HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name RF0411
(2) 60t �'�. Q O Fo
CT
Address (number and street) l 9
2Q1is
C241of Se
Cher basti
,
City, State, Zip Code ks p an
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
29.Candidate Office Sought: u, G
❑ 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 I ®� 1 .� - To I 1 02 Q l,S Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
C; 0
Cash & Checks $ , 2100 ----
Monetary ?`7 9 6-0
Expenditures $
Loans $
Transfers to
-Office Account $ ---- �-
Total Monetary $ 00
, —•
Total Monetary $
In-Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
o
(10) TOTAL Monetary Expenditures T Date
.--
(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:
(Type name) . C (Type name)
❑ Individual (only for IE XTreasurer ❑ Depu reasurer Candidate 'Chairperson (onl a d PTY)
or electioneering m.)
X X
Signature Signature
D5 -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name /�,no��
Q
�`
(2) I.D. Number
(10)
In-kind
Description
Amendment
(3) Cover Period 1
03
1 O?O)S throughJ
1 1 p �S� (4) Page
� o, t
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
Amendment
(12)
Amount
(6)
Sequence
Number
V ex-
A
P. o . 6q.5 665
F'
? A
N R
A
ov
aGO
c
17A_9
C/�,r�
6.
p,
ce
/ 1
1 !
r i
D5•DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period 31, ?0 Sthrough _/O ;?615
(2) I.D. Number
(4) Page I 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
0/0
o
i 0/0 -7//,15-
Q
aoo 1 j
000,
�C
s ast�
Al.'s
Q
�L
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES