HomeMy WebLinkAboutGilliams G4 Campaign Report 2013FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name RECE IVED
Addr 01 9A
ss/�(nnurm�ber and street) Gj 2013
,5 404' / 1� RL 72_1 City Or -
City C eb
ler
City, State, Zip Code k'S
❑ 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 /c' l 12- / / 3 To /O / _ / / i,3 Report Type 4
[Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
o
7 �/'�
Cash &Checks � �
Monetary
Expenditures $ z 9 3 n 7y
p
Loans $ 3 ° "'
Transfers to Office
Account $
Total Monetary $ z gam,
Total
Monetary
rY $
In -Kind $
(8) Other Distributions
$ r'
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 2- 99
$ z 9g1 7�-
(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,
I certify that I have examined this report and it is true,
correct, and complete.
�/ /—!M �t �/� /�Mf
correct, and complete.
e
(Type name)
) &'K /—C� , t
(T ype name V j
❑Individual (only for Treasurer ❑ Deputy Treasurer
Candidate ❑ Chairperson (only for PC. PTY &
electioneering commun
electioneering commun. organization)
X
X
Signature
Signature
DS -DE 12 (Rev. 08104)
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
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(2) I.D. Number
(3) Cover Period / /2 / /3 through /0 / 3/ / /3 (41 Paae / of r2
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
P�I-e-`'' 41 ct /^4"S (2) I.D. Number
(3) Cover Period /° / /v / /3 through /o / 2 / / i3 (4) Paae '7- of v
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIG�TRFASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3) Cover Period /d / 1'2 / !,? through /0
3/ / /_7
(4) Page / of /
(S)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
Purpose
(add office sought if
contribution to a
Expenditure
(6)
Sequence
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
/0 /6 /�
i G ! , ivT /-v _ Yr'OYS 7 tw1v
P/er -o !,37e t 0t
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DS -DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES