HomeMy WebLinkAboutG2 Report 1)
Name (2) / �J O /_ r- l fer : T / P r Ir 4 f_e
Address (number and street)
X ," t :,n
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
CAMP IGN TREASURER'S REPORT SUMMARY
n i r f I OFFICE USE ONLY
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oc
C ty C/o kebast �n
(4) Check appropriate box(es):
❑'Eandidate Office Sought:
❑ 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
To I % J l
Report Type:
Original
❑ Amendment
❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks
$_ / ,
Monetary
I5 • �' Expenditures
L/
$ _ , �3Z , 00
Loans
$_
• Transfers to
_
Office Account
$
Total Monetary
$ !
/a S • 90
Total Monetary
$
s.3y. 00
in -Kind $
(9) TOTAL Monetary Contributions
��ToDate
$ � 0�/,—
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ , r%S . 6 6_
(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 h/a/v� examined IN re/j/p/fit an/d it is true, correct, and complete: (n} (/�/'
(Type name) / vb I_ % `e-/ 9 V /" /,� r (Type name) [JU d V kit
it
❑ Individual (only for IE l�reasurer ❑ Deputy Treasurer O�Candidate ❑ Chalrr mon (only for PC and PTY)
or electioneering x�C Xnip/ L%
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURERS REPORT — ITEMIZED CONTRIBUTIONS R
- �'AK F�
(1) Name p a r (2) I.D. Number CAe3 a
`'ll Cofsob
(3) Cover Period o; a
I � I � through (4) Page of
(6) (7) (6) (9) (10) (11) (12)
Date Full Name
(6) (Lest, Suffix, First, Middle)
Sequence Street Address& C_intributor Contribution In -kind
Number City State, Zip Code Type Occupation Type Description AmVW nl Amount
/ol '900
Vero U1, rZ 3)%
S l a p Q6101, GS 15 '�a 4 S C
1Y.a &Ojto 3�969
S014111nn:51z, ef�
ProfY
So?o A. Wwy //,4
YN. ro LJRI+G�f./�1Y�1
P� er�/
Sa?o n/f/wr �/d
Sfe C-1
lee. "d geecf
S �k�en �e r9i �OuiS:
)�, t 9?3 Os
hjL
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
4
5�AMPAIGN REASUR R'S REPORT— ITEMIZED EXPENDITURES
77 14
Ofs
c'e;;rebasf
(1) Name ✓.
1 v ' ,rT —
(2) I.D. Number
L'
(3) Cover Period
/ l�l� through L�
l
/ I l c - (4) Page of
e�
(5)
(7)
(a) (9) (10)
(11)
Date
I
Full Name
Purpose
(a)
(Last, Suffix, First, Middle)
(add office sought If
Sequence
Street Address &
contribution to a Expenditure
Number City, State, Zip Code candidate) TYPe Amendment Amount
I�
DS•OE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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