HomeMy WebLinkAboutM6 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) e�GAiL�,K %mi irk
Name
(2) Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Ong. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
Cover Period: From f/' / /
Original [ _j Amendment
(6) Contributions This Report
Cash & Checks
Loans
OFFICE U!�f ONLY
F�FitrF
�U( o
Crh C/ f�ebastd
(3) ID Number.
❑ 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
J To l 30 1 Report Type:
❑ Special Election Report
(7) Expenditures This Report
Monetary
Expenditures $
$_ _,ZOO. pv
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ , C"c7
Transfers to
Office Account $
Total Monetary $ I .
(8) Other Distributions
$ 1 ,
(10) TOTAL Monetary Expenditures To Date
$ 7
(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) fGQ,-./r.�6i'�i.-�,/,t ub.S (—Type name)-
❑ Individual (only for IE p� l reasurer ❑ Deputy Treasurer t" Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12 (Rev, 11/13) SEE REVERSE FOR INSTRUCTIONS
R
FcF�
CAMPAIGN TREASURER'S REPORT
-ITEMIZED CONTRIBUTIONS
c�JG�
C,�yyofs ��c2
Cc e6
(1) Name
�cOJGG1 ,o�F �.
(2)
I.D. Number
ra dSGa
co
(3) Cover Period .)o
through 174 /
30 / :-!)-0
(4) Page
of /
(5)
(7)
(8)
(9)
(10) (11)
(12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
C mtributor
Contribution
In -kind
Number
Citv. State. ZiD Code
Tvoe Occupation
Tvoe
Description Amendment Amount
&tiRFULa?
as
1 ,G/-
3�55'g
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT —ITEMIZED EXPENDITURES
(1) Namei�in�ilP/�it' �Q—�,.`rS (2) I.D. Number
(3) Cover Period through c)L- l ,i l (4) Page
(5)
(7)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Number
City, State, Zip Code
'1
DS-DE 14 (Rev. 11/13)
(8) (9)
Purpose
(add office sought If
contribution to a Expenditure
candidate) Type
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
of
Amount