HomeMy WebLinkAboutM6 Report AmendedCAMPAIGN TREASURER'S REPORT SUMMARY
Name
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(2) 7 L - c�
pt 'rVg (nl�mber and sV )
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
dCandidate Office Sought: C
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
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RFCEIVEp s��
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(3) ID Number.
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❑ Check here if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From To / 1 ReportType: !��
❑ Original Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash 8 Checks $ z Expenditures $
Loans
Total Monetary
In -Kind
'/ —
(9) TOTAL Monetary Con tri ut' o ate
Transfers to
Office Account $
Total Monetary W
(8) Other Distributions
$ ,n.
(10) TOTAL Monetary Expenditures To Date
$ 1 ,
(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 an/d1 it is true, correct, and complete: (
(Type name) _f�rP�1 [D tJ tY C� (T pe e) I .I YYlt1'1 `)I l;, 'T- �;(j'��(-J-�-7-_
❑ Individual (only for lE ❑ Treasurer r D piny Treasurer ❑ didat ❑ Chairperson (only for P&II Pn')
or eleclioneedng Comm-)
X X
Signature Signa re -.
DS-DE 12 (Rev. 11/13) \ SEE RtVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ,��� � 1, ��t� (2) I.D. Number cl�1'6-
(3) Cover Period / I �L through �, ! 1 / (4) Page _L of i �' "'o
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address 8 Contributor Contribution In -kind
Number City, State. Zip Code Type Occupation Type Description AmwWmM Amount
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREA ER'S REPORT— ITEMIZED EXPENDITURES
(1) Name
4. VIA ,. IpC
(2) I.D. Number
(3) Cover Period /�/�thro�ugYh �/-30 /-2�
(4) Page
%
(5)
(7) (81
{gl
(10)
Date
Full Name Purpose
(S)
(Last, Suffix, First, Middle) (add office sought If
Sequence
Street Address & contribution to
Expenditure
Type
Number
City, State, Zip Code candidate)
Amendn
I,
I/
,OS -DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(11
Amount
0
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