HomeMy WebLinkAboutG2 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
Name v l
A dress (number and street)
City, State, Zip Code /
❑ Check here If address has changed
OFFICE USE ONLY
ocr �: 6 f
CrtY of :
City C/e kGbasr.
Ob,:
(3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: Sp t/)e[4, oV1 ir(4� ( coA Gt rl
❑ 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 / $ / 2 Z To L(�_ / -�7 / Report Type:
Pbriginal ❑ Amendment ❑ Special Election Report (_
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $-
Loans �_ - Transfers to
Office Account $
Total Monetary $—
Total Monetary $
In-Kind--
(6) 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. 839.13, F.S.)
I certify that I have examined thisreportand it is true, correct, and complete: //
(Type name))Tamltl •� �7d I t C/V�� (Type name) �nUMr'<vv1 G �l (G %
individual (only for IE Treashrer ❑ Deputy Treasurer ( andidate ❑ Chairperso (only for PC a4PTY)
�. electioneeri Comm.
X X
Signatur/ Q Signature
DS-DE 12 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name�(klM.<f�/1<@l5 (2) I.D.Number rthOfs
l 5.
(3) Cover Period W/ > / through 0 (4) Page _� of
(5) (7) (S) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix. First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number City, sta7
Type Occupation Type Description Amerdm M Amount
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1) NamE� i (r� �Er-7-- (Z) I.D. Number
(3) Cove eriod L� // 7 through/�_/ (4) Page of
(5)
(7)
(8)
Date
I
Full Name
Purpose
(6)
(Lest, Suffix, First, Middle)
(add office sought If
Sequence
Street Address 3
contribution to a
Number
I
City, State, Zip Code
candidate)
I,'
DS-DE 14 (Rev. 11113)
jD) (10) (11)
Expenditure
Type Amendment Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES