HomeMy WebLinkAboutQ3 ReportCA/MPAIGNf /TREASURER'S REPORT SUMM{A�(R-FYIVFn
(1) -?a RA (pJt/\ ( �7( II 1 C! 44 OFFICElJSE DALY
Name —' OCT 0 9 2023
/ (2) � / _ac ne r+ Ili
Address (numberd street)-"' City of Sebastian
City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number: k
(4) Check appropriate box(es): / I
Kpandidate OfficeSought:
❑ Political Committee (PC) v
❑ 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 / / 7Z7 To 9 / 3d / Z3 Report Type:
i Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $ et7
Total Monetary $_ 60 00
In -Kind $ •
(9) TOTAL Monetary Contributions To Date
- ric
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ - -
Total Monetary $
(8) Other Distributions
(10) TOTAL Monetary Experjoitures To Date
$ . C11C7
(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) 41Mr C� l%fl `t (f(/(�,�� (Type namreDq IAA i etA 1_-1
❑ Individual (only for IE Mreasurll5r ❑ Deputy Treasurer Candidate. ❑ hairpersdn (only for PC and PTY)
or electioneering comm.) \ rI ^
X X
Signature ' W Signature
DS-DE 12 (Rev. f1/13) SEE REVERSE FOR INSTRUCTIONS
RIDE/V�D
CAMPAIGN TREASURER'S REPORT —ITEMIZED CONTRIBUTIONS OCj 09 7073
(1) Name A ; .QA /\ l (� s(J{ (2) I.D. Number /� ltY O/°
�21�?"astiarl
(3) Cover Period l l 1� through / 3a / Z 3 (4) Page 1 of kDfflOe
(5) (7) (6) (9) (10) (11) 1:12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In -kind
Number City, Stale, Zip Code Type Occupation Type Description Amendment Amount
/ 5 / Z-3lhli+pl`(«(QW ilr.Coy k
v9 5B
j�
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CE/ ( ED
9 2023
CAMPAIGN/TREASURER'S REPORT -ITEMIZED EXPENDITUR
(1) Name ,✓, (2) I.D. Number ebBSti��
(3) Cover Period through (4) Page of / \ Off1C@
(5)
(7)
Date
Full Name
(5)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Number
City, State, Zip Code
�t-
/ j
(8) (9) (10) (11)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
Q
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES