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G3 Report
CAMPAIGN TREASURER'S REPORT SUMMARY (1) JIM HILL OFFICE USE ONLY Narne (2) 749 S FISCHER CIR Address (number and street)�r ? SEBASTIAN, FL 32958 City, State, Zip Code crl �'�-SebaSt/ ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): SEBASTIAN CITY COUNCIL 0 Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) Cover Period: From 10/17/2020 / ©/Original ❑ Amendment (6) Contributions This Report Cash & Checks Loans Total Monetary In -Kind ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report identifiers To 10/29g2020 / Report Type: G3 ❑ Special Election Report (7) Expenditures This Report Monetary Expenditures $ $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 5464.74 $ 2525.74 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: JIM HILL JIM HILL (Type name) (Type name) ❑ Individual (only for HE Treasurer [I Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X Signature V Signature DS-DE 12 (Rev. 11/13) *SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT —ITEMIZED CONTRIBUTIONS �`,pF�Fj�,�b JIM HILL :I' 0" (1) Name (2) _ I.D. Number 10/17/2020 10/29/2020 1 3. " co (3) Cover Period / / through / / (4) Page of (5) (7) (6) (9) (10) (11) (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 Amendment Amount IDS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name JIM HLL (2) I.D. Number (3) Cover Period io/I ia�ozo through 1 loiz9ifozo / (4) Page of 0 (g) (7) (9) (9) (10) [1 1) 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 DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES