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Home My WebLink AboutM6 Report KinchenR CAMPAIGN TREASURER'S REPORT SUMMARY Name (Z) 150 1JEL MAR _Rt) Address (number and street) S��ASTtl� , Et_ 3aCJSd City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): OFFICE USE ONLY RFCF��FD JV[ . �yr0'ofs 8 �16 (3) ID Number: ® Candidate Office Sought: LIT" ; Ce)k)KX 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 � � � � f _I, Report Type: Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures Thfs Report Monetary Cash &Checks $_ , — ,675 . GC Expenditures Loans $_ , _ , for CG Transfers to Office Account $ Total Monetary Total Monetary $ In -Kind $_ 3�- (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 9 7,5. &) $ NCO (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 omplete: (Type name) M g tJ ( Y V e 1 Q V ❑ Individual (only for IE 10"iYaasurer 0 Deputy Treasurer or electioneering comm.) Signature DS -DE 12 (Rev. 1111 (Type name) L_ ( N b A K I N CH UN Utandidate ❑ Chairperson (only for PC and PT() _.X ��44 Signature 'cc rccvcrkJt 1 -UH INSTRUCTIOI,IS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. 0 Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. 4 Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 111/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: 0 Original: first report filed for this reporting period. transfers and expenditures/distributions being 0 Amendment: must summarize only contributions/fund reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS -DE 13A and 14A. 0 Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In -Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC. ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: 0 Candidate report: treasurer and candidate must sign. 0 PC report: treasurer and chairperson must sign. 0 PTY report: treasurer and chairperson must sign. 0 ECO report: organization's treasurermust sign. 0 IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14,14A and 94. �O s 0 06 CAMPAIGN TREASURER'S REPORT- ITEMIZED )EXDPENDITUR. Numbi ES%��SO ,S (1) Name L 182i )a K/I!SjC // E_AI (3) Cover Period _045_,_/ Qi_/_ Ip through(V d (o (4) Page / of / (5) Date (7) Full Name (Last, Suffix, First, Middle) (S) Purpose (add office sought If (9) (1u) (11) (S) Sequence Number Street Address & City, State, Zip Code contribution to a candidate) Expenditure TYPe Amendment Amount o� /6 blit own r(vc,5 (? / i OL %Ie IIbSO Us N1(SA A;' I �eb0.5�,GU1, FL 3�15Pj �j 1 Z Tb T AL Pewr 7-Y, 90 u5 H1(,HuAV / S c (3/}STi Am, )C. CA , 3 0 58 l�ft}SU2£ �QAST T�65 /, l9. 1&eba5-t", FL 3,A68 cl ►tj �f4MS CLuB�� VE R0 ,EACH/FL AMItZa Cts H LO DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (Month/Day/Year)- (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a Mt report having 40 expenditures would use sequence numbers 1 through 40. The next report (102), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended Mt reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment (including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Descri tion CAN Candidate Ex ensa DIS DFC DPP DPV Dis osition of Funds Dis osition of Funds to Future Cam ai n effective 1111/13 Dis osition of Funds to Political Party lerrecove 11/1113 Dis osition of Funds to Petition Verification effective 1111/13 ECC Electioneerino Communication lEC Inde endent Ex enditure Re ardin a Candidate IEI Inde end Ex enditure Re ardin an Issue MON Moneta Not to a Candidate PCW Pelt Cash Withdrawn PCS Pett Cash Spent PPD Pre- aid Distdbution REF Refund Ne alive Amount Only) RMB TOA Reimbursements Transfer to Office Account Dis osition of Funds (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at Ocie plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS ✓URFcC ;' �o (1) Name L 1 fJ )A K INC fCO (2) I.D. Number CCr� of 2Q� —��bO'Stia 6 (3) Cover Period through C)6,, / / 1j (4) Page J of/ce (5) (T) Full Name (Last• Sulrix, First, Middle) (8) (8) (10) (11)F(12)Date (6) Sequence Street Address E Contributor Contribution In-kind Number Ci . Stale, Zi Code T e Occu al on T e Descr tion Avendm¢mk ncti£tJC)D�\WOFPA i FL I'�S�1011 OW 67 Ila fibra. C �tr`}� 757 �gSL.b�YL `�-MSt0j) FL I CM E /Ub.bb '2- 2z____)C15e 0 co/b7 wanC veld -i- 011E /I �y 3 F a(orC77 &-rry Conyers'` / `Im1...�Z_ .1�rlmroSz G(_-t1kS+an , CL �7ro obi07 fan kInq �r�S, a0.2� /((o Tb 2!% 78dcl42 ;E:e%S�A-an T"L. , 3ag78 Ce/o CSS ;dj /►te5Wolorntnb � h\elbourne,FL. O(ClU % �( C�eny 1 C{I J 00 IAO 8470 99,�6 Ave Vero POL�F/_ -301?lo7. as -n;: in re-, w,1i - - -- •.�• �...�� rvic irml MUG I IONS AND CODE VALUES R ✓U �eF��Fo CAMPAIGN TREASURER'S REPORT—ITEMIZED,CONTRISUTIONSC q�8 �Q 2 %l�046, J6` (1) Name (2) I.D. Number pia (3) Cover Period []' (n / 01 / 11, through 01, / -:!,o / 1L,.) (4) Page Z of (5) Date - -- (7) Full Name (Last, Suffix, First, Middle) (8) (9) (10) (11) (12) (6) Sequence Street Address& Contributor Contribution In-kind Number CII . State, Zi Code T pe Occu ation T e Descri lion Amendment Amount 03 , (� telly ria,@ do(YLAft n,f ( c+ie iooa� +I�,�,► nc CJUJfCAf_Oe CNE PO 90X 797 % L bas+ran, F� � �s8 (9&r a� Jlo �N19- eo b. cHE Ooo ' 943)ee /b7u`' AeC h i Oei� %t, Fc Ann�r� Rd m In CHE P0 &X 7�0WS R557F Se&,S+Aa/), R_ l l r r r r r r 1—— --1 -1 .+�� .cvcnac r6m MO i KUU I TUNS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organizations (ECO) or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officers reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ). (5) Date contribution was RECEIVED (Month/Day/Year). (6) Sequence Number — Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a pA1 report having 75 contributions would use sequence numbers 1 through 75. The next report (M2), comprised of 40 contributions would use sequence numbers t through 40. Contributions on amended M 1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor (including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) I I Individual B Business also includes corporations. organizations, groups, etc. E ElectioneeringCommunications Organizations F P Political Committee Political Parties federal or stats (includes federal, state and county executive committees O Other e.., candidate surplus funds to party, etc. S Candidate to Self I Multi le ntributions (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Description h oWordser s Chock ,unvious Cam ai n NINK erMUC I Multi le ntributions RCT I Other Receipts REF I Refund (Negative Amount Only)