HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY
�/ OFFICE USE ONLY
Name RFCE��
(Z) :50 \ a��\ f1 � Fa
Address (number and street) MCP 0
c1ryOf ?015
Cfty C/e t aetln
ks
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
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 / / To / / Q Report Type: �
io a� a �� �
_�
;Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
00
Cash & Checks $ _ , �.
Monetary
Expenditures $ �—
Loans $ — — 00
, • --�
Transfers to 00
_
Office Account $
Total Monetary $_ , C9 -'
Total Monetary $ ff uu U/, —77
In -Kind $
(8) Other Distributions cJU
$
(9) TOTAL Monetary Contributions Toate
(10) TOTAL Monetary Expenditures T
$ , 12e
oDate
$ 1Sd �--
(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) 4r`.As � G , Co�� (Type name) A nrt v ,�,_,
❑ Individual (only for IE �<reasurer ❑Deputy easurer )ELCandidate ❑ Chairperson y for PC an )
.)
;X=X
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name �✓LdCc�a c-�"'/ (2) I.D. Number
/1
(3) Cover Period 10 /p201Sthrough / / (4) Page l of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(6)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
AmendmentAmount
(12)
(6)
Sequence
Number
V
O
v
basri
0/ s?
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
/� CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Av�Ar o �_ C-0
(3) Cover Period /0 130 401!�throughIL/ OE L;
(2) I.D. Number
(4) Page _ I 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
(5)
Sequence
Number
10 /.?old
coI
1011K
boa
2� s�
003
14 i
Nov
l"'
Cy
q
f 1
elsks Offlc
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES