HomeMy WebLinkAboutG2 ReportCAMPAIGN (TREASURER'S REPORT SUMMA�z
61 OFFICE USE ONLY
Name q ( OCT 2 7 2023
(2) � I -L� v S ' \ Cit
Address (number and street) y Of Sebastian
' ��6 d ,Q t^ FL Zq 5� City Clerk's Office
City, State, Zip Code
❑ Check here If address has changed (3) ID Number.
(4) Check appropriate box(es): 1
Candidate Office Sought: S�' 1)QJ (A H
Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
Individual making electioneering communications)
❑ Check' / ere if PC or ECO has disbanded
❑ Check here if PTY has disbanded
❑ Check here If no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From �U / —7 To I w / �7 Report Type:
Original ❑ Amendment ❑ Special Election Report —�—
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $_ • �� Expenditures $
Loans $_ • _ Transfers to
Office Account
Total Monetary $
Total M netary $
In -Kind $_ r _ • _ �
(6) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ r- $ b 1
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. B39.13, F.S.)
I certify that I�h�a�ve examined this report and it is true, correct, and complete fF I(f�
(Type name), b�'Wl (4 Al l�. %(�1 j c�' GLd (Type name) VL)O(m (-e r� 1�� ��(I 6L �/
❑ Individual (only for IE Treasurer t ❑Deputy Treasurer ❑ Candidate Chairperson (only for PC and PTY)
or electioneering comm.) (�7
X //��'� Si
Signature V Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
�F�E/VFD
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS �' J Z) 14873
(1) Name�4cM���1 - (M(6t (2) I.D. Number/�,Zr' y Ciba
s
k't/an
(3) Cover Period / I �� through L / / (.,; (4) Page of s OtFce
(5) (7) (8) (S) (10) (11) (12)
Date Full Name
(6) (Lest, Suffix, First, Middle)
Sequence Street Address 8 C:,ntributor Contribution In-klnd
Number Cb. State, Zio Code Tvoe Oocwetion Tvoe Descriodon A^urATTMM Amount
r r
! I
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND COtSE VALUES
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rk' bp�mce
CAMPAIGN'' rrTREASURER'S REPORT - ITEMIZED EXPENDITU
(1) Namen? e �t N (��2 ((i n ue S (2) I.D. Number
(3) Cover Period �� / 7
/
? ;through
(� / /� (4) Page `
of
(S)
(T)
(6)
Date
I Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
(add office sought If
Sequence
Street Address &
I
contribution to a
Number
City, State, 21p Code
candidate)
//I
RF�E�V�D
OCT ??
(9) (10) (11)
Expenditure
TYPO Amendeers Amount
OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES