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HomeMy WebLinkAboutM3 ReportCAMPAIGN TREASURER'S REPORT SUMMARY SQA �i't ArJ V�ST?s (1) OG,,at,,�,S-r' I�iAmt,5 OFFICE USE ONLY Name (Z) 4,i[ 1-44aw[AS sTTz66T- RECEIVED Address (number and street) et_ 32ci 96 f�FF; t (,' 2020 City, State, Zip Code Ci;"' Sebastiar, F] Check here if address has changed (3) ID Number: Office (4) Check appropriate box(es): ❑ 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) (5) Report Identifiers Cover Period: From 3 / Q( / Z�:> To / 3 t / ZO ReportType: f–( 3 &-Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $— T 200. 00 Expenditures $ C:�>. co Loans $_ 6l CLQ Total Monetary $ = , • pQ In -Kind $ —r— , 2G1 . >✓V (9) TOTAL Monetary Contributions To Date Transfers to Office Account $ Qcj Total Monetary $ QQ (8) Other Distributions $ O. (10) TOTAL Monetary Expenditures To Date $ Q G -D (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 1 certify that I have examined this report and it is true, correct, and complete: (Typename) hkCOAOL C700ri�G�(�(y",IJ (Typename) hP,,-P1ct4 ❑ Individual (only for IE [i treasurer ❑ Deputy Treasurer ❑ Candidate 119 Chairperson (only for PC and PTY) or electioneering comm.) Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS R CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS 410toi)1 ^ �© Cj�yofS �'�Ull� (1) Name SZAS'ftA0 (2) I.D. Number ( cO Teb��ta" Cat (_U A,f-6 AttoZ> (3) Cover Period 3 ! _tel / W through 7j / 3 ( / -C:> (4) Page _L_ of (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 Twe Description Amendment Amount I to 12b Tv Wrf r C0 GG 49( -TWOHAS ST 325.5F, 11 'C.4 A Sl - 3 i tf> 17 C,�® �Fp t dU (Vr) k' I rs'-. DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES rA_a So. as So .vo 2 7�ss Nu NrJ jvZ mptz�, 27 5G%�>A5-( locl�' / to 20 Ft- 325;ei '7 0 M �caA 5� foo & DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES rA_a So. as So .vo 40y Cry ofSebd Cry s CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES Cro re (1) Name 56ea5rT-tom)) k)C -St-S thy' .r 0S -c— (2) I.D. Number 3 Cover eriod / / through / S / 4 Page of (5) (7) (6) (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 Amendment Amount DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES a� SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES