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HomeMy WebLinkAboutG3 Report AMPAIGN TREASURER'S REPORT SUMMARY Name (2) / /. 3 1� Address (number and street] City, State, Zip Code ❑ Check here If address has changed (4) Check appropriate box(es)• OFFICE USE ONLY ©GT Cg QC . Of (3) ID Number. ® Candidate Office Sought -7. / ❑ 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 /�j / �G /,?� To %. / I / 2,2.n/ Report Type: ED Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks Loans $_ , V Total Monetary $_ rc7 4-9 In -Kind a (9) TOTAL Monetary Contributions To Date (7) Expenditures This Report Monetary Expenditures $ D'-2 Transfers to Office Account $ Total Monetary $ _ , _ O� (8) Other Distributions $ Ici i (10) TOTAL Monetary Expenditures To Date (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 this report and it is true, correct, and complete: (Type name) r i� �? � ❑ Individual (only for IE LDS Treasurer Deputy Treasurer or electioneering comm.) X Signature DS-DE 12 (Rev. 11113) (Type name)'r�l �, �� .Yl _'i✓ UrCandldate ❑ Chairperson (only for PC and PTY) Signature SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ft`^F� Orr (1) Name �. ��5 12) I.D. Number �cr�°fSq���Ce+ "s 0,b7 if, n (3) Cover Period / /_ / 7ai1 through mil' / / i (4) Page _� of °e (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, ZiD Code TvDe Occupation Tvpe Description Ameeemem Amount io ra3 1.2azlCV fir.✓% GGS' ✓vL�//� '3.9 DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c; 9 Of c/ cekC0 CAMPAIGN THE SURER'S REPORT- ITEMIZED EXPENDITURES 17 (1) Name 4QQ2f7 ,'r.*' il� �,�5 (2) I.D. Number Ce (3) Cover Period /1!L/ Cthrough j0 l �' l �v 2/ (4) Page of (5) (7) (6) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought If Sequence Street Address 6 contribution to a Expenditure Type Number City, State, Zip Code candidate) Amendment Amount DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES