HomeMy WebLinkAboutG2 Report AMPAIGN TREASURER'S REPORT SUMMARY
Name
(2)
Address (number and street)
City, State, zip Code
❑ Check here If address has changed
(4) Check appropriate box(es):
OFFICE W"LY
,V�D
Or;
1D7f^R
City Of `Jt r
City Cte kebasofft aO
(3) ID Number.
L"�1 Candidate Office Sought Sc�S/, �� ✓ �y
❑ 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 jQ l e7' l ,?oa To O 1 / �- j Report Type:
[Z Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
$_
_ , L
ev
Loans
$_ ,
_ , r�
0
Total Monetary
$_
_ , jc o •
n
In -Kind $_'_' oii . C'_�
(9) TOTAL Monetary Contributions To Date
$ 0
(7) Expenditures This Report
Monetary
Expenditures $ 1 • r�
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ ULJ
(10) TOTAL Monetary Expenditures To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (as. 039.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) /V»� ,A' ,�,� /�i�✓yj'
❑ Individual (only for IE El Treasurer ❑ Deputy Treasurer
or eleclloneedng comm.)
_ _ _] _--
Signature
DS-DE 12 (Rev. 11113)
(Type name) �,�/'';i.F
[YCarbldate ❑ ChakpeBon (only for PC and PTY)
Signature
SEE REVERSE FOR INSTRUCTIOIIS
RECEIVED
CAMPAIGN TREASURER'S REPORT - ITEMIZED
CONTRIBUTIONS
OCT
(1) Name
(2)
I.D. Number
�wolSebasti`
(3) Cover Period JO I C 1. � through LC 1 /,5 / 2oj
(4) Page
of
(5)
(7) (6) (9)
(10) (11)
(12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address & Contributor Contribution
In -kind
Number
Citv, State, Zip Code Tvoe Occupation Tvpe
Description Amendment
Amount
trp/e"'L°� �✓iNSU.J
/J1 D l��21 1C+a✓ciSrq.JA-11
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RF�E/V't�o
city Of �d
Gti C CsubC
CAMPAIGN TREASURER'S REPORT —ITEMIZED EXPENDITURES
f ae
(1) Name--?R,iX Jam.'
(2) I.D. Number
(3) Cover Period/r>1 /2% through �� lLS l
(4) Pege / of
(S)
(7)
(8)
(9) (10)
(11)
Date
I Full Name
Purpose
(6)
Sequence
(Last, Suffix, First, Middle)
Street Address 3
(add office sought If
contribution to a
Expenditure
Number
City, State, Zip Code
I
candidate)
Type Amendment
Amount
Ifl//3/x 1
G3 VS-1
L't/
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES