HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARYL)Ap�
(�) ` L(. t t—Y- �'i • �� l.k-w t OFFICE USECEIf111�f/V
Name ""CC j��
(2) (J/ Z 3 V S t Iwj • I •A
Address (number and street) City l i E�d
(grAifY 7 rw.� ri 3z�Cis ., of Se
City. State, zip Code t� C'c, ^ � b� ti n
❑ Check here N address has changed�L (3) ID Number,
(4) Check appropriate box(es):
® Candidate Office Sought: 5�1r44J &'r-t' t!n��+c •c
❑ 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 HE or EC reports will be filed
individual making electioneering communications)
Cover Period: From /
❑ Original El Amendment
(6) Contributions This Report
{
Cash 8, Checks $
Loans $
Total Monetary $
In -Kind $
(5) Report Identifiers
/ z 7 To / I / Zz Report Type: �•
(9) TOTAL Monetary Contributions To Date
$ (o
❑ Special Election Report
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
00) TOTAL Monetary Expenditures To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839A3, F.S.)
I certify that I have examined this report and it is true, correct, and complete: 1
(Type name) (Type name) u-� —
S
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer ($ Candidate ❑ Chakperson (only for PC end PTY)
or elactlonewing aomim )
X X
Signature Signature
DSDE 12 (Rev.11113)
SEE REVERSE FOR INS'(RUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ( w'-i— (-t C-.•-` ' "_.1 (2) I.D. Number
(3) Cover Period t o / _ / 1hrouph 1 .o / _Z / z-+-
(Is) m (e) l9)
Olb FWI Name
(S) I (Last, SWrn, Fist, Middle)
Sequence Shah Address& G Vftxdor COIAbuft"
Number CBy. Stab. Zlp Code Type 0ocupieppn 7101k
/ / I
orp
y06 �^
i. ., dS .
(4) Page 1. 61
(10) (11) (12)`
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIG TREASURER'S REPORT— ITEMIZED EXPENDITURES
�-1 C_
Must"
I JV�'�'^ •_c.... -1 . (2) I.D. NumbN
p (4) Page l of `3•
(3)Cow_ ftrtod___
(7) i5n1 _ till, -
Date Full Name Purposa -
(Lost Suffix, First Middle) (add oNlce sought If
(a) Street Address & contrlbullon to a Expenditure
Sequence candidate Type Mne^dm"n Amount
NumberClty, State, Zip Coda )
j
j ; t � / .rr rnlr YYr11 \ri 1 ��3�•..i.. p•\ter 11 L
•ems r�J i �UtCa3 nn i � i
_ _ _ — --' ;�_ ,ter .-i r't•rn ^" J Lc/
CIS -DE 14 (Rev.11113) SEE REVERSE FOR MTRUCZWNS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) 1 �AxtWi,t OFFICE USE ONLY
Name
(2)
Address (number and street)
S&CLAS7IWw` e� 3z ,fY
City, State, Zip Code
❑ Check here N address has changed
(4) Check appropriate box(es):
(3) ID Number.
(Candidate Office Sought: <45�t4lu �Th 4L"" -'rc
RECEIVED
o)
,)- i 7 [Q'.9
City of Sebast,;:
City Cicr",'- CC.
❑ 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 I o / / Z Z To k � / / a z Report Type: 6
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $
Total Monetary $
In -Kind $ - -
(9) TOTAL Monetary Contributions To Date
$ VJ i
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ I I t . —
(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) V-E c . k S (Type name)
❑ Indivieual (only for IE M Treasurer ❑ Deputy Treasurer IB�Candidete ❑ Cheln e n (o* for PC and PTV)
m election rft co ry ) i—\ -
x l� x l
Signature Signature
DS-DE 12 (Rev.11113) SEE REVERSE FOR iNSTRUCTI ONS
REDtFIVED
CibY o> bash,;
CAMPAI6� TTSURER'S REPORT— ITEMIZED EXPENDITURES l cl'Se
1 Name l ` '- ` �•"'T (2) I.D. Number
(3) Cover Period Iv / t / 2-- -through t o / ? / 2 2 (4) Page of /
(s) (7) (a) (9) (10) (11)- -
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address 6 contribution to a Expenditure .
Number - Cltj State, Zip Code candidate) Type Aewndmi t Amount
4d
1 � � � -._- ."rArr.i � �-i�cy�`iu ^is� o rw si ...: i ��✓
srTisnl
ffa
OS DE 14 (Rw 11fl7) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECE�VFp
CAMPAIGN TREASURER'S REPORT - ITEMIZED
CONTRIBUTIONS
Orr t 7 2014
(1) Name
4 �" ��- C "�^t (2)
I.D. Number
Crt�',.r
ulty C/�-oashi•,
Ctr`P
(3) Cover Period ( / ` / through 1,0 / _ 7 / ?
(4) Page t'
df
(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. ho Code Tvoe Occupation Tyne
Descriodon Amen&MM Amount
SEE REVERSE FOR iNS T R s: T iONS AND CODE VALUES