HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(Z) RF�Fit,F�
�9z
�L°D9i7iah �L �ft Oij
City, State, Zip Code �9 C/ryC/eSebasOfj�
❑ Check here if address has changed (3) ID Number: ice
(4) Check appropriate box(es): /
Ercandidate Office Sought: 60:5 -1i �oU l
.5� 4 n 4 7L y rl c
❑ 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 / 5 / Report Type:
E�15riginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $_ , _ , D . _
Monetary
Expenditures $ ,
Loans $_ /
Transfers to
Office Account $
Total Monetary $
Total Monetary !�?
In -Kind $_
(8) Other Distributions
$ 0.—
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
304
Z
(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 rr,�)port and it is true, correct, and complete: //j
�dI�Z
(Type name) laf' /,, (TYPE name)
/✓OJ
❑ Individual (only for IE �ireasurer ❑ Deputy Treasurer �andidate ❑ Chairperson (only for PC and PTY)
or electioneeringcc000mmm.).,).,//n
7�J//
X V U / r' �c !/ �(J W/!
Signature Signature
u5•ut U (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name � / 4 /q h (2) I.D. Number
(3) Cover Period )0/ 2D/ 1.5 through // / S / _Lf (4) Page of
(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
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
/
4b
c;
o
CZ
Of
9
S6 ?OJS
1 1
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AMPAIGJV�EASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name CL J )c+ L
(3) Cover Period /0 / 30 / / � through
(2) I.D. Number
(4) Page of
(5)
Date
(T)
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
ar m�
a
1_ r
01�f
n��
�7�,
Fo.
,2 '
c�e�
Q6aS CJS
!i
O cc,
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES