HomeMy WebLinkAboutM9 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
Name
(2) QO(e ��evv.irrJ Sa
Address (number and street)
FL 3245Fr
City, State, Zip Code
❑ Check here If address has changed
(4) Check appropriate box(es):
56 Candidate Office Sought: IDA
OFFJFF, USE ONLY
V rt
C/
C/t✓ �O°f,SebaS��?�
V C'%Cn
(3) ID Number. rAct
❑ 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 / ( / A9- To � / go / 9-2 Report Type: VK 9t
,�fbriginai ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
Loans $
Total Monetary $_ r
In -Kind $
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $ , 1;7-- ,� 64
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ $ 2 , 3-S . 6Q
(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) ��7� •ot 1'1=c'� 1.]r a (Type name) C %'G•��.ei� 1]. J i
O Individual (only for IE fa'rasurer ❑ Deputy Treasurer [y-eafididate ❑ Chalrperson (only for PC and PTY)
or electioneeringg comm.) 4
X YJ e� X
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT
- ITEMIZED
CONTRIBUTIONS
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(1) Name
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(2)
LD. Number
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(3) Cover Period
/ /
through /
3u / 2.2-
(4) Page
J_ 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
Descnption
Amw mem
Amount
T11crw,1E N.11
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DS-DE 13 (Rev. 11113) SEE REVERSE FOR 145TRUCTIONS AND CODE VALUES
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CAMPAIGN TFrAMURER'S � EPORT— ITEMIZED EXPENDITURES C'`
(1) Name (T k "I2t llEc �sc� (2) I.D. Number mcr
(3) Cover Period / ( / .49, through / Z 6 /%Z (4) Page of 1
Date Full Name Purpose
(Last, Suffix, First, Middle) (add office sought if
(s) I Sequence Street Address h contribution to a Expenditure
Number City, State, Zip Code candidate) Tie Amendment Amount
11•Sl— Ilk.& %-k Stsnl MDAJ �lOt,.fpU
S.+1,41 -ice Lt.( Adv-e ktr•j
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l fo e 3 to 1 1'104" 'I-
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da
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES