HomeMy WebLinkAboutM9 ReportCAMP IGN TRE RER'S REPORT SUMMARY
(1) pkyykA
tJI OFF,JCECSE ONLY
1 �t EIV
(2)
Na G. Vu P 15.4 r OCT t ^ ED
Add _b andstreet t/` 1 City of 1��9
City Cle�!bC�ae
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
L(� Candidate 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)
Report Identifiers
Cover Period: From / I / To / so/ Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks
Monetary
Expenditures $ ,
Loans $ _ • _
Transfers to
Office Account $
Total Monetary $_ _ ,
Total Monetary $
In -Kind
(8) Other Distributions
$ 1 ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Exp di ures o/Date
$ t. l�. 0�. $ W
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify thatfty'm
examined this repo d it is true, correct, and complete
m
(Type nae (0,- r P00— "S (Type n me)00,e X paiii
❑ Indivi I (only for IE reasurer ❑ Deputy Treasurer ndidat: ❑ Chairperson (only for PC and PTY)
or elec' ne ring comm.)
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
R
AMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
() �� U
1 Name � S (2) I.D. Number
of
fl�(3) Cover Period / / through /�/ 1 `^ (4) Page of
(5) (T) (8) (9) (10) (11) (12)
Date _ Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor
Number City, State, Zip Code Type Occupation
�CIY`
Contribution In-kind
Type Description Amendment Amount
C ►�-
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
0 c fse� ?®19
AMIN EP �%RE PORT — ITEMIZED EXPENDITURES ost
(1) Name .� (\� (2) I.D. Number o
(3) Cover Period q/C1 through/ l / I (4) Page of
1
(5) (7) (S) (g) (10) (11)
Date Full Name Purpose
(6) I (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type A ndment Amount
I
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES