HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
P
OFF] G� ONLY
Name
IVFQ
Address (number and street)
CCltYofs Aft
.AaaL Ale,, �- ')mel 1
C/erkebastia
s Once
City, State, Zip Code
❑ Check here If address has changed
(3) ID Number. C_1
(4) Check appropriate box(es):
9<andidate Office Sought: S- L&!LAA&'
Q.&I (pun[.tt
❑ 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 Q_ / / ligo TO
1 1 / ;4 Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $— , Q . o
Expenditures $ 0. 00
Loans $— — , Q o u
Transfers to
Office Account $ U . a
Total Monetary $ 1au
Total Monetary $ oo
In -Kind $_ , _ , � . au
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ I , Q'tS . ou i$
-yn . 4 91
(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) _ ty!
(Type name) C
❑ Individual (only for IE ❑ Treasurer $')eputy Treasurer
or electioneering c—omm/.)
I?Candidale ❑ Chairperson (only for PC and PTY)
_�
XQ/� �"
X
Signature
lt—�/+----
Signature
US•IJE ,c %Rev. 1 a 13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name c��&, r= _Nd� (2) I.D. Number —�
(3) Cover Period __L0 / ()L / Alla through LO / CA /&'01L (4) Page t of �
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address&
City. Stale. Zip Code
(S)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
l l
RFc
F
trF
l l
s
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O�
. r/
I /
w -UQ w 1nev. [ u Jai StE Ktv EKSE I -OR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name 06.,N., r b, �1 (Z) I.D. Number
(3) Cover Period td //44Lthrough�Q_/_/�L (4)Page _10 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
(n)
Amount
(6)
Sequence
Number
C�
of 1O%
��k' aSti
S Offen
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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