HomeMy WebLinkAboutAdams M7 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jerome Adams
OFFICE USE ONLY
Name
RECEIVED
(2) 901 Roseland Rd.
AUG — 6 2014
Address (number and street)
Sebastian, FL 32958
City of Sebastian
City Clerk's Office
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
❑✓ Candidate Office Sought: Councllmember
❑ 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 07 1 01 1 2014 To
07 1 31 12014 Report Type: M7
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 0 . 00
Expenditures $ 0 .00
Loans $ 70 00
Transfers to
Office Account $ 0. 00
Total Monetary $ 70 00
Total Monetary $ 0.00
In -Kind $ 0 . 00
(8) Other Distributions
$ 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 70 . 00
$ 0 .00
(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) Jerome Adams
(Type name) Jerome Adams
0 Individual (only for IE Treasurer ❑ Deputy Treasurer
+❑ Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Signature
Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
RECEIVED
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS AUG _ 6 2014
Jerome Adams City of Sebastian
(1) Name (2) I.D. Number City Clerk's Office
07 01 2014 07 31 2014 1 1
(3) Cover Period 1 1 through 1 1 (4) Page of
(6)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
to -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
07 12 2014
Irk
Jerome Adams
901 Roseland Rd.,
Sebastian, FL 32958
1
LOA
$70
001
C
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Jerome Adams (2) I.D. Number
RECEIVED
AUG - 6 2014
City of Sebastian
City Clerk's Office
3 Cover Period 07 1 01 1 2014 through °7 f 31 1 2 °14 1
() g {4) Page of _
(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
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES