HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(2) Named
'Address (number and stredt)
1 q
?a,
City, State, Zip Co.6ey �j �Sebasro`J
❑ Check here if address has changed (3) ID Number: V Ooey
(4) Check appropriate box(es):
atandidate Office Sought: �t r Co i, A c t
❑ 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
Cover Period: From l / ! Zj To ! / / ' ' Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ -
Loans
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$
(7) Expenditures This Report
Monetary
Expenditures $ -— .
Transfers to
Office Account $
Total Monetary $ - —
(8) Other Distributions
(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'I n
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((,,,Taaay'''pe name)._ ViAl(i0t y/t,'I �l � � �l.'t V1 , (Type name) , t/v'l(`��i ( ((
LNndividual (only fo�E ❑ Treasu)er ❑ Deputy Treasurer KFandidale I ❑ Chalrpersdn (only for PC and PITY)
/or electioneering comm.)
i
X X� I
Signature I Signatur9(
IDS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
I
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS QEC�i
`� I i `?�� ;• _ CFO
(1) Name �yQ,m eV1 I61I� awS (2) I.D. Number
(3) Cover Period / / Z I through / / 5 / ( (4) Page Of
e
(5) (7) (8) (9) (10) (11) (u)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number / City, Slate. Zip Code TYpe Occupation Type Description Amandmem Amount
/ F i
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
y�CAMPAIGN TREA$,URER'S REPORT— ITEMIZED EXPENDITURES
(1) Name I�C%Gi� 1 Pal ((� f I/II� �` ���> (2) I.D. Number
(3) Cover Period 10 /7/ Z ( through l U lLl Z ( (4) Page
(5)
Date
(6)
Sequence
Number
z
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code
/ I i
18)
Purpose
(add office sought If
contribution to a
candidate)
i
(9) (10) (11)
Expenditure
Type Amendment Amount
i 1
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES