HomeMy WebLinkAboutGilliams Damien Electioneering CommunicationFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS.
Y
CAMPAIGN TREASURER'S REPORT SLJMMAR'1 ivj
(1) W 4 d 144
0 rr= I cifrgifealik dtilE6i K
2009 OCT 30 Pty 18
(2) j Z j v f/lii /9 -3
Jt, yvi an et ti___ 2 iP
City, State, Zip Code
CHECK IF ADDRESS HAS CHANGED
(4) Check appropriate box(es):
Candidate (office sought):
(3) ID Number:
Political Committee CHECK IF PC HAS DISBANDED
Committee of Continuous Existence CHECK IF CCE HAS DISBANDED
P Executive Committee
Electioneering Communication CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
r (5) REPORT IDENTIFIERS
l 1 0 t' 9 To 2 C 6. Report Type a-y
Cov Period: From
Original Amendment Special Election Report arldependent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
r
Cash Checks J
(7)
Monetary
Expenditures
Transfers
Account
Total
Monetary
EXPENDITURES THIS REPORT
a
Loans
to Office
Total Monetary
In -Kind
(8)
Other Distributions
(9) TOTAL Monetary ontributions To Date
0 U
(10)
TOTAL Moneta itures ate
i
,r
(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.
1// r40-9
(Typ ame)
I certify that I have examined this report and it is true,
correct, and complete.
(Type name)
Individual (o. Treasurer Deputy Treasurer
electionee commun.)
X
Candidate Chairperson (only for PC, PTY
electioneering commun. organization)
X
Signa
Signature
DS -DE 12 (Rev. 0 81'4)
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address
City, State, Zip Code
Contributor
Type
(8
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
I/
i 7 l q
4411
Clifi,f
G Z L' f ea- 9 i
sFe'9 T/f ✓fZ r
0 ✓,►-t- Ti.2
J etch
I
1
i`r`ED
SE8AS1
iE OF CITY C
T A A f1ff1
v
H
C
IAN
LERK
in
(1) Name
CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS
i
3) Cover Period o 0 '7 through
DS -DE 13 (Rev. 08/03)
(2) I.D. Number
7 4) Pa
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
of v
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
/`7/V,
/0
v.-6,2 i.,/
Z009
FI
OCT 30
SE8A
"iCE OF CIT'f
t✓
OE
TIAN
CLERK
CAMPAIG TREA SURER'S REPORT ITEMIZED EXPENDITURES
(1) Name .0 t 6i11/, 4� 41 f (2) I D N um b er
(3) Cover Period 1 through D (4) Page of -2
DS -DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES