HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) ILV_11'j �1VDn
Name r
(2)
Address (number and street)
Seln�ts�i0tn. FL ,329s�
City, State, Zip Code
❑ Check here If address has changed
(4) Check appropriate box(es):
Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
OFFICEIfa NLY
C `oG l '_4
Crry CIO kebast;an
Ofce
(3) ID Number.
❑ 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 C>-J / pa / 7-L To b1 / 3 1 I Z Z, Report Type: m
).Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary �
Cash & Checks $_ • _ Expenditures $ ?— , /" 1 y
Loans $ '� I A_ 1 4
Total Monetary $
In -Kind $ '
(9) TOTAL Monetary Contributions To Date
$ 3 , y . y .14
Transfers to
Office Account $ 1 ,
Total Monetary $
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ 3 , y , y . 2y
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that Ihave examined this report and it is true, correct• and complete:
(Type name) keI q -0iXD () (Type name) �� �\/ I-)i'to0
❑ Individual (only for IE (L`rreasurer ❑ Deputy Treasurer JA Candidate Chairperson (only for PC and PTY)
or electioneering comm.)
X V 0 �_ n• X U.v X S�
Signature d— Signature U
DS•DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
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RF�EIt�F�
cif,^
CAMPAIGN TREASURER'S REPORT
—ITEMIZED
CONTRIBUTIONS
City o f ' •: �7`
Cr?"C.iose5ac,
1_
(1) Name
(2)
I.D. Number
(3) Cover Period
—7 ! / Z,Z
through % /
_..L / 22
(4) Page l
of
(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 Amendment Amoun',
Johh ill
! S !zz
Dixor�
7( G(Uc Island
S
Lbq
5D•00
7
ICJ
81u< Island
S
LO A
yU. Zly
Se.1oaS�t an , F•
% r 13 r
22
J c) 6 l ", IIQ. ( I y
Pivjra+v\
I`t(
ell lSlanc
S
e L t;S
L'OA
ZGD-00
S ebo Skicil F c.
SK1ill ry-\
IDS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R _
S ` �•
e5a
L ,
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES "'on
(1) Name
i/ P �../ 0 i qC O CN (2) I.D. Number
(3) Cover Period
I is2 through / 3 ( / 22 (4) Page (
of
(S)
(7) (8) - .- (g)
Date
Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought It
Expenditure
Sequence a
Street Address E contribution to a
City, State, Zip Code candidate) Type
Amendment Amount
?/5/22i �211./ l`7iX0�1 BUSir,eSS
%1 S1Lke Island S4. Acck•
S2.b4S loan, �c3z45�3 °i'�ePoi•1k
&O OAddy•corn(
1 /t2/zz L,L�- ylebsikc
'p t�mai n
uSo-3Q(4-5549
pro'yeck Pockrai� �atrp y
ai n
7Ai)Az p�.oF«Jr�ph�/ �ho{oS
813 Cody e.
Se \n n 5-V k can F L 321sa
C no
CAO
CAN
$50
1
Z50.00
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES