HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
9Ec.tly
(1) 7, a im (Q,y� L- C'� ( �A ( o txK OFFICE USE ONLY
N ocl
t 13 1013
(2) # 1�n us I 4K
Address (number and street) City of Sebastian
S -(n I aL-N �(, 1� Z��� City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed (3) ID Number: n
(4) Check appropriate box(es): `/�' /
,Candidate Office Sought: t, >Q.tkw,�[4/GfL4 ( f 1 ./ (%.aCj14
❑ 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 / / �3 To / �j / Z 7> Report Type:L
[Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
$
Loans
$
Total Monetary
$
In -Kind
$
(9) TOTAL Monetary Ccntributions To Date
$ 00
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(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) Ak UA ( eat/` 67/ 1( t &,,,, (Type nameTplw q j?V) i I It dtMA S
El Individual (o ly r IE PTTreasurelrl ❑ Deputy Treasurer 4Candidate ❑ Chairperson (only for PC and PTY)
or electioneering co m.)
X X
Signature ( Signal Xe
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS Dlj ECF��FO
(1) Name _T �lA/�t�C,� I l-%I`\lcit � (2) LD.Number sty fJ,3?�?3
(3) Cover Period / / �� through D / / (4) Page of rk' of
ce
(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
i
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RF�E�V�o
uut
13 Zp
��-CAMPAIGN TRSU ER'S REPORT -ITEMIZED EXPENDITURE C1t
�j�`rJ' S
J/of 23
(1) Name. DmIAAFGtn l yi ��t�C�t I � (2) I.D. Number ! PSt>
(3) Cover Period /�/ > l through ) / /�� (4) Page of <I 0-If/Cm
(5)
Date
(6)
Sequence
Number
/
J
(7)
(6) (9) (16) (11)
Full Name
Purpose
(Last, Suffix, First, Middle)
(add office sought if
Street Address &
contribution to a Expenditure
City, State, Zip Code
candidate) Type Amendment Amount
i
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES