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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