HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1, IMal C �V� t.p
Name
(Z) 1 Z Z `� s
Address (number and s t)
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es): /
Candidate Office Sought:
Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
Cover Period: From 8 / t_ !
❑ Original ❑ Amendment
(6) Contributions This Report
Cash & Checks $_
Loans $
Total Monetary $_
OFFICE USE -ONLY
CFIVED
SEP_��
City of
CttY CIe kebast'a.
(3) ID Number:
/�/f7Lr l
❑ 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
Z �ZI To / / Z % Report Type:
❑ Special Election Report
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ I,3
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $ /
(8) Other Distributions
$ I ,
(10) TOTAL Monetary Expenditures To Date
$
(11) Certification
It is a first degree misdemeanor for any person to falsify a public r ord (as. 639.13, F.S.)
I certify that IJhave examined thisreport
/yand H is truL/e, correct, and cot
(Type name) L.P,'Y�.1IZA,Y-ajf/�C%T�'1-tf1��1f1�. (Type n❑ Individual (only for IE ❑Treasurer j❑DepW Treasurer EfCandmerson (only d)r PC and FTYor elecOoo/nnee-erring comm.)
X f I'! �4 1i X
Signature U SignatDS-DE 12 (Rev. 11113) VERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS ,�e `
(1) Name — i C \ �� (1 �� (2) I.D. Number 0�i1�,fSe,�J,�`7
bar " plf�ep
(3) Cover Period 8 / 1 / Vic.{ through Jed— / ;j I / mac- t (4) Page of
(5) (T) (S) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First Middle)
Sequence Street Address& Contributor Contribution In -kind
Number CiN. State. ZJD Code Tvoe Occupation Tvlee Descriodan wmnsTMm Amount
1
/ I
DS-DE 13 (Ray. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
DS-DE 13 (Ray. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Litt' 7 •,
city C0 "ke��ast�<tr
CAMPAIGN TREAS RFR'S REPORT —ITEMIZED EXPENDITURES
(1) Name J l m m �(.n� (2) I.D. Number
(3) Cover Period 0/I_/ ' Cz-6rough /Si/ Z0Z 1 (4) Page I of
I(s) I (T) (a) (9) (10) 111)
Date Full Name Purpose
(6) (Last, Suffix, First Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) TYPO Amendmem Amount
ad / /C/
tO % 0 i L- y--
/vs� yd
✓ism �2 RZ
SG C� 4 {r C�-
� � Pzz, /G
Ct4-t Uar S4zeL
I 1Z12Sr1n.>.�i1
Cali C?��S'I .i. ,.l �1 l��'i✓\
DSDE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES