HomeMy WebLinkAboutM8 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
Name �
(2) R0 (v
Address (number apd street)
..eLai 4-, e.. , F�- *9
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es): 1
Candidate Office Sought: _CoP��- .� _ i !^
❑ Political Committee (PC)
OFFICE USE`P� LY
e0v
"ri Cio k sbO�ce
(3) ID Number: M ¢
CI k-1-t aUA C-: \
❑ 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 ap p.X To / 3 I /oiQ 1.2 Report Type: M
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $_ a • 00 Expenditures $
Loans $
Total Monetary $_
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ I ,Sail .d a
Transfers to
Office Account $
Total Monetary $ I , (e 1 . 00
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ , & ( . Du
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. B39.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) (e��.6e S '_s1t— s, e
❑ individual (only for IE )3.ireasurer 0 Deputy Treasurer
or electioneering comm.)
x ro.4v
Signature
DS-DE 12 (Rev. 11113)
(Type name) C,b'Oej r�l� ,�� _%N •
[I-Crnndidate ❑ Chairperson (only for PC and PTY)
1-1� f �'�^�
Signature
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURERS REPORT
- ITEMIZED CONTRIBUTIONS
�4 F
c�iyo' j� O
(1) Name
t
(2) I.D. Number
(3) Cover Period g / 0 i /egp _22through 8 /
31 /201z (4) Page of
Q eq
(6)
(T) (6)
(9) (10) (11)
(12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address S Contributor
Contribution In -kind
Number
City, State, Zip Code Type Occupation
Type Description Amendment
Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR I.ISTRUCTIONS AND CODE VALUES
C
MPgIG,, T MSU�,ER'j fEPORT— ITEMIZED EXPENDITURE,• p
(1) Name Cry"•^ r� C tk��a ..1iJ�aa (2) I.D. Number A
(3) Cover Period / / ;2- through F / L 1 / 92- (4) Page ) of
(5) (T) Ial tbi (10)
Date Full Name Purpose
(5) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address & contribution to a Expenditure
RFb4�-AlFo
r �,�, ebashn
Number City, State, 21p Code candidate) Type Amendment Amount
cAKDO L
1 fk.-r CRIt �i1.C�G
OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES