HomeMy WebLinkAboutG3 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) �Q LAn I e V) C�! I I(���S OFFICE U$E.pN:-
Name i h
1,
(2) l am? (I S 1 S� �-e k� NOV - 2 2023
Address (number and street)
�s 1 bI 2 cf p
c L'� g w F L "� (SZJ City Of Sebastian
City, State, Zip Code City Clerks off;,. -
Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): / c f /� 1
Candidate Office Sought: JQ �O0 l f
Lj 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 � / ? 115 To ! Z / Z� Report Type: �� —
Z
Q� Original El Amendment ❑ Special Election Report �—=
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ \ Expenditures
Loans $ - Transfers to
Office Account
Total Monetary $
Total Monetary
In -Kind Q_
(9) TOTAL Monetary Contributions To Date
_$ - w° �-
(6) 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:
r
!
,(Type name) �/J(I t� G-1 l a ((e name)
`Indh�Lr(A/1rl�V� t R f ( 3
ridual r I rea �eMy sur�r ❑Deputy Treasurer Candidate ❑Chairperson (only for PC and PTY)
or elecdoneering M.
Si
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS RFCF��Fp
(1) Name a anon C 1. GV,
t (¢t�K e (2) I.D. Number 3
- I c sty Seb
(3) Cover Period i i 2 7-3 through Z Z3 (4) Page _ of erk' ast/an
-- OfFi
ce
(5) (7) (6) (8) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Con butor Contribution In -kind
Number City, State, 7Jp Code Tyoe Occupation Type Description N^ m Amourd
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i
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES /
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NOV ,1
Cary z013
t ry f Seb
CAMPAIGN T EAS ER' REPORT— ITEMIZED
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(c �. ���
EXPENDITUR l
C fie,. Usti
(1) Name 1 JQ
f,+tl I/� (�/ i
rw Itic�
(2) I.D. Number?
(3) Cover Period
�/ z 1 / z i through
'� / Z / Z
(4) Page I of
(S)
(T)
(8)
(9) (10)
(11)
Date I
Full Name
Purpose
(6)
(Lest, Suffix, First, Middle)
Street Address &
(add office sought If
contribution to a
Expenditure
Sequence
Number I
City, State, 41PSC a
candidate)
Type Amendment Amount
u5-DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES