HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
{{6& �� /o rf OFFICE USE ONLY
Name
(2)
_i(c-;-
Address (number and street)
rSAW<'r/01V A-- 0,9 ?4
City, State, Zip Codeci y°r so is
r_1Check here if address has changed (3) I D Number: Irks O CO
(4) Check appropriate box(es):
Candidate Office Sought:d?s7o�s�s
❑ 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 / o / n / / / $'_ To /o / 0,7- / fS— ReportType: 6; /
[Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ — —
Loans $ — , _— —
Transfers to
Office Account $ —
Total Monetary $ — —
Total Monetary $
In-Kind $ �_ — • _�
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expeer(]Tdit9ures To Date
$ 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:
4�& j/1~ Ait
(Type name) t4Jli!/J (Type name) !A.4+
❑ Individual (only for 1E,_--1n7r-dAsurer ❑ Deputy Treasurer ecandidate ❑ reon (only for PC and PTY)
or electioneering Wrnn`1*1
X X
Signature Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name 'bwwxi. �!l�• I (2) I.D. Number
(3) Cover Period 10 / O / / /,through /W / O L / / �_ (4) Page / of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City, State, Zip Code
(8)
Contributor
Type Occupation
(g)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
/ /
RETE
Oct 0 s
Clty
cit, C Sebe
VED
015
ti an
doe
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AIG4I TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name b,CAP (2) I.D. Number
(3) Cover Period through w / 01/ /f (4) Page % of
(5)
Date
(T)
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
FCEIVE
c ;r
City
0 9 709
aebastlg
rk's ofnc
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES