HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1 ) \yC �G!!_S z� /� /d�L ���sl / L✓ OFFICE r F ay
Name
eD
(2) %,�' /4, 0OCT 112022
Addre s (number and street City of sebaslian
✓(_' /'/,ti. % i /�'9i� �a / ll City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
'0�Candidate Office Sought:
❑ 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 l 1--2_To j c / _7 / y�.ReportType: �
17/1 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary n
Cash & Checks $ L Expenditures $
Loans $_ • _ Transfers to
Office Account $
Total Monetary $ • _
Total Monetary $
In -Kind $_ _
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. $39.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete: )
(Type name) �d.�jf �j�J6z-(e i1 (Type name) �OU 1 se h/A U7ei1/� org
❑ Individual (only for IE 'PTreasurer ❑ Deputy Treasurer �andidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.) :/%�n% / ,, X S _La. - h �
-I r
Signature Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS