HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) ��ti G%. A/c41�1 �t��/�wax
��io�r2� OFFICE USE ONLY
Name
RE
Address ( umber and
street)
C/(y 2� 2
��wS�_
°fs
yc/e'kebasfi
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
[3-Candidate Office Sought: J—
/1.,
C� h (�+O
Ifs ^-
❑ Political Committee (PC)
❑ Electioneering Communications Ong. (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 J D 0 $D!(o
TO Jp .? I ,Zo! Report Type:
Original El Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
$ °p
Monetary / a<
Expenditures $ J
Cash & Checks .
Loans $ ° `
Transfers to
Office Account $
Total Monetary $ °�
Total Monetary $ d •o
In-Kind $ as
(8) Other Distributions
$ 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ /00 0°
v
$
(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) `", t ,/ �t. A),P"/L
(Type name) L-)-t
❑ Individual (only for IE 2freasurer ❑ Deputy Treasurer ACandidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Signature
Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
R
F�
Oil FiL
CAMPAIGN T EASUgER'S REPQRT-JTEMIZED EXPENDITURES�'IIi. O- Z9 .
(1) Name ut �,r
F' REP?
/rovrr (2) I.D. Number Cie s �T
s
(3) Cover Period 1 70 16 through �/�21 _/� (4) Page of 3=
(y)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(a)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(s)
Sequence
Number
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN'IREASURER'S REPORT -ITEMIZED CONTRIBUTIONS %
oC' cciL
11 /%
(1) Name L aaa, t -J. A)dJ1f� �cAan. 1- ,.e,, (2) I.D. Number
(3) Cover Period 10 / 08 / 20/6 through 10 /.21 / D1 (4) Page J- of C
P
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(6)
Contributor
Type Occupation
(9)
Contribution
Type
(11))
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
r r
r r
r r
r r
r r
r r
r r
DS.DE 13 (Rev. 1111113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES