HomeMy WebLinkAboutQ3 ReportCA PAIGN TREASURER'S REPORT SUMMARY
(1) i � I tl I�CtCIS OFFICEFT&, h
(2) I eL� J � �1 S OCT 0920223
60dres ( mber an str et) �j
� �t�� L_ %mil City of Sebastian
City, State, Zip Code City Clark'c Offira
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): �m
fxLCandidate Office Sought: S'� �Tt I4� t. r/ k_fc L
❑ 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 j To / 3� / Z j Report Type
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $_ _ , ft • � Transfers to
Office Account $
Total Monetary $_ _ , �o• =
Total Monetary $ ,
In -Kind $_ _ , • _
(8) Other Distributions
$ 1 ,
(9) TOTAL Monetary Contributions Tom a (10) TOTAL Monetary Expenditures To Date
$ $ Gi .
(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) �(tt'r*'r �i�[J (Type name)
❑ Individual (only for IE Ojreaee ❑ Deputy Treasurer gjcandidate ❑ airpe n (only for PC and PTY)
or electioneering comm.) � r
X it X
Signature I / Signature U
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
RECEIVEO
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS OCr
�A' 1 / � 9 ?013
(1) Name J1)"/�"%�%4 ) �1`'/«`-r (2) I.D.Number CityoF
/ty F/erg"'astian
(3) Cover Period -7/ through 0/ / f V l 7�7 (4) Page of S Office
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
/
i
l lei
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AIDE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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RECE, vED
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//�\'C,A',MPAIGN
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jPffip��—��Rjp7/�F S REPORT - ITEMIZED EXPENDITURES zQ23
�f CitV
(1) Name X�l�f��"
/rt Li[2 �!
(2) I.D. Number
,:v
Citk
(3) Cover Period / / 7i3through /�4} Z 7
(4) Page
le paStian
4 orf rk n t
-f,,, •e
(5)
(7)
(8)
(9)
(10) (11)
Date
Full Name
Purpose
(6)
Sequence
(Last, Suffix, First, Middle)
Street Address &
(add office sought if
contribution to a Expenditure
Number
City, State, Zip Code
candidate)
Type
Amendment Amount
iu ..✓ sr
�
1,
j
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /
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