HomeMy WebLinkAboutTR Report(1)
(2)
(4)
CAMPAIGN TREASURER'S REPORT SUMMARY
Name
qy &/) / &j2 J /-
Address (number and street)
4�9Asrr PHU try 32 r�91
City, State, Zip Code
❑ Check here If address has changed
Check appropriate box(es):
OFFICE USE 6W&vE[)
SEP 2 y ?0Z5
City
of Sebasti
Y Clerks OfrM
(3) ID Number:
0 Candidate Office Sought: 5AA- rA,1 C, k1 CaV- AcO L (1 10012)
❑ 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)
Cover Period:
Original
(5) Report Identifiers
From 1 ! 2dy5 To R ! 2q /Zp.2y Report Type: _
❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $_ _
Loans $ NDIJ
Total Monetary $
In -Kind $
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to On)L
Office Account $
Total Monetary $
(8) Other Distributions �F
$ , 22
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ I ,3. ob $ ,9 . )a
(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) Y�e� x;� , We' 61 N/✓ (Type name) f <PP70 (,6 .,i tnc4o�l AI'I
❑ Individual (only for IE 9Treasurer ❑ Deputy Treasurer `xCandidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X /�v l� �t x
sigOure ( Signaiure
DS•DE 12 (Rev.11f13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
l
(1) Name %�QQlI�Ec Gl�!✓
(2)
I.D. Number
(3) Cover Period
! 12925
through 9 12`i 12a25
(4) Page
of
(6)
(7)
(a) (9)
(10)
(11) (12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Catributor Contribution
In -kind
Number
City, State. Zip Code Type Occupation TypeG,
Description
Amendment Amount
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yy
Few
%b aT Ic
AFCFj�Fo
SEA
�
1 /
C. Of
.
44
Of'7'ce
DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name
(2)1.D. Number
(3) Cover Period o f / 0 S IV2-5 through Oq
(4) Page 3
of
(5)
(7)
(S) (9)
(10) (11)
Date
Full Name
Purpose
(5)
Sequence
(Last, Suffix, First, Middle)
Street Address &
(add office sought N
contribution to a Expenditure
Number
State, Zip Code
candidate) Type
Amendment Amount
5'f
nCity,
�' 1pe6 �Ni%
D 2
K/�4 raw'vl & /
L of+N s VV
(�
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vit, ll�
SEbAs�iC/-_5
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7 159,
CLosC� R�evi+-+a'�
! !
A6936e0,177y
✓nPAL' #u63pi0V—
F/L/
Sep Fo
C' ir1 Of IOZS
y C/arks �dsix
offce
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES