HomeMy WebLinkAboutG2 Report AMPAIGN TREASURER'S REPORT SUMMARY
/J1/F
(1) D b /A P4 r � [ A f) OFFICE USE
Name //II
(2) DSO & /Fq s f l er,�9�e OCT 26 2013
Addres (number and street) q City Of Sebastian
Se 1 .1 _ 4,a n , �L 3 2 / S ci City Clerks Office
City, State, Zip Code
❑ Check here If address has changed (3) ID Number:
(4) Check appropriate box(es): C L L
candidate Office Sought: O S 7/ 4 /7 4'—/ � Y co a r) C t 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 HE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From / , 3 To /0 / j 0 / J3 Report Type: G
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ _ D • oD
Loans $
Total Monetary $_ • DO
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ ,__y-oz5-a2
(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:/n( (�/ /�/ /✓�% /
(Type name) %'JCJ ,�e.,�•c- A ( T l ,a /1 (Type name) Zo / /( G. / ¢ , � !' ,,
❑ Individual (only for IE [gfreaa's/uurreerr/� ❑ Deputy Treasurer a'Cendidaate j�'� ❑ Chairperson (only for PC and PTY)
X electionee 7 ' � X / /�/ /
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
�iF�F/VFO
CAMPAIGN TREASURER'S REPORT —ITEMIZED CONTRIBUTIONS
T 16 2Z3
(1) Name �,� C1 Lc 1 G r 7 / n 1 (2) I.D. Number f1vnf<1
er C�astia
(3) Cover Period / / �� through / (� / 0 / -a-3(4) Page of s �n
ffice
(5) I (7) (6) (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
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RfrQV'it)
oej 26 203
22
(1) Name /Jm�
(3) Cover Period
S THE AMP��Qj IG�[!�1 URER'S REPORT - ITEMIZED EXPENDITURES f ' °Seb�lstian
Y/c l a f r r� (2) I.D. Number
/ � /�/through /'� l ;Lol_(4) Page of Office
(5)
(7)
(8) (9)
(10) (1.1)
Date
Full Name
Purpose
(5)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(add office sought if
contribution to a Expenditure
Type
candidate)Amendment
Amount
toLL0 3
_1� u s P S
/a-9b �9,� sf p os�4y� CAlli/a7soo
a, a
S�9�o4at` ID
s�b9af,a�,r4 s6 F�e
1o/r&J-3 AmgZor7 /41-4�14e� CA/V 99
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES