HomeMy WebLinkAboutM7 Report 1)
(2)
(4)
CAMPAIGN TREASURER'S REPORT SUMMARY
Name
Address (number and street)
City, State, Zip Come
❑ Check here if address has changed
OFFICE USE ONLY
RECE/V"zD
AUG - 9 2ZIf
City of i
City Clerkeb�ftla4
(3) ID Number:
Ch ok appropriate box(es).
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)
(5) Report Identifiers
7Cov Period: From � / �� l '2 To fj� I 3 / / Z82 J Report Type: M 7 _
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ 00 o
Loans $
Total Monetary $_ —
In -Kind $_
(7) Expenditures This Report
Monetary
Expenditures $ . b
Transfers to
Office Account $ rz, .
Total Monetary $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(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:
(Type name) >�/�r� VC,i.,.s (Type name)
❑ individual (only for IE ®'Treasurer ❑ Deputy Treasurer fJ�'Candidate ❑ Chairperson (only for PC and PTY)
or electioneering mmm.) _
�r
Signature
DS-DE 12 (Rev. 11113)
Signature
SEE REVERSE FOR INSTRUCTIONS
AMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
R,Ec' j!Iv
(1) Name
(2) I.D. Number
C,au�
w `C/e J ebasr
(3) Cover Period / O/ / �` /
through I12 / _ / 2 (4) Page �
an
of Cjfce
(5)
(7)
(S)
(9) (10) (11)
(12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence Street Address&
Contributor
Contribution In -kind
Number
City. State, Zip Code
Type Occupation
Type Description Amendment
Amount
Pmo
39
01 .2
r."'4721
/-/,C9.Xy
3z95S�
Jzso zQ
3a9s�
67 , //
3�958
(mac pnn�j/
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
-
Al/G . y
City of G�QC
City Cl� kebOif an
AMPAIGN T E URER'S REPORT- ITEMIZED EXPENDITURES CO
(1) Name r�4'i ��, (2) LD. Number
(3) Cover Period Doi i_L_1 ' 72/through _01J-L-1 .Za2 j (4) Page of /
(5) (7) (8) (9) (ill) (11)
Date Full Name Purpose
(Last, Suffix, First, Middle) (add office sought if
(8) Street Address 8 contribution to a Expenditure
Sequence Number City, State, Zip Code candidate) Type Amendment Amount
1 1
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES