HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) i
A d ! / OFFICE VJt ONLY
�• ii' ! ra"
Name
(2) _ _. _ Oer g
AdPs� (number and streetC CCItyOiS �� V
3 a 7n.]
City, State, Zip Code C'..
❑ Check here if address has changed (3) ID Number.
(4) C,,._.heec�ck appropriate box(es):
,
R Candidate Office Sought: Se �Q S / ! 9 n C�;�t; GOk t, G e l
❑ 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 / / / % Tol / .-3 C) / / 9 Report Type:
E1 riginai ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks
00 Expenditures $
Loans
Total Monetary
�0 • D() Transfers to
Office Account $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ , __/a00'- (7o
C
Total Monetary $ _ , , f/ . 0/)
(8) Other Distributions
$
(10) TOTAL Monetary Expenditures To Date
$ Lal• Ut)
(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 haves examined this report and it is true, correct, and complete:
(Type name) -7 (Type name)
❑ Individual (only for IE 23'Treasurer ❑ Deputy Treasurer JKandidate
or electioneering f(co`m/m.) A
X d�/i%
Signature Signature
DS -DE 12 (Rev. 11113)
�� 1 ;19
❑ Chairperson (only for PC and PTY)
SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS �CFj�,
(► �� ,
Cy 9
1 Name O c � � �; ,�, (2) I.D. Number C,,,. _c,� � ,pJ
(3) Cover Period / / l / / through / Jv / (4) Page of
(5)
(7)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Number
City, State, Zip Codje
i�
r
�j
/ I ' rT l°l, /salj
(8) (9) (10)
Contributor Contribution
Type Occupation Type
5 LOA
r Nwc j(q^oyer
..JJ
u��.�=-l`vi.c�fro dIrCS
Sf' c�-/
9 7 1 Waw, 6;Y)
r 3 •rd
!offj,3� Ak SVS.
r4G����., �1 3194i[
rel' lin �f rae1
/F5c �rr.ai-(gt- G'✓�
ve,ro e_a4 ,(t 3Z�j
/c f) 7 Q [S/fie rl
t �/ 1/+GPY4 4JGrJ t-01'rUr)sT�n,
yarn ,&1c,r6J.,r67
Poo (e(4Y
kc.,J),
J
Busr+�ss X{
vz 6 f
-�LIr
In-kind
Description
(11) (12)
Amendment Amount
/M. Oo
sa�,b0
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
056, 0'0
5o. o)
50, 66?
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CAMPAIG'N TREASURER'S REPORT— ITEMIZED EXPENDITURES/"" o- %S 0
(1) Name J� v �� /% V,, lrn. (2) I.D. Number
p cy �J / •� ;, a
(3) Cover Period through / / / I CSt"-
�_� (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
/ I
/
r�c- /t//'D,f � /.00
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES