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WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Name
�p Address
Candidate ❑ Political Committee
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OFFICE USE ONLY
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City State Zip Code
❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer fif:
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT ❑ PRIMARY ELECTION ❑ GENERAL ELECTION 'OTHER REPORT TY'E
Indicate report #
Ll�
Indicate report #
P
Indicate report #
G
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
Indicate report type and #
as applicable:
C
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE R PORTING PERIOD OF
Ae CST L�
THROUGH
Date
X Y
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer (s.106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer is. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account (no funds expended x
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87 (Rev. 06/15)