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HomeMy WebLinkAboutM4 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) Charles (Ed) Dodd OFFICE USE ONLY Name RECEIVED (2) 906 Fleming St Address (number and street) MAY 10 2016 Sebastian, FL 329558 City of Sebastian City Clerks City, State, Zip Code Office ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): M 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) �y (5) Report Identifiers Cover Period: From 04/&9(/06 / To 04/30/16 / Report Type: M4 ❑� Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 400•,00 Expenditures $ 0.00 Loans $ 0.00, Transfers to Office Account $ 0.00, Total Monetary $ 400.,00 Total Monetary $ 0.00, In-Kind $ 0.00, . (8) Other Distributions $ 0.00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 400.00 $ 0.00 (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: (Type name) David Brunelle (Type name) ❑ Individual (only for IE [] Treasurer ❑ Deputy Treasurer IXCandidale �❑ Chairperson (only for PC and PTY) OF electioneering comm.) A�zael Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Charles (Ed) Dodd (1) Name 04/14/16 04/30/16 (3) Cover Period / / through / / M4 (2) I.D. Number (4) Page of of 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 04/26/16 Charles E. Dodd 906 Fleming St. Sebastian, FL 329558 S Sales IAA 300.00 1 04/26/16 / David Brunelle 762 Holden Ave Sebastian, F1 32958 I Retired CNE 100.00 02 / Mqy C0// c'r' "a Fo o as00/6 "Ice / I DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES