HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
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(1) ` `f `� OFFICE USE ONLY
NameRECEIVED
(2) //0_z-� " S-�,+�e .� J
Address (number and stre t) SEP 0 4 2015
C- fig fT tr✓ 329 S k
City of Sebalitian
City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed (3) ID Number: y
(4) Check appropriate box(es): 11
Oo
Candidate Office Sought: SEgrf S noft-n' e:• 7 u 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
Cover Period: From 9/ 1 / r 5" To l S 1 / If Report Type: //1- P
%Ciriginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ - -
Monetary
Expenditures $
Loans $_ , _ , IO6 °
Transfers to
Office Account $
Total Monetary -
Total Monetary $ 1 ,
In -Kind
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ ��j (,l �,
$
(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:
f��)
(Type name) D1J'l"Go� �j•tli4'n-S (Type name)
❑ Individ only for IE �' Treasurer ❑ Deputy Treasurer O' Candidate Chairperson (only for PC and PTY)
or elect! eering comm.)
X X
Signature Signature
05 -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name bg-ftt
(2) I.D. Number
(3) Cover Period 11 / I / 1S through ? / ,7 / / /1- (4) Page / of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
Cit ,State, Zip Code
(8)
Contributor
Tvpe Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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City of
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
��JYCAMPVTREASURER'S REPORT- ITEMIZED EXPENDITURES
IK -r •/lr (2) I.D. Number
(3) Cover Period (" / / / )5' --through t / 3 / / / S— (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
fi�BAS7/spy✓ l-�
/f_J_�`
(�
i i SEP 1
A'I � city
.� C A N , l`` � Y CIe�
-� ,, Mo
4105
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$ ore
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES