HomeMy WebLinkAboutG2 Report/ CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �jD(Wlt2� �• �l\\tGt"L� OFFICE tVfD
12) �� Z� v S I S r „` �S OCT 2 7 2023
Address (number and street) City of Sebastian
4 ?e-" S A , �\- � L � 245� City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Q Candidate Office Sought: �OV�Gr
El 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 filet)
individual making electioneering communications)
// (6) Report Identifiers ///
Cover Period: From 1 G / % / L2 To (Q / 2U / h Report Type: —T-
`)Driginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ _ Expenditures
Loans $ • _ Transfers to
Office Account
Total Moneta $ _
Total Monelati
In -Kind $
(9) TOTAL Monetary Contributions To Date
po
(8) Other Distributions
(10) TOTAL Monetary Expenditures ToDate
(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) �r2. wt V\ L - (` ( ,• Q fM-S (Type name) J aw (-( U1
❑ Individual (only for IE C]YTreasurer ( ❑ Depuly Treasurer ❑ Candidatti -�/ ❑ Chairperson (onl for PC and Fry)
or elec0onaenng mmJ 7� 'I
X _ X
Signature I Signature �/
DS-DE 12 (Rey!11M) / SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS 0011-
RFCF/CFO
(1) Name \/a iAAii -( vA (2) I.D. Number /y z. ` ,t 7� Zr723
,. Seb
(3) Cover Period � / _ / 23 through � / Z6 / Z3 (4) Page of ° ks dstid
ofF�e
(5) (7) (6) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In -kind
Number City. State, Z D Code '7voe Occupation Type Description N^ew"M Amount
i
l/
DS-DE 13 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C/t �023
Y
(1) Name l ICAMP�IGN,TR�ASOf
�JRER S�REPORT-ITEMIZED EX�PN �DQTURES( z /tY C/ r/rs Oc n
(3) Cover Period 2 3through//� (4) Page of
(S) I (7) (10) (11)
Date Full Name Purpose
(6) I (Last, Suffix, First, Middle) (add office sought If
Sequence Street Adder�aq & contribution to a Expenditure
Number Cit"' tat"ZIMde candidate) Type Amendment Amount
i
�L
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES