HomeMy WebLinkAbout5th day prior LAM AIGN TREASURER'S REPORT SUMMARY
/ (1) (c �y /gp OFFICE USE ONLY
Named RECEIVED
(2) In Jl0 �e ceo 1 2029
Address [(numb rand street) ^^ Q p
S�rJ9 S7ria n FL �d / S(I City of Sebastian
City, Stale, Zip Code r City Clerk's Office
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): 1 )
[L/Candidete Office Sought e- 4 S ) 9 h
❑ 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)
�7 (6) Report Identifiers;
Cover Period: From l d l To ! p I �- tj Report Type:
Cl Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ l , 9SO
Loans $
Total Monetary $_ 9S C• 00
�
In -Kind $
(9) TOTAL Monetary Contributions To Date
s _ ,--3,649D.oD
(7) Expenditures This Report
Monetary
Expenditures $ jay. con
Transfers to
Office Account $
Total Monetary $ _ _ . � . (yD
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
(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
/exxamin/ed%d this
rrr port
and it is We, correct, and complete:
(Type name) /I .- — / ' C ` i r /o /1 (Type name) 4f9 q / y�)•
/ e ✓l
❑ IndMilual (only
ffor�IE ❑WT/ma/auier ❑ Deputy Treasurer ❑ CaMidale ❑ Ga,l/rppee/r/wqr(( yy f oforr M and PTY)
XelecOoneadn X
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN
,TREASURER'S REPORT - ITEMIZED CONTRIBUTIO&ECEIVED
(1) Name 0.>� /! o-p a (r I A h (2) I.D. Number CCD 11 709n
(J ` ty of Sebastian
(3) Cover Period �, a 9, d-� through / / � / (4) Page City Clerb(r office
(5) (7) (6) (B) (t0) (11) (12)
Date Full Name
(6) (Las4 Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number CIN. State, Zip Code Type Occupation Type Description nmemmem Amount
{rl �t
t ID J'29 w4YJAcg5e Pr rke e(
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DSDE 13 (Rev. 11113) SEE REVERSE FOR I. JSTRUCTIONS AND CODE VAL JES
CAMPAIGN REPORT— ITEMIZED CONTRIBUTIONS
RECEIVED
/TREASURER'S
/{/
1Name
d r n n
(2) I.D. Number
cu„ �r m�=stian
(3) Cover
Period / I �(] through /
�(% ! L (4) Page _
City clerk's office
of _
(5)
(7)
(8)
(9) (10) (11)
(12)
Date
Full Name
(6) (Lest, Suffix, First, Middle)
Sequence Street Address & C
m ributor
Contribution In -kind
Number City, State, Zio Code Tvoe
Occupation
Tvpe Description A.W.W Amount
45S slef'ra
/p75o S/�t�S>L
/I
ale
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DS-DE 13 (Rev. 11113) _EE REVERSE FOR INSTRUCTIONS AND CODE VALJES
RECEIVED
eeD 11 2020
CRy of Sebastian
// CVWPAIGy.TREASURER'S REPORT— ITEMIZED EXPENDITURES--ity ClerKs Office
(1) Name m 6 �� t"o r I- /. — (2) I.D. Number
(3) Cover Period through 9 / (4) Page of
(5) (T) (a) (9) (10) (11)
Date Full Name Purpose
(6) (Lest, Suffix, First, Middle) (add office sought If
Sequence Street Address 8 contribution to a Expenditure
Number City, State, 21p Code esndidale) Type Arn.m..wt Amount
5�641�,:,n, Fti 3�9sd'
OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES