HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
/�
(1) AI ace. Cos/ OFFICE USE ONLY
Name RECEIVED
(z) _,S70 l �a� fn., e _ OCT 0 5 2015 '
Address (number and stree
2 �C�ST,1 City of Sebastian
�S��cam:1 City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
1
&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)
(5) Report Identifiers
Cover Period: From j 0 / D l 070To ! 6012 1 '?0 /_ Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ " , - d .
Monetary
Expenditures $ t
Loans $ 00
Transfers to
—
Office Account $ 06 — — Q
Total Monetary $ - O
, -- ,
_
Total Monetary $ — — �� 7 I k
In -Kind $ 6 0 0
—
(8) Other Distributions G O
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ — `_ 00
$
(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:
i
(Type name) / % v.Ctte--+ s(T e n 1
YP name) f / h rl�V_ e.c.
T_
❑ Individual (only For IE Treasurer gcandidate ❑ Chairperson (oNy for PC and PTY)
or electioneering m.)
X X
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Rn�ce� () _ �o✓ (2) I.D. Number
(3) Cover Period Q ! O ( 1p20IJ through (4) Page
Of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(S)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Descr tion
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
G
RECE
OCT 0
City of S
IVED
5 1015
Bbastian
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
/� C MPAIGN TREASURER'S REPORT– ITEMIZED EXPENDITURES
(1) Name A n A cps Cz,
(3) Cover Period / l 01 l20iS through 12 1Oo?1:�O /S}
(2) I.D. Number
(4) Page—of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(6)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
0/0/1
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to/Or
�G` T
`
REC
OCT
City of Sebastian
City Cle
IVED
5 2015
k's Office
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES