HomeMy WebLinkAboutG1 Report�D� CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �-�V A( S, (���\m� OFFtC USE ONLY
NameECEIVt;U
� 0 C T t 4
Address (number a d stre� �- p
Jt" l� \ l h/1 C — 'RC 1 Citt)' of Seba .
City, State, Zip Code Y Cle; i.;
❑ Check here If address has changed (3) ID Number.
(4) Check appropriate box(es):
Candidate Office Sought: i ��L) (1Gi'
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here It 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 &I
Cover Period: From l 07Ct�) To /(l-) / C,4 / V• `d Report Type: "P4J�
01Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Cash & Checks $_
Loans $
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ aas . 6)e�
Monetary l
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$
(10) TOTAL Monetary Expenditures To -Date
$ 7/
(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: j ` � / pp /
(Type name) ,� C( S r U(h'� W��(;�i (Type name) P knj'I - - �3rA�1 -1'V9i%
❑ Indmdual (only for IE Treasurer ❑ Deputy Treasurer lCandldate ❑ Chairperson (only for PC and PTY)
or election g comm
x X Cu9a�
Sign ure Signature
12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS REce1
I1ED
(1) Name on"", �&SU W1 (2) I.D. Number pith,,:
(3) Cover Period t U I 01 /QQthrough kC" f C21�D (4) Page Of
(5) I (7) (8) (9) (10) (t1) (12)
Date + Full Name
(6) (Last Suffix, First, Middle)
Sequence Street Address & C mtributor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description Amendmem Amount
I I I
DS-DE 13 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RF�E/VRD
iU
qry ?
A�PAILi, TR A URER'S REPORT— ITEMIZED EXPENDITURES
��/1f ITf»,r/r
�f
C'r�C,�Sebastian
C-fce
(1) Name
h^� 11(l�
(2) I.D. Number
(3) Cover Period
�U /�< through jC7
/ 7 / a�� (4) Page Of
p
/
(sl
(7)
CS) (9) (10)
(11)
Date
Full Name
Purpose
(S)
(Last, Suffix, First, Middle)
Street Address 3
(add office sought If
contribution to a Expenditure
Numbers
City, State, Zip Code
candidate) Type Amendment
Amount
I
DS•DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES