HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USECNLY
Name l
(2) —► ► 3ltJe ilSnnrnl Si.
Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
2"Candidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ independent Expenditure (IE) (also covers an
individual making electioneering communications)
EIvFp
OCT 1 �`
City of Seba.
City CIO, /
,
(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 (D / 1 / 22 To I C) / —7 1 .2 Z Report Type: M
[Yoriginal ❑ Amendment ❑ Special Election Report
t
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $_ _ _ • _ Expenditures $ _ _ .9 H 3lQ
Loans $_ _ + Q Transfers to
Office Account $
Total Monetary $_ r _ � _ •
Total Monetary $
In -Kind $_ _ • _
(8) Other Distributions
$ r
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ,(e,�• too ,V,t-I R •3`J
(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) Ve-0 -\( rJ • (Type name) V E_ � �j f�) • � 1`�.�1`1
❑ Individual (only for IE l3'Ireasurer ❑ Deputy Treasurer Wandidate I� Chairperson (only for PC and PTY)
or etedioneerng comm.)
x
Signature
DS-DE 12 (Rev. 11113)
x
Signature
SEE REVERSE FOR INSTRUCTIONS
• �
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QCT 1
CAMPAIGN TREASURER`S REPORT
—ITEMIZED
CONTRIBUTIONS
Ch CfSebas���
(1) Name
ILe 1 (.l N t X Q
(2)
I.D. Number
/
(3)CoverPeriod 1Q / ` 1 22 through �Q /
l 'L�
(4) Page }
of
(5)
I (T) (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 Amount
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1Qr 3
r2Z
71.6kLte Islal,dsk S gtlH"
SebaS�i an, F%
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32�i 5 8
10 / -7
/ 2 2
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J
LQ1�1
$13.2
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DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name
N Il i x G C)I
(2) I.D. Number
(3) Cover Period
Q 1 ?2 through ��
(4) Page of
(5)
(7) --
— (g) -
(9) (10) (11)
Date
Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
Street Address &
(add office sought If Expenditure
contribution to a p
Sequence
Number
City, State, Zip Code
candidate)
Type Amendment Amount
„p0.�g �
(000 N l'0(cy- bam 91.
co N $8\-0-1
tine\ boij T ne ) F f_ 3Z 93 5 i
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DS•DE 14 {Rev. 111131 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES