Loading...
HomeMy WebLinkAboutG2 ReportI, CAMPAIGN TREASURER'S REPORT SUMMARY (1) �V\I I�.taPk3J �0JAJ J OFFICE, USE ONLY (2) Name g �O t�� L,dj Add r� bnc4�cand ram) street) L cty Rorke 0 sa�1 City, State, Zip Code ��nn�ce ❑ Check here if address has changed (3) ID Number: 6 2— (4) Check appropriate box(es): II Candidate Office Sought: Cm fi l� ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) ❑ 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 /0 / 7— / 2 I To /p / C } / 2 1 Report Type: 9Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ g©. ©o Expenditures $ Loans $ , t) Total Monetary $ g 8 6• t� In -Kind $ (9) TOTAL Monetary Contributions To Date Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ 1 , (10) TOTAL Monetary Expenditures To Date $ , 7, ,_�v .may (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) —rV1�q �s � � � p ft (Type na4, / ❑ Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC: and PTY) or eleckneering comm.) X , (:� L Signature nature L DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS 0C C , r —01' ��, CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name C% rt topf til UMIY (2) I.D. Number U (3) Cover Period through S1 ,2 1 (4) Page 4 of (5) (7) ($) (9) (10) Date I Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure u,,,,,ko, City, State, Zip Code candidate) Type Amendment 750)- Sa D]�-r S�,r -z&57 /v �S' 11 ftj Ivo- `7gd 5' C76r k- 3721''7 '(S7 ro (yz, e�Uw.be�la 7S-1 I Se(-A6`t-1'4w F, /d �r 21 H t 4_*W-i3 R s otti`� I 145 FO 57 Ic S tc� dli F/ FUG ( E�f /L) F,( e t 0 Amount 'f y & !��" 2-� e z33 S lC� (US G,4A )Q 1 g� DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES r CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS <' j (1) Name C iS-f oto '4'L ill Al A'' (2) I.D. Number Seb�d Z c fr'a7 (3) Cover Period i0 / / 2 i through / 0 / 5` l 2( (4) Page of,--3— (5) I (7) (8) (9) (10) (11) (12) Date Full Name (8) (Last, Suffix, First, Middle) Sequence Street Address & C mtributor I Contribution In -kind Number Citv. State. ZrD Code Tvoe Occupation TvDe Description ^mom" ^m Amount /01 � 12-> >oa -rho"tcw C4,� � �8 ( 3 � Jere) AA Q-L C4 /� GI 2) Rcr�ILvnS AD_v/b�( P 77T %�rct7orti 4�k4 0"-^ 1� G� S L71✓ Z 3?,qz, 1 DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES