HomeMy WebLinkAboutM6 Report AMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name
(Z) )l
Address (number and street) / City! ~ 620EJ
City, State, Zip Coda cleOf:_
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
B
�l Candidate Office Sought.
❑ 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)
(6) Report Identifiers
Cover Period: From / n/ / 2 To p G 1 �) 1 Report Type:_
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ Z D�
Loans $ L7 1
Total Monetary $
In -Kind $ 1 1 •
(9) TOTAL Monetary Contributions To Date
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ '620
Total Monetary $ i .
(8) Other Distributions
$ 1 e)C>
(10) TOTAL Monetary Expenditures To Date
$ -ra
(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:
i
(Type name) f�tlJ%✓S� ,� S. � �,
❑ Individual (only for IE I] Treasurer f Deputy Treasurer
or electioneering comm.)
x
Signature
DS-DE 12 (Rev. 11113)
(Ty a name)r�7/.`�i, %ii% O%. JOirs
Candidate ❑ Chairperson (only for PC and PTY)
Signature
SEE REVERSE FOR INSTRUCTIONS
AMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ��j,; �, ��
(2)
I.D. Number
(3) Cover Perlod
Qt.1 / LI / _�j—
through Ub /
S= l :z j
(4) Page
% of
(5)
(7)
(8)
(9)
(10)
(11) (12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Tvpe Occupation
Type
Description
Amendmem Amount
�r i21 l✓s�yslbs v
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name € ,>,%: c� ✓1n. ,ff� (2) I.D. Number
(3) Cover Period 1W l P( /_ V through 12Z, l ;3 l (4) Page / of
(5) I (7) (g) - - (2) -(10) (11)
Date Full Name Purpose
(g) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
I
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES