HomeMy WebLinkAboutG2 ReportCAMPAIGN/ TREASURER'S REPORT SUMMARY
�j/// yJ�v?S' 1,2f 4�S �i K OFFICE USE ONLY
Name RECEIL'FD
(2) Sc�Qi �✓ +z�� (,/, c�
>ddreps (number and street) /� QCr 2 2 21j430
el--H' �9�, �L �2 J City ba
City, State, Zip Code ry Ge kA,
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
® Candidate Office Sought:
❑ 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
Cover Period: From /0 1 E3 / Z,(\, To / l 16 ! ZO ReportType: Cy
2 Original ❑ Amendment
(6) Contributions This Report
❑ Special Election Report
Cash & Checks
Loans $
Total Monetary $_
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ , _ kids. _�_
(7) Expenditures This Report
e
Monetary
Expenditures $ _ , �' • ��
Transfers to
Office Account $
Total Monetary $
(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 (ss. 839.13, F.S.)
I/^cert that I have examined this report and it is true, correct, and complete:
L(Typ rle)" -S;_ T enar e�'��
(Type name) �• 9"9�/�f% S (YP y r
❑ Individual (only for IE (r$ Treasurer ❑ Deputy Treasurer [X Candidate ❑ Chairperson (only for F'C and PTY)
or electioneering comm.)
X��mL e, DAB vv rs�� x
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INISTRUCTIO14S
�5'FC�IV�O
CAMPAIGN TREASURER'S REPORT —ITEMIZED CONTRIBUTIONS,,1"J'of
C/ Seb
(1) Name L� �irh�l6 jys (2) I.D. Number
(3) Cover Period 10 / 03 / 2-0 through /O / 16 / -zv (4) Page h` of 1
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address 8 Contributor Contribution In -kind
Number Citv. State /Zip Code Type Occupation Type Descriotion Amendment Amount
Z - S�lD L�e�ddoo� Cr fired d
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
'31/
CAMP"N TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Namee; / L
110'
j�iy,n �$
(2) I.D. Number
(3) Cover Period ZO through �O I/
(4) Page % of
i
(5) (7)
(S)
(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
�R CL,rCrr7d�
/-1/09/2762 7
/ / I
I / /
DS-DE 14 (Rev. 11113)
� 1-9 >
SCl ralpkeS C/TlH pG
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES