HomeMy WebLinkAboutTR Report AMPAIGN TREASURER'S REPORT SUMMARY
r a7 me
(2) /G ? g, c`'i,
Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
dCandidate Office Sought:
OFFICE, ErOr, Y,)
I,A Al 10 2027
City of Sebastian
City Clerk's Office
(3) ID Number:
/ "r/lG/a✓Lri/
❑ 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 & / ^y, ! ,�j_I( To _/ l %� ! 11_ J Report Type: _
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $_ r Expenditures $ _ ,jol zz—
Loans $ _ , p o M) Transfers to
Office Account $ 00 r � �
Total Monetary $ b,) o j
In -Kind $ L/ J
(9) TOTAL Monetary Contributions To Date
Total Monetary $ _ , _ . 2
(8) Other Distributions
$ , &G t,-CI
(10) TOTAL Monetary Expenditures To Data
$ ,__7,._q_L
(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), r' ,&4, / 47 _ ) ,J
❑ Individual (only for lE /Treasurer ❑ Deputy Treasurer
or electioneering oomm.)
Signature
DS-DE 12 (Rev. 11113)
(Type name)e-�r,ln',7.>L '61
[candidate ❑ Chairperson (only for PC and PTY)
X�
Signature
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS RECEIVED
(1) Name /)�;Qp,=(,( l' L_ _-�! (2) I.D. Number ito
City of Sebastian
(3) Cover Period %wry I I )aAf through ej j— / l_L: (4) Page __L_C01'C Cff',ce
(5) (7) (6) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description Amadmwd Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
ECEIVED
q° of
Sebastian
CAMPAIGN TREASUBER°S REPORT— ITEMIZED
EXPENDITURES'"'
- Ocrk'c
Cif ce
(1) Name
(2) I.D. Number
(3) Cover Period �O /�/ through /_L/ 0
(4) Page
/ of
(s)
(7)
(6)
(9)
(10)
(11)
Date
Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
(add office sought If
Sequence
Street Address 8
contribution to a
Expenditure
Numher
City, State, Zip Code
candidate)
Type
Amendment
Amount
9PX 931 V
LL, k�h I 47�
l
i
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES