HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) C in r t'/ l� (�jj Ft OFFICE USE ONLY
(2)
Name��� �(� �I �� nRACE/VEO
P
AddreC (nQSnc(strCk/11. c/ty? ZZOI..
—� .'f Sebasti
City, State, Zip Code ° •<', . en
c,
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): �' (� /rte `
Candidate Office Sought: � kias� orn c` � / C6
❑ 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 q
Cover Period: From �%) / oS / IqTo Id / �� / / Report Type: 6v_�
❑ Original Wmendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $
_ SQ Expenditures $ _ , 330 .(Jo
Loans
Total Monetary $
In -Kind $
(9) TOTAL Monatarx Contributions To Date
$ ,,37S. Q
Transfers to
Office Account $
Total Monetary $ I I .
(8) Other Distributions
$ 1 .
(10) TOTAL Monetary Expenditures To Date
(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::�)j n'// %�% /►/�1 /}
(Type name) 7a / G� / - 1 �-Z.LY(l/�1 ,,(�Tffy__pe name) t.V a4o /'I , !' I U u. t
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer ;K.Candidate ❑ Chai/person (only for PC and PTY)
or electioneering comm.)
X
Si�ature / Si a re /
DS -DE 12 (Rev. 11113) � SEE REVERSE FOR INSTRUCTIONS
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
.
PCF/SFO
r
(1) Name
AT In r C4 k4l
(2).
I.D. Number
(3) Cover Period through
/ /
(4) Page
of a
(5)
(7) (8) -
- (9)
(10) (11)
(12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address& Contributor
Contribution
In-kind
Number
City, State, Zip Code Type Occupation _Type
Description _- anendment Amount
Cath�t'� qa'-
Aid"
#/aoSU,W
.
-`?sz.hci'9{;mni�FL 3aq i�
-
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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r
r
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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of
AMP GN T7R�EAS(�Ijy��J/��% S,%I��� PORT—ITEMIZED
Name Q�( OA Mer, �i�
EXPENDITURES
Co:, eb�s(ia
(1) / 1 . 7!
(2) I.D. Number
(3) Cover Period / / through g/
I /jq
(4) Page
of
(5)
(T)
(8)
(g)
(10) (11)
Date
I Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
(add office sought if
Sequence
Number
Street Address &
City, State, Zip Code
contribution to a
candidate)
Expenditure
Type
Amendment Amount
I� srr
(,�S P6S Skyill (0—
e_toaS+4m
S �MI�
320,03
to a S+ QMF(
�
3ags�s
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES