HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
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(1) ( "Jo JAJ,N� l tw+�Gra. �l��y�r OFFICE USE ONLY
Name T
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(2) /&:s XkXF.,
i O
0
CT
Address (number and street)
C; Jy
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c�e�kS
City, State, Zip Code
acrid
❑ Check here if address has changed
ce
(3) ID Number:
(4) Check appropriate box(es):
L3't.;andidate 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 / p ( l Z pi(p To
/0 l )-L l 70KO Report Type: C 1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ p
Expenditures $
Loans $— — ,
Transfers to
Office Account $
Total Monetary $ () • _
Total Monetary $ .
In-Kind $
(8) Other Distributions
$ O
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ ao
$ (o( Do
(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:
Crype name) M I11 e lI ,
(Type name)
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer
12rcandidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X CIO "
Signature
Signature
CAMPAIGN TR ER'S REPQRT )TEMIZED EXPENDITURES
(1) NameL��, rr (2) I.D. Number
(3) Cover Period lf) l DI l/0/& through In/0Z/ 107 (4) Page 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)
Amo 't
(5)
Sequence
Number
/
l F
76
s n�
Oh; o
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name L , A J,�' , (2) I.D. Number
(3) Cover Period /V l of / Z p/ through 10 / 07 / 2 r11i0 (4) Page
,— of y
(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
tion
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
R
cFi�
/
of .0
cfe�/r'
,
0 e'
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES