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HomeMy WebLinkAboutG1 Report AMPAIGN TREASURER'S REPORT SUMMARY Name (2) /Z,7;5 �a Address (number and street) City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): Candidate Office Sought: �i�T�, S%sn✓ ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) OFFICE USjti ONLY llrFD Q�� r Cft1' o Clt> Cl� Sebastian (3) ID Number: ❑ 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 / / l 2 L) To /0 / p) / �,�'2� Report Type: ® Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ Loans $ u u (7) Expenditures This Report Monetary O/0 Expenditures $ _ , 0 . U: . Transfers to Office Account $ Total Monetary $_ _ OD 00 In -Kind $_ D Oct (9) TOTAL Monetary Contributions To Date $ Total Monetary $ _ , 00 . bD (8) Other Distributions (10) TOTAL Monetary Expenditures To Date $ �, 112._Z7 (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) fzlt'c:�/c'�i , ❑ Individual (only for IE Treasurer ❑ Deputy Treasurer or electioneering comm.) Signatgu e DS-DE 12 (Rev. 11/13) (Type name) �� , �v ✓ S [T'Candidale ❑ Chairperson (only for PC and PTY) Signature SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS�FCFi��� 1 Name 2 I.D. Number C,CICn se iu`""� (3) Cover Period /© I D/ / -)V, ( through 16) 1 I Qar (4) Page _�_ of _L (5) (7) (6) (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 Amendmem Amount DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �� C;rho PSe - C/e,,,,_bast;a, CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES `C'fce (1) Name _ 1✓fiQ,7if '05'_ ;1v, sJ (2) I.D. Number (3) Cover Period _/O / t� / / through_/ / ( / ' / (4) Page % of / (S) (7) (8) (9) (10) (11) Date I Full Name Purpose (S) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address b I contribution to a Expenditure Number City, State, Bp Code candidate) Type Amendment Amount DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES