HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) w,��,o ' PA+r� "k_ (�Yv n OFFICE USE ONLY
(2)
(4)
Name
371
Ad ress number and street)
Se6aS I p n F( 3a3 S` <
City, State, Zip Code
❑ Check here if address has changed
Check a ro riate box(es)'
�FCFI (QED
CcI(v r cob Cd?t7
(3) ID Number: 10'b0tf 'q-17
pP P
,Candidate Office Sought: 58�pP I I P A �o U A G r I
❑ 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 l 2jrX To 7 / j I / ?OOd Report Type:
[Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary
In -Kind
$ 1 ,
(9) TOTAL Monetary Contributions To Date
$ 1 1 . a6o
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ O
Total Monetary $ C)
(8) Other Distributions
$
(10) TOTAL Monetary Expenditures To Date
$ 1 1 0
(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: I n -f� / }�
(Type name) MIS-a,W,�D�� I ito �I�. (Type name) �jI14A 1'P IB'/G�, l'�fjl/t ,�
❑ Individual only for IE [g reasurer ❑ Deputy Treasurer ,Candidate ❑ Chairperson (only for PC and PTV)
orelectione ngoomm.)
Signatur� Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
1
c'rJ'c°Sebas
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
�1t��IPAn V('��iU"-�� nA/
(2) I.D. Number
10`{�O�?�f�7
(3) Cover Period / / �1*0 through /
3 ( / aeX:) (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, State. ZiD Code Tvoe Occupation
Tvoe Description
Amendment
Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
.QcrrFc���'Fo
C yrrC�
0"
CAPAIGN REASURER'S, REPORT— ITEMIZED EXPENDITURES
(1) Name 4/-i f!Gl�M7 �%arp�d(�^ ji�� y/vim (2) I.D. Number )O'f 60'
I
(3) Cover Period / [ / ad;2ithrough /L/ -.0X) (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
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES