HomeMy WebLinkAboutTR Report(1)
(2)
(4)
CAMPAIGN TREASURER'S REPORT SUMMARY
Name
Address (number and street)
City, State, Zip Code
❑ Check here If address has changed
Check appropriate box(es):
OFFICE USE ONLY
RE ;EIV6i7
IAA! 2 7 )M'
City of Sebastian
City Qcrk's O.tice
(3) ID Number. 1 fZ
[Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Canmurrcations Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Comrnil6ee (PTY) ❑ Check here N PTY has disbanded
❑ Independent Expenditure (IE) (also covers an ❑ Check here N no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report identifiers
Cover Period: From Ip ! 30 / goat To I / 01:1 / 2dai Report Type: `TFZ
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ _
Loans
Total Monetary $_
In -Kind $_
(9) TOTAL Monetary Contributions To Date
$ 354.z . I�_
(7) Expenditures This Report
Monetary
Expenditures $ 2 a
Transfers to
Office Account $
Total Monetary $ 3Z
(8) Other Distributions
$
(10) TOTAL Monetary Expenditures To Date
$ 3S`i�_ )2
(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. corect, and complete:
(Type name) e t �_7 )L..1
❑ k w duo (o* for E 0`famauar ❑ DW* Treaasa
or ek ftneeng co n )
X
Signature
DSDE 12 (ReV. 11113)
(Type name) C��., '�: -�)' �_
❑ Condiitleb ❑ ChakparsM (0* for PC and PTY)
X ('-�
Signature
4 :,ATA,• C we
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
C �e'(.es �—;; boa �
(2)
I.D. Number 12
(3) Cover Period l G Zio l Aj^ through ( !
6)4 / R 1
(4) Page k of _
(5)
(7) (6)
(9)
(10) (11) (12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address & Contributor
Contribution
In -kind
Number
Citv, State, Zip Code Tvoe Occupation
Tvpe
Description Amendmgrn Amount
C�or(�r F (mac 2d
�aQn
y44.. �9
4o^c. J s'r�
1Flw(.
RECEI VEn
AN 2 7 .err;.
City of Set -astian
;ity Clerk': office
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIVE[)
JA KI 2 7
City of Sebastian
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXIPENDITURESe
(1) Name
(T) I.D. Number --ice
(3) Cover Period
(6 / 3 0 / through _6_/6/
(4) Page I of
(8)
(9) (19) (11)
Date
Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address 6 contribution to a
Expenditure
Number
City, State, ap Code candidate)
Type Amendment Amount
t\ /l�/2° F1zQati.S wle.QiG
DS-DE 14 (Rev. 11113)
ASua--csr I-�
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES