WebLinkAboutM7 ReportCA AIG TREASURER'S REPORT SUMMARY
(1) p n ►�
OFFICE USE ONLY
Address number and street
AUG a
City
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
D-16andidate 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)
(5) Report Identifiers
Cover Period: From / j / 41 To
7/ 30 Report Type:
riginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ %Oct . p 0
Expenditures $
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
$ ,_/00. n(7
$
(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 port and it is true, correct, and complete:
I L 1
90 �
(Type name)
(Type name)
❑ Individual (only for IE reasurer ❑ Deputy Treasurer
or electioneering comm.)
ED-dandidate ❑ Chairperson (only for PC and PTY)
X
X"'W
Signature
Signature
uo-u= lL tKev. iiiis) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name gd � y (. '! r'� ',( 2) I.D. Number
(3) Cover Period -71 / I /.5 through ?I 31115 � (4) Page / of
(6)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
Cit State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
nlz(b J
�.
�
LD/09,00
1 1
C.
�
G�
Of �0
perks aSti
0�c
S
1 /
1 I
1 !
l 1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(2) J.D. Number
(3) Cover Period I I through I I (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
(14)
Amendment
(11)
Amount
(6)
Sequence
Number
RFc
.
6 � p
cOfSeb
%f
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES