HomeMy WebLinkAboutG1 Reportf
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �)W ZQV\ C', ( I I eiG1, �; OFFICE USE ONLY
Nam I/VFW
(2) YGZtact
Address (number and street) c i/,, of
�t� c/o.
City, State, Zip Code OfiS
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es): /C /
candidate Office Sought: � ( 9Uor
❑ Political Committee (PC)
❑ Electioneering Communications Ong. (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
i
7C r Period: From (' / l � 1 To �, 1 � / � Report Type: �7
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $6 r 0 ' U • /6
Loans $� , � , n . (
Total Monetary $�
In -Kind $-D— 0 V
(9) TOTAL Monetary Contributions To Date
$ 3f> o 6 r,
,
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ ('5 - 1
(10) TOTAL Monetary Expenditures To Date
$ 6 I (' 0
(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 rep rt a It is true, correct, and complete: .Yrx!
(Type name) G�lrM o4 n 71l l"( NHS (Type name)vt-eki 41 // 1Gj`ZL i
❑ Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chalrpersorr only for PC and PTY)
or electioneering w
Signature 'I �', Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
RFc
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS F/(rFO
'� � f t ti C;0�T
I ` V
(1) Name3 aLAA N au
� ( � (2) I.D. Number 461f. f,c
'Gr ' vast,
(3) Cover Period / I / Z ( through / / (4) Page I Of � ne
(6) (yam (10) (11) (12)
Date FglYNar
i
(6) (Last, Suffix, First, Middle)..
Sequence .'Street Address & Contributor Cont lion 1n-kind,:'
Number ; ' City. State, Zip Code Type-' Occupation %type /Description Amandmrd Amount
i
DS-DE 13 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
F�
Cnf.° s`
CAMPAIGN TREASUR R'S REPORT- ITEMIZED EXPENDITURES �c°she orla
(1) Name (2) I.D. Number Pee
(3) Cover Period �0 through ! L / / (4) Page of
(5) (7) (8) (9) (10) It1)
Date Full Name Purpose
(5) (Lest, Suffix, FJrsf, Middle) _(add office sought if ,
Sequence Streel,Address 6 :.', contribution to a Expenditure
Number Cl State, Zip C� candidate) TYpa' AmeMmaM .Amount
i
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES