HomeMy WebLinkAboutTR Report AMPAIGN TREASURER'S REPORT SUMMARY
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OFFICE USE QNLY
Na/me
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(2) Co SD e1r 4 S z r vele— -
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Adcs(number and street ����
S 202s
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City, State, Zip Code
Of
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%e1-4�, astia„
❑ Check here if address has changed
(3) ID Number: f vttCe
(4) Check appropriate box(es): I //
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, s To Y / s / J Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary
In -Kind
(9) TOTAL Monetary Contributions To Date
$ 1 , MO. c'v
(7) Expenditures This Report
Monetary
Expenditures $ S , Loo
Transfers to
Office Account $
Total Monetary $ _ , 00
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
$ , IDO .
(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 port
and it is true, correct, and complete: /�{ ,�/ ////� 1
(Type name) ��/ (� 9 r r `ter >1 (Ty a name) /✓c� F L c / i 7 -.
❑ Individual (only for IE B't•reasurer ❑ Deputy Treasurer (Ty
❑ Chairperson (only for PC and PTY)
or electioneering comm .)�/.-,///J
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
�A ' "�t 7 I r
I.D. Number
(1) Name
C �! r �a
(2)
(3) Cover Period 0 / / through /
S / aj(-
(4) Page Of
(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, Zip Code Type Occupation
Type
Description Amendment Amount
SFA
`^�P BOA
.
Ouch
O
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
rr MPAIGt,TREA URER'S REPORT - ITEMIZED EXPENDITURES
(1) Name 9 !Tc iq C 4 n G (2) I.D. Number
(3) Cover Period �' / a3 / a through �/ S / r J (4) Page of
(5) (7) (8) (9) (1 U) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence
Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
lo.So ttJe. ft4gi - ��"(r /�/ (J J /�
Sai�sT/9n,r /IJj1 5�
Sep . Fo
S
tyOf ��zs
C, jL,rks�s�/d
ce
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES