HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) C1VeN.1Pi t'F )�.A1
Name
(2) qmp 0�; fs Sa-.
Address (number and sheet)
S.e 1.,rn ,tw, Ft 3ags;r
City, state, Zlp Code
❑ Check here if address has charged
(4) Check appropriate boucles):
a
City of Sebastie�
cif;,
crr e
(3) ID Number: i . C- I—
%cancdate ofte so ght (!A..r 6ou^c: k
❑ Po6lical Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here 9 PC or ECO has disbanded
❑ Party ExeaNve Commitlae• rM ❑ Check bare it PTY has disbanded
❑ Independent Expendihue (IE) (also covers an ❑ Check here N no odwr IE or EC reports will be tiled
Individual making electioneering communications)
(5) Report Identifiers
Cover Period: From Ip / 1 / To le / Z_ / Report Type:—
14 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report M Expenditures This Report
Cash & Checks $— , — , 3 • ad
Loans $
Total Monetary $
In -Kind $— , — — • —
(9) TOTAL Monetary Contributions To Date
$ S,-R•,D
Monetary
Expenditures $
�y11- T
Office Account $
Total Monetary $ . _ o • ore
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ , ,
(11) Certification
It is a first degree misdemeanor for any person to faleify a public record (ss. 839.13, F.S.)
I certify that 1 have examined this report and it is true, correct, and complete:
(Type name) t'i X
t]1rWikkW(0**WE .R'rrews 0DeWrTM8ww
w elecaorawkV comm)
X /��%�
C'l'
Signature
DS-DE 12 (Rev. 11113)
(Typ�naa,e, Gti.a,l�-t(E�►�c(+
t7c.�ae.ro ❑ ampwson (mr for PC ero Pll)
X t-- •9?�
Signature
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS �rT,CF�VFO
^ 'J' of
(1) Name C,.QS ���� �sb�� (2) I.D. Number %t %Sebvc `�
(3) Cover Period to / / _� through J6 / Z / _a (4) pW t or t e
csl m B) (9) (10) (11) (12)
Deb FueName
(a) (fit. Sufk First. Middle)
Sequence SbWAddress 6 Corroibubr Conbbuaon kw"
Number CUv. Sub. ZI Code _ Tvoe 0==NdDn Tvoe Dneriodw Maud
r
DS-DE 13 (Rev. 11M3)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C��T /cFi�Fo
i � Cr��Se63Sr �.
( (VP.AAIGNt RER'S (2EP0RT- ITEMIZED X NENDr URp c
1) Name ((�� i ()
(S) Cover Period, L_/_L/_ i through (4) Page l of 1
(sn I (T)
Date Full Nome Purpose
(a1 (Last, Suflix, First, Middle) (add office sought If
Sequence Street Address & conh@udon to a Expenditure
Number City, State. Zip Code candidate) TM Amenmsnn Amount
LtS /4 /� ( & 04CR � Pr
l6I't4o .veea sa- � �'K- (e0.00
i S.S.s�ke, tic.
08-DE 14 (Rev.11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES