HomeMy WebLinkAbout25th day prior( CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE,LSE ONLY
fY
Name
(2) 91'.3 w� p Alec 610
Address (number an street)
7-1 At) �� ��7 a C efSebasl.
City, State, Zip COdW Ott
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): /J
Candidate Office Sought: (_ j t'b4
❑ Political 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 P / / / a,(% ReportType: ( 1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ (p b t>
Loans
$_
01
• d6)
Total Monetary
$_ _
,�)10
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ /bU . QCJ
Transfers to
Office Account $ 1 ,
Total Monetary $ —&1 . Gip_
(8) Other Distributions
$ 1 ,
(10) TOTAL Monetary Expenditures To Data
$
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that IJhave examined this report and it its true, correct, and complete:
(Type name) I.DUl5E- iirvret/XaP g (Type name) ,Z,Oc,I
❑ Individual (only for IE ❑ Treasurer eDeputy Treasurer [Candidate ❑ Chairperson (only for PC and P TY)
or electioneering comm.)
Signature ) Signature ✓
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES �'e^se6a" ct�
(1) Name �-0���5'-G /tAUTB.r�,(rl� yT (2) I.D. Number
AA�� n �) "tee
(3) Cover Period / / o{/ through /i O'er (4) Page of /
(5) (T) - - (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. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R,
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS :
(1) Name (2) I.D. Number `of N
(3) Cover Period L� �j I / �o through N / oZLi (4) Page _L_ of
(5) (7) (6) l9) (10) (11) (12),
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In -kind
Number Citv, State, Zip Code Type Occupation TYDe Description Amendmam Amou it
AvTeti)
9�3 / wino A dL
o�Jk4 i i ,4 +11. FlJOV
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES