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HomeMy WebLinkAboutTR ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1I /A VM I ( "_0 ( r ( (dt Wk-S i • ' f E S ONLY " Name t VE (2) 1 t!, Z 3 f) 51 Su ' �S JAN 2 6 2023 Address (number and street) �3 3Z`l5� py: Lv City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): r ❑ 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 / / To / / Report Type: ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Moneta ry Cash & Checks $_ , _ • _ Expenditures $ _� on Loans $ Total Monetary $ I r In -Kind $ G (9) TOTAL Monetary Contributions To Date $ LlrC Transfers to Office Account $ Total Monetary $� Ub (8) Other Distributions $ (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 this report and it is true, correct, and complete: (Type name) I , , ,; � r �' - ❑ IndIvIduat (only for IE ❑ Treasurer (3 Deputy Treasurer or electioneering Gomm.) ' X � II Signature DS-DE 12 (Rev. 11113) /' i / P (Type name) iat l%✓1 i e-f�l 1 71 1( /6i 641-- ❑ candidate ❑ Chairperson (oniylor PC and IPTY) X Signature SEE REVERSE FOR INSTRUCTIONS JAN 2, a)z3 w CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name u i,, l t c 1 f_ - (.. I d l 1� /✓i ti (2) I.D. Number (3) Cover Period f 2Z through / / ZL/! Z, 5 (4) Page of (8) le) (10) (71) Date Full Name Purpose (6) ( (Leal, Suffix, First, Middle) (add office sought if Sequence Street Address A contribution to a Expenditure Number City, State, 21p Code candidate) Type Am ndmsnt Amount 2f 25 i�N C .gawtW- Ban V- / St z tAj T- I Z Z3VAIN a n l l a ma P-erj ( bQ ✓f1 2 �a lavlLt C /�A`U f OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS) BAN 2 6 2023 (1) Name J� IM i t,)n G (M (2) I.D. Number gy (3) Cover Period I 0 ! 7 77 through 1 Z J _ (4) Page of j (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address 8 C mtributor Contribution In -kind Number City, State, ZiD Code Tvos Occupation Tvoe Description Am odnwM Amount DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES