HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) ,` OFFICE USE ONLY
rr
Name I RECEIVED
(2) 7 ZZ g )cE45 .r S4
Address (number and st t) OCT 2 2 ?0?1
SN17Z+-,, ` V) 3 7S S� City of Sebastian
City, State, Zip Code rin' 000W, Office
❑ Check here If address has changed (3) ID Number.
(4) Check appropriate box(es): // /f
aCandidale Office Sought: �y vi4 ! Oust-i
❑ 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 HE or EC reports will be filed
Individual making electioneering communications)
(6) Report Identifiers
Cover Period: From /() / Z / Z 1 To IP / /S / Z./ Report Type: _/�7 '2
i7POriginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $_ Transfers to
Office Account $
Total Monetary $ y_
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ I, -ago . 00
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$_,1,25'/.c
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (as. 839.13, F.S.)
I certify that I have examined thisreport and It is true, correct, and complete:
(Type name) LO('(/T Th reek, k'1 1 1 I/L'^ (Type name)
❑IndW4"l(oNylwlE reseurw I ❑De(]uly Treasurer O CnelrparsonERSE(Wy(or PC am M)
welsaor/aarrhn, mmt I )
X h,�(�S(A� X _
Signal.,alur Sig lure
DS-DE 12 (Rev. 11113) SEE REVFOR INSTRUCTIONS
�CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONRECEIVED
(1) Name (/// ADS (2) I.D. Number (1CT 2 2 2021
r J City of SehastMll
(3) Cover Period IP / Z / 2J through /O / �5 / Z/ (4) Page C/'/
(S) p) (S) (9) (10) (11) (12)
Date Full Name
(S) (Last Sulfa. Flat, Middle)
Sequence Street Address& Contributor Contdbuticn IrNdnd
Number City. Stab, ZW Code Tvoe Occupation Tvile Descriptlon Amount
/ 1
I 1 /
/ I /
I l /
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIVED
OCT 2 ? 2021
City of Sebastian
C! MPAIGNiTStEASURER'S REPORT —ITEMIZED EXPENDITURETitj C!c::;'c Cfflco
(1) Name (3) I.D. Number
s r�
{3)Cover Period _L0_/ 2- /_2 through 10 / /S/-ZL (<)Poge ol_�_
(5)
(7)
(8)
Date
Full Name
Purpose
(S)
(Lost, Suffix, First, Middle)
(add office sought If
Sequence
Street Address &
contribution to e
Number
City, State, DP Code
candidate)
(9) 110) (11)
Expenditure
DS.DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES