HomeMy WebLinkAboutM5 Report( I yCAM�PAIGN(�TREASURER'S REPORT SUMMARY
(1)C,�C,�11�'tAf.l � ' �� Yt(.41i 11q'iUl � l d�)S t Lflj OFFICE USE ONLY
Name �
c2) --IQ I T���, .si- 411
Address (number and street) cltj'* 0-
r L �?� i�' �'ily's
0 3 2®
Cik, be$�a
City, State, Zip Code „ p,,. n
❑ Check here if address has changed (3) ID Number74_"t �10 t � L� 0
(4) Check appropriate box(es):
❑ Candidate Office Sought:
9Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From / / To /,S1 / U -ZD Report Type:" '
0 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_1 1 , 72$ ()D
Loans $ 1 —
Total Monetary $ , Z DID
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ ,?�, SIC .00
(7) Expenditures This Report
Monetary
Expenditures $ Q .
Transfers to
Office Account $ .
Total Monetary $ 0.00
(8) Other Distributions
$ C)
(10) TOTAL Monetary Expenditures To Date
$ ,___0- 00
(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:
(Type name) G0�9Gc L-LCv
❑ Individual (only for IE Qg Treasurer ❑ Deputy Treasurer
or electioneering comm.)
X
Signature
DS -DE 12 (Rev. 11/13)
(Type name) --ell D
E]1 Candidate g Chairperson (only for PC and PTY)
t (ll
X �-( ., zO-`L
Signature v
SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS �C" Y'j
(1) Name�!&A4 O VO�( I�AlW- (14U1AW S (2) I.D. Number 500 13J
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(3) Cover Period / �1 /ot ( through/ /pick,!( (4) Page of
(5) (y) (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 Amerdmertl Amount
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DS -DE 13 (Rev. 11113) .. SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1 /60
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS cj10 �O
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ccl/ %r 0/S `0?0
(1) Name�S�S�fQ/�"pt�(« f�Q(AC�bIII�IAh�S hN(iS (2) I.D. Number'_, e a�
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(3) Cover Period / /�OZ4� through (4) Page of
(5) 1 (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & C )ntributor Contribution In-kind
c� Number City, Slate, Zip Code Type Occupation Type Description Amendment Amount
J 2 p �iAnlE�ic��Ak�} hO oo
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�99 3z`75'9
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DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS (y �2®
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(1) Name�Q 45l l d\ UCh S NONOS� l � I IIi�I�S� Pfttt)S (2) I.D. Number�;j� s�, i Ten
(3) Cover Period through/ / L) (4) Page 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, Stale, Zip Code Type Occupation Type Description Amendment Amount
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DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(2) I.D. Number!sq-,A)��
(3) Cover Period I] / j /12) through �7_ /J`r (4) Page of
(5) I (7)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address &
Number City, State, Zip Code
�-
�RS
(8) (9) (16)
Contributor Contribution
Type I Occupation Type
cam_
DS -DE 13 (Rev. 11/13)
In-kind
Description
(11) (12)
Amendment Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES C; an
(1) Name 5CSA5T/AN V6rl25 Ar-AcN5 (2) I.D. Number 6Si— 13£5
C�("r 1341i AWp '[pQVLLS
(3) Cover Period Cry / Ot Bozo through 05 / 31 / ?pzo (4) Page ( of
(sJ (7) (8) (9) (10) (11)
Date Full Name Purpose
(s) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address 8 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