HomeMy WebLinkAboutG1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY R
(1) 7VQPAVCk t. Ac6lVk)
Name
(2) l Nr( 0A r L(ER 'Dp
Address (number and street)
503 P6 ; l PrjLJ F[.
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
ECPlk/c'
OFFICE USE Lv
�d6Y 19 2025
(3) ID Number:
City Of Sebastian
City Clerk's Office
'Candidate Office Sought: SFt3A�fl1JG�jCopmCtL CIYt2T£12Mi
❑ 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 / / l Io2� To g l 2,jL l io25 Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $ 1, 005. op
Total Monetary $ 1 / , urns
In -Kind $_ _ ,SaY - 7,Z
(9) TOTAL Monetary Contributions To Date
$ /,33 3. e0
(7) Expenditures This Report
Monetary
Expenditures $ 7Z
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ , OD
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
II certify
t that
t,I have
examined
ylthis report and it is true, correct, and complete: d�
t fv A8rD�71 N( 'r\ -, /PCGlk-v (Type name) l yra�� t . 1001CIVI—)
❑ Individual (only for IE i�Treasurer ❑ Deputy Treasurer (Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.) TT�� / `
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Sioature Signa(ure /
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
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(1) Name 7'f&P1VCE 67. MCC,'Id" (2) I.D. Number
(3) Cover Period -7 ! ( 11D1fi through g ! �z_ ! So15 (4) Page 1� of ? 9 �f cPh
(5)
(7)
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Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Cl ntributor
Number
In 135
City, State, Zip Code .
Tf 06-4_16j4111 /
Type Occupation
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(9) (10) (11) (12)
Contribution In -kind
Type Description Amendment Amount
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DS•DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES / i 3 F7.k
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CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES 4' c Sews
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(3) Cover Period _f_L_17D7ti through �_7_��
_1 D7� (4) Page 3
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(5)
(7)
(8) (9)
(10) (11)
Date
Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
Street Address &
(add office sought if
contribution to a Expenditure
Sequence
Number
City, State, Zip Code
candidate) Type
Amendment Amount
N/A
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OS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES