HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) !�_z Ltd �1f + �� J I OG�Gr L
Name
(2) .5�O I ,-,4wJI/6t/4�
Address (number and street)
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City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
SfCandidate Office Sought:
❑ Political Committee (PC)
OFFICE USE ONLY
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(3) ID Number:
ql, Cz '3%a� b
❑ 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 / 3U l Z—C) To / / S /� / 2U Report Type::
® Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans
Total Monetary
In -Kind
$
(7) Expenditures This Report
�— Monetary
Expenditures $ , 5�70. Z j
_ Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
f Zf
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , /IGS• / $ , i /l.f i
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839A3, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) t L. iM.vrvn�S (Type name) CIS l,21Y1d At S'
❑ Individual (only for IE 0 Treasurer ❑ Deputy Treasurer (9 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X ! Ll� Of ��i1Yt i r sn.�s� X(—
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Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
RE�E���D
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS C/�44 1
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(1) Nam CbC'asti;
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(3) Cover Period / O l � l Zo through // 1 l Zv (4) Page f of /
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & C•!ntributor Contribution In -kind
Number City. Stale. Zip Code Type Occupation Type Description Amendment Amount
l l �GT�✓,'tl
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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City
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CAMP GN TREASURER'S REPORT —ITEMIZED
EXPENDITURES"r
(1) Name
LL F.," vt A'S
(2) I.D. Number
(3) Cover Period �/_qO / 'Lai through/�/ Z
(4) Page /
of /
(g)
(7) IB)
(9) (10) (11)
Date
, Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought if
Expenditure
Sequence
N be
Street Address 8 contribution to a
City, State, Zip Code candidate)
I
Type Amendment
Amount
um r
waY ��
T , I S Ph�sr�H �� 3z��
DS•OE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES