HomeMy WebLinkAboutTR ReportCAMPAIGN/ TREASURER'S REPORT SUMMARY
OFFICE USE ORL
Name
(2) /t>1 & L`tr 1Tta ✓' P �� �i_r
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Adr�ress n ber and street) �y C ,
Of
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City, State, Zip Code cr",,.
❑ Check here if address has changed (3) ID Number
(4) Check appropriate box(es): /7
151 Candidate Office Sought: C,'C d U/✓ C-
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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 heck here If no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers —r
Cover Period: From / C� / ;�G To / / . ;� Report Type: I
® Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary
Total Monetary $
In -Kind $_ � � _
(8) Other Distributions
$ Y,; 7
( SOT monetaryContributions To Date T_OTA{I .Aonetary Expenditures To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
glnd'f!o�l
tth`att,I have exa ed this report and I I true, correct, and complete: g� 4*`✓ I ,ITS ✓G w / (Type name. `l )'W l'� '3'3nly for asurer ❑ De r surer �Oendidete ❑ Chairperson (only for PC and PTY)
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Signature
D11113) SEE REVERSE FOR INSTRUCTIONS
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^7 CAMPAIGN TREA ER' 4ffORT —ITEMIZED EXPENDITURES
(1) Name 1j1 n_J�/ Al a- 9 �/ � � (2) I.D. Number
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(3) Cover Period /v l_L/�44. through/�/ /� (4) Page of
Date Full Name Purpose
(Lest, Suffix, First, Middle) (add office sought if
Sequenc(s) Street Address & contribution to a Expenditure
Number
City, State, Zip Code candidate) Type Amendment
umb
(11)
Amount
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DS-DE 14
(Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES