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HomeMy WebLinkAboutM8 Report(1) (Z) CAMPAIGN TREASURER'S REPORT SUMMARY ( r/'\- ( L OFFICE USE Ofil' Y0 Name Address (number and street) &g�-Sit 4,t7t FL 52-gsg City, State, Zip Code ❑ Check here if address has changed (3) ID Number: C'ir01 In`���? ob f •,. asr,� (4) Che appropriate box(es): Candidate Office Sought: EQP I to f7 -1 (Y U+U 1JG� �- ❑ 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 ;Cov�ereriod: From L-/C) / 2 t l 2,02,0 To Q � 1 3 1 / 2U20 Report Type: Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $_ Loans Total Monetary $ In -Kind $ 1 1 • (9) TOTAL Monetary Contributions To Date $ , I .. 01 (7) Expenditures This Report Monetary 00 Expenditures $ Transfers to Office Account $ Total Monetary $� (8) Other Distributions (10) TOTAL Monetary Expendltuures To Datu $ 9GJ . d, (11) Certification It is a first degree misdemeanor for any person to falsify a public record (as. 839.13, F.S.) I certify that I have examined t s report and it is true, correct, and complete: (Type name) � �,t\I (� L-- (Type name) �' N_�I L_ L' ❑ Individual (only for IE Q Treasurer ❑Deputy Treasurer �nditlate ❑Chairperson (only for PC and P' Y) or electioneering comm.) x X Signature Signature DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUC riONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name \ (�l` 1�l L l� (2) I.D. Number (3) Cover Period through _.Z_ / / (4) Page of ` c ..�> c0 (5) (7) l6) (9) (10) (1t) (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 Amendr mft Amo int ,2u /2v 6SlNelS ` qy S C-IS p e a C. mq5 3- �l�lN 5G(9 7�i S'&YH" 1 nn c� 7j SSPSTIkM L � ,29 126 Iy(A&� i&l�ss s&(i�s77 32F0 ����� art DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 5 ccr CArAI�N TTSURER'S REPORT— ITEMIZED EXPENDITURES O�'• �s (1) Name _ 1 1 1 LL (2) I.D. Number (3) Cover Period// through // ` v (4) Page of l (5) I (T) - (8) - - - m- -- (10) (11) Date Full Name Purpose i(6) I (Last, Suffix, First, Middle) (add office sought If Sequence Street Address 3 contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount CITY Q4'- Sfz&AST)R1✓ U C'NVC—N Al lad°b 3� 27 2b Go b hop DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES