HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) I C ti' C! OFFICE US90�
Name Fp
(2) 17q e - 4ve, '��� > 0
Add r ss nu bea~ an ree City Of Z�jUr
( ) Z �S� c�� % kebaSt�a n
3 s
T O ice
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): N
Candidate Office Sought: o. T D V M C 1
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee (PTI) ❑ 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 I [ 1 To 1 1 j Report Type
�riginal
❑ Amendment ❑ Special Election Report
P P
(6) Contributions This Report
(7) Expenditures This Report
Cash &Checks $ , �. !10
Monetary c
Expenditures $ .
Loans $ �� • n�
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $
(8) Other Distributions
$,
(9) TOTAL Monetary Contributions Date
(10) TOTAL Moneta Expenditures To Date
$ 4�
$ -- .
(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:
1
(Type name <R � a (Type name► (1k/V i 6�tulwv-
Individual (only for I 9&Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
'
or election! com
X X
Sign ure Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name �,�� 4 (2) I.D. Number
(3) Cover Period / l / l _-'r through 7 I / _jr (4) Page �_ of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type I Occupation
(9)
Contribution
TVDe
(1 0)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
7f4
1 1
�if4
`T
' t5
�-
C�DA�
1�v�NAVd
1 1
AGO
0.1
C�
�
of
i
1 /
1 I
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TRRER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Xr ch At H # C--;tnn6,y-,
(3) Cover Period l I �� through 7
(2) I.D. Number
(4) Page of
(g)
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
4110,
'�t.k b" '?z
of
C/e4? asci
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES