HomeMy WebLinkAboutG3 Report -3
CAMPAIGN TREASURER'S REPORT SUMMARY
Name
(2) %G 38 ris�%7a Pr
Address (number and street)
City, State, Zip Code
❑ Check here If address has changed
(4) Ch k appropriate box(es):
OFFICE USE ONLY
2023
City "�' as (,,
Clerk's Office
(3) ID Number:
9�Candidate Office Sought:
❑ 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 � / J l :Va.Z 3 To f f l t7 2 / A p23 ReportType: 4,3
V Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
$_ 1
r Dv
G
Loans
$_
co
01�
Total Monetary
$_
In -Kind $_ � G ,
(9) TOTAL Monetary Contributions To Date
$
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ _ , '/20
Total Monetary $ U . p=)
(8) Other Distributions
$ ID • G
(10) TOTAL Monetary Expenditures To Date
$ ,ZLk-.� -
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (as. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name)�,yj�.Q
0 Individual (only for IE Treasurer ❑ Deputy Treasurer
or electioneering comet.)
Signature
DS-DE 12 (Rev. 11113)
(Type name) �,,;YJz'y"4' / �v�f
Candidate 0 Chairperson (only for PC and PTY)
X �—
Signature
SEE REVERSE FOR INSTRUCTIONS
R��E/CFO
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS N(IV �?
Z473
(1) Name
J�cP�[� llJ. i�%� (2) I.D. Number
r.;f qClrVOf. qb
y Qerk, ast/an
s
(3) Cover Period /0 / ,jL /2L2.3 through _tl i (� / ��� (4) Page
of �ffce
(5)
(7) (a) (9) (10)
(11) (12)
Date
Full Name
(6)
(Lest, Suffix, First. Middle)
Sequence
Street Address& Contributor Contribution In -kind
Number
City, State, Zip Code Type Occupation Type Description
Amond nt Amount
/& ! �41 / Zdz3 T•/t "V�fsa/a% 2 AXOIL S,
yn 1
:32 �SSl
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
3
�AMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name P �: �� ,Y �y ..= S (2) I.D. Number
(3) Cover Period through jJ/gyL!-.2913 (4) Page
(5)
(7)
(8)
Date
I Full Name
Purpose
(6)
(Lest, Suffix, First, Middle)
(add office sought if
Sequence
Street Address S
I
contribution to a
Number
City, State, Zip Code
candidate)
RECEt��D
c/ty Of
City
Clerk ?bast17
S office
of
is) (10)
Expenditure
Type Amendment Amount
j'.ler A9 9 s:. c
-733`t.✓iVSI I%D,rA
vo9 e
1L /
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES