Loading...
HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) LC �r�/�roh S o Q COS h % OFFICE USE ONLY Name C�-El14 O (2) 50 Ad_dress (number and street) Cf�C� ` 4? 0 Y O(S ��� City Clo;kebasFiiarl City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): jj n .Candidate Office Sought: �PUS�E}`J Cir�j t//j%CG� ❑ 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 wilt be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From O 9 1 op, ( / To 6 C� I 3 o / 2.PD Report Type: _ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $_ _ ,(]. — Expenditures Loans $1 /, 0/57. — Total Monetary $_ In -Kind $ -- (9) TOTAL Monetary Contributions To Date $ —, 1z—Sl— � Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ (1 Q) TOTAL Monetary Expenditures To Date $ %� . (11) Certification It is a first degree misdemeanor for any person to falsify a public record (as. $39.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: ,J (Type name) W4-AN lee Z . eJ i IH st-�o h S (Type name) i L (— cam\ ; In &n-T ❑ Individual (oNy for IE $ Treasurer ❑ Deputy Treasurer �, Candidate ❑ Chairperson (only for PC and PTY) or electioneering oomm.) X Griper % r Signature DS-DE 12 (Rev. 11f13) X Signature SEE REVERSE FOR INSTRUCTION FC,c. CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUT16k"s C� (1) Naml �'A,t,,,, yr _49Q `o` <fActvic,'L (2) I.D. Number (3) Cover Period c;, 9 l c� ( I Zo2p through o 9 13 0 / 20 (5) -T (7) .....--..... (8) I (9) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address 8 Contributor Contribution Number City, State, Zip Code woe Occuoation Tvoe -- 37ci r2li% %A St�'L� SOq VrAwa,I�A� �eI6451i'i.t r� s �o,4 M9--/ 3uss oq/ /7 /Zo S 1W I z oQirav ltio me, �3-�r8.r✓dPa tr. -- Rr�'r�d L G�� �g - 3 5 ebhSll'�� fi UST I /,� l ZO �,tC(1(1'Rci '.9ji�Wlcai ,L /�CfirFa J- ctk %`f`�KrePfj'QL p .Sev�157JEFti, L� 37-sss (4) Page t of J (10) (11) (12) In -kind Descrlotion Amendment Amount 51'p S DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 4r/Doo� dr ev !s If ov 1.-�7&'r- 00 1p-5- Orr . city c CA�`p.'p' IGN TREASURER'S REP/O�RT- ITEMIZED EXPENDITURES (1) Name .'G L %i+�r-vrovr�'�;� ��jS[.ihr• .'C_ (2) I.D. Number (3) Cover Period =l o i / Zo through �/ 3m / (4) Page ( of 1 (5) (7) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Number I Street Address & City, State, Zip Code �9- s���asn��r<L l7 5L4 OV O-� /ecrio n/S 6g/7f/ZdI 3(-37I q3`� 4✓ l�gvl tle -deA�L,, F c 52%jAS�gr, O`7 /Z�f2� S�'JEJ-STiA-n pA-r•/tf 512ADvc"o rng, 5-ebf57,,� FL 32`3�8 OS -DE 14 (Rev. 11I13) (6) (9) (10) (11) Purpose (add office sought if contribution to a Expenditure candidate) Type Amendment Amount S1�7413 c,4^1 lZ.5-_o Ad ev�i5iir� G��l a SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES