HomeMy WebLinkAboutTR Report A�MPAIGN TREASURER'S REPORT SUMMARY
(1) 10 i [� �� /p / -1 OFFICE USE ONLY
Nee /
(2) SIB �-�✓ 1 q� e rrnr e Ct/CFO
Address (number and street)
rl- 3) Ctjl>
City, State, Zip Code
�7riCD
❑ Check here If address has changed (3) ID Number:
(4) Check appropriate box(es):
Q Candidate Office Sought: E Q S / a n
❑ 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)
Cover Period: From �? / /� /
❑ Original ❑ Amendment
(6) Contributions This Report
Cash 6 Checks $_
Loans $
Total Monetary $_ r
In -Kind $
(5) Report Identifiers
To /,)- / // / �) �� Report Type: T° ` -
❑ Special Election Report
(7) Expenditures This Report
Monetary �
(� ( Expenditures $ g_, o y
_ Transfers to
Office Account $
(9) TOTAL Monetary Contributions To Date
i
Total Monetary $
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ I s,(L)o. UO
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that 1 have xamined this re and it,is true, correct, and complete:
(Type name) � f T/ / �. (TYPPyname) i / C. ry {/ l� IQ >t
❑ Individual (only for IE Treasurer ❑Deputy Treasurer Candidate ❑ Chairpe n (only for PC and PTY)
or eledon)eenn /m///mom/.) ��-�//////�///
i( / //� J ' / ri/ it r�// // U�
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS �'Fc
6�� i�f �q
(1) Name (2) I.D. Number t
(3) Cover Period / 1 JI / (-
-) through P / �_ i (4) Page ofCrf'��
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & C mtrlbutor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description Ameeamem Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
IjMPAIIG ,TREASURER'S REPORT — ITEMIZED EXPENDITURES
Name S 7 //
• °' � ',bash
c�
(1) n i s a. n•
(2) I.D. Number
(3) Cover Period —2—/ %/ /-1 through /0) /
/ 7
(4) Page of
(3) (T)
(6)
(9) (10)
(11)
Date Full Name
Purpose
(6) (Last, Suffix, First, Middle)
Sequence Street Address &
(add office sought If
contribution to a
Expenditure
Number City, State, Zip Code
candidate)
Type Amendment
Amount
9,Ile )d A14Ms
1-Y"'Y"75
t'0 leA51 7eIffa6�
1- '—9d14h It'/ -)/JU
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES