HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
(2) Namlq� yy�ea� 54 R�CEIVE�
Addres (nymber nla treet) q Cat ZZ2
d L 307 ! City r" Se6asti
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)
erk S Ola�
(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)q To (� / -� C) / Report Type: i ti 1
Original ❑ Amendment �- ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
Loans $ r
Total Monetary $ o r
In -Kind $ (J r
(9) TOTAL Monetary Contributions To Date
$ ola d0
(7) Expenditures This Report
Monetary _.
Expenditures $ , (�
Transfers to
Office Account $
Total Monetary $ _ , _ , L�2
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ G t PP
(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: �( p1
(Type name) U 1 & (Z— •�ki a 1Mw / (Type name) CA!1.rIe5 �11Ajel kl!(.'1
[ Individual (only for IE ttTreasurer l] Deputy Treasurer 1ACandldate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
94
na re �( Signature
DS:DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT
- ITEMIZED
CONTRIBUTIONS
�S�v �Pr
��'
(1) Name
(2)
I.D. Number
(3) Cover Period C�-'� / 0� / 3,� through b� /
3D / 19-3
(4) Pape
of
(5)
(7) {S)
(9)
(10) (11)
(12)
Dale
Full Name
(6)
(Lest, Suffix, First, Middle)
Sequence
Street Address & Contributor
Contribution
In -kind
Number
City, State, Zip Code Type Occupation
Type
Description Moend"M
Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
11 11i', FO
Q/ V `7
c�csebas
AMPAIGN TRE� URER S REPORT— ITEMIZED EXPENDITURES
1 Name (� ' � mv, 2 I.D. Number 0
(3) Cover Period 1 / / a� through! 3 / (4) Page ( of
(5)
Date Full Name Purpose
(S) I (Last, Suffix, First, Middle) (add office sought If
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
DS-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES