HomeMy WebLinkAboutG2 Report DoellingCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name
2) AAIVI'1�0 641 3L
ress (number and stregt)
[ / fi nl �l�yLJ U c y'lcors �g ?016'
7 ,
eek•
City, State, Zip Code as;
❑ Check here if address has changed (3) ID Number: ice
(4) Check appropriate box(es):
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 n
Cover Period: From �U / V1 To ! U / Report Type: b Z
riginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks D CU
Expenditures $ 6 . UL-�
Loans $_ -y
Transfers to
_U
Office Account $
Total Monetary $ U -y b
Total Monetary $ Q
In-Kind $_ Q . � L>
(8) Other Distributions
D.
$ c� v
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ Zo��- T7 i]
$
(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:
//�r
(Type name) I 1..� �t,l_ ! r.J —b , L� �ti � L
(Tye name)
❑ Indivi I (only for IE bormasurer ❑ Deputy Treasurer Can - to ❑ Chairpe on (only for PC and PTY)
or - nee "ng w
—i
S nature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTROCTIONS
R
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIO I�'s`r'l FO
cyoF ?cP
J' S �O
(1) Name L ` /� f ' (2) I.D. Number Oe
(3) Cover Period � U / � / � 6 through ` / `� / � � (4) Page _(_ 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)
Amendmeet
(12)
Amount
(6)
Sequence
Number
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R
FcF�
QCT LFO
C,c/tYo ?8
A�M�EA` SU�jEES FZEPgRT— ITEMIZED EXPENDITURE;"C/e�eba 1�,6
(1) Name�T/��ii w��,, wl I "'� (2) I.D. Number '% '%//
{ v /C0
(3) Cover Period /f /� through [ 0/ Z1 / � � (4) Page �_ of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(B)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendmont
(11)
Amount
(S)
Sequence
Number
i
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES