HomeMy WebLinkAboutGilliams Damien 03-13-2007 Independent Expense Report02/15/2007 09:50 7725895570 CITY OF SEBASTIAN PAGE 02
' ~ FLORIDA DEPARTMENT OF STATE DMStON OI~ ELECTIONS
• ~ CAMPAIGN TREASURER'S REPORT SUMMARY
(11 ~'l~ Vi/1 t.-e t~,, ' ~~, ~ ~~/a-w~ S _, ^ OFFlGE U,SE ONLY
~
Name _
'
Addreaa (number and strsst~-
S c:y p3 145 Tc ~ n~J +-t, Zit. S~ .
City, State, Zip Code - ~ .
^ CHECK 1F ADDRE88 HAS CHANGED (3) ID Number: '
{a) Check appropriate box{es):
Candidate {ofFce sought}:
^ Political Committee ~ ^ CHECK ~~~~.t~~I;-!~>!~'AI~Dt:D - .. -- __ _... _ _ .._ _ . __ _
^ Committee of Continuous Existent's [] CHECK iP CCE H,>-s DISBANDED '
~ Party Executive Committee '
Electioneering Communisation . ^ CHECK tP NO OTIiER ELECTIONEERING
COMMUNICATIO~I REPORTS YYltl BE FILED
•. {5j REPORT.IDENTIFIERS ,
Cover Period: From Z / "3 / ~l To Z / ~ t ~ ~ / `l Report Type ~ "3
^ Original ^ Amendment ^ Speasi Election Report ~ In+iep~endeM Expenditure Report
{6) CONTRIBUTIONS THi3 REPORT ('n F.XPENDRURES THIS REPORT
~a
Cash 8 Checks $ ~ ~ ~ •
Expenditaun~s '$ ~j (~° , aJ
. .r°
s $ ~ ~ (' ,
Loan Transfers to Ofticf ~ .
. _
e
~ ~ ~
~ 'Account $. '
Total Monetary $
-0 ' Total
`' J
. ~ Monetary $ r5 ~ to .
In-IGfid.' .$ . ~ --
{8) Other DIs1rlMrtlons
. $
{9) TOTAL Monetary Contributions To Date (10) TOTAL M~metary Expenditures To Date
{ii) CERTIFlCATION
R is s first degreo misdemeanor for ar>)r parson to falsity a publi+: record (ss,1s39.13, F.S.)
I certify that 1 have examined this repvrt and it (s true, I certify that I havEr examined this report and ft Is true;
correct. end complete. correct, and complete.
(~'YPe name) ' (TY9e name)
Individual {orgy Treasurer ~ Deputy Treasurer
ak~erlrinp .) ~ Candidate Ci~airperson (only for PC, P71r 3
eleetlonaering oomrnun. orger~ion)
X ~~, . X
SignahrrE Sisnature
DS-bit ~2 (Rev. oatoa)
02/15/2007 09:50 7725895570 CITY OF SEBASTIAN PAGE 04
CAMPAI~N TREASURER'S REPORT -- ITEMlZEp EXPENDITURES
(ij Narns ~~~`'`~~ ~` ~ ~~` "`'""'~S (~ 1 A. Number
(3j Cover Psriod ~ `~ ~...,~:_ tltirough ?- ~ l ~ ~ ~ '~ tai i,a~e ~ o~ ~
(~
.Dab .~
Puli Name ~8j
Purpose (9} (10) ij
~6)
p. (Last, sumx. first. >alaamj
Street Address 3
Cky~ Stats~ =1p Cods (add ofllce aougM N
cantrlbutlon to a
candidate)
lcxpsndituro
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Ae+t
/unoart
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~~~ ~~ t~~. ~~~J~ ~ SEE REVERSE FOR INSTRUCTIONS AND CODE V.~IUES
02f15f2007 09:50 7725895570 CITY OF SEBASTIAN PAGE 03
t
CAMPAiGIV TREASURER'S REPORT-ITEMIZED C~NTRIBUTION$ ,
(1) Kama ~ ~~~-c.N ~ ~ l ~ . ~ j ~ ,i?l 1.0. Number .
(3j Cover Period Z- / ~ J 't ~8h Z ! ~ ~ , / , _ (4) Page _~ of ~
{v~
D {~
Full Name (8) ~ (9) {1Q) {11) {121
(~
Sequence
Nun~er {Lest, SutAx, Fltst. Middle)
Sheet Address &
State Code
Conbibutor
T on '
Carshibutbn
In-kfnd
t7escrl n
~+-~
Amouit
Z ~ ~ 1 ~ ~ ~
Lt `~~ ~
g ~ ~~
t9~ ~ `
S
l ~..'~..~ 11 S 1
C) C-'~ kF S i ~Nr~ i~~L
3 Zg ~. ~ v
s
(f' l,/ YJ"~ v~~ '~ ~ ~'
1
~ ~
.
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.
__
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,-
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u~, ~ _ -- I
`-_.;
DS•t)E 13 tRar. titt J031 SEE R t-VERSE FOR tNStRl1CT1oN S i-Nn r_nn~ vas ~ ~e~
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ~ .,ti1 ~/t'1 r-P ~1 `~ Z ~ i ~ ~ ~ vtn S OFFICE USE ONLY
Name r
(2) ~ (p ~Z-~ 1.1 S ~-tC.c> ~ - ,
~ ii+~ ;`;~ ~ ~: ~,
~,
Address (number and street)
,....... _
..
,
S ~ ~j v'~ S c ~ ~l ~ H- ~
City, State, Zip Code
^ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Check appropriate box(es):
^ Candidate (office sought):
^ Political Committee ^ CHECK IF PC HAS DISBANDED
^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED
^ Party Executive Committee
Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 'Z / ~~~ / ~ To ~J
~j / ~ / ~ Report Type l"j ~'~"
^ Original ^ Amendment ^ Special Election Report ~ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Cash & Checks $ ~ Monetary ~('~
Expenditures $ ~j`~ ~
~v
Loans $ ~ `~~ '
Transfers to Office
Account $
~N
Total Monetary $ ~ `~ ~ -
Total ~ ~,.-
Monetary $ ~ ~ ~
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contrib ons To Date
- ~-v
~ (10) TOTAL Monetary x nditures To Date
~
z
$ ~
, $ g
~
'
(11) CERTIFICATION
It is a first degree misdemeanor forany person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
``
(Type name) ~`~ ~ ~ "~ C-'t' l 1. /~Vti S (Type name)
^ Individual (only for ^T rer ^ Deputy Treasurer ^ Candidate ^ Chairperson (only for PC, PTY 8
electioneering commun.) electioneering commun. organization)
X X
Signature " ` Signature
v~-ut ~z (Kev. vsicur:-
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name ~ 1•=~ jM i-t ~~ (~ , l I , t1I ~ S
(2) I.D. Number
(3) Cover Period 2 / ~ ~ / ~) through `~ / g / ~ (4) Page ~ of I
(5)
Date (~)
Full Name ($) (9) (10) (~~) (12)
(6)
Sequence
Number (Last, Suffix, First, Middle)
Street Address 8~
Cit State, Zi Code
Contributor
T Occu ation
Contribution
T
In-kind
Descri tion
Amendmem
Amount
j d' ~ I iV~ vv1 f ~ ~~ ~'1, j ~ ~ ~ ~ ~ l'~te'iZ
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-,,4 t~l ~ r~
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i i
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E--`
..
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DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT -ITEMIZED EXPENDITURES
(1) Name ~~~I,~ W1~'~L C`~ ` i ' "r"" 5 (2) LD. Number
(3) Cover Period ~ / ~ ~ / ~ through ~ / ~ / ~~ (4) Page ~ of
(5)
Date (~)
Full Name I$)
Purpose (9) (~o) (11)
(s)
Sequence
Number (Last, Suffix, First, Middle)
Street Address 8
City, State, Zip Code (add office sought if
contribution to a
candidate)
Expenditure
TYPe
Amendment
Amount
'
SC'~si~~'1~~ f~v
3~~;3~ ~ c S ~ ~I .
t z ~~~~j~u ~e,~ s~ ~'.~,,;s P~ocas
(':~ ~ 1 ~ ~T
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t
L
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== r:
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.
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f~w
DS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES