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HomeMy WebLinkAboutAdams M8 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) Jerome Adams OFFICE USE ONLY Name RFCF (2) 901 Roseland Rd. /VEa Address (number and street) S, , Sebastian, FL 32958 Cl-t City, State, Zip Code C'tYC fSeba ❑ Check here if address has changed (3) ID Number: Once (4) Check appropriate box(es): ❑✓ Candidate Office Sought: Councilmember ❑ 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 08 / 01 / 2014 To 08 / 31 /2014 Report Type: M8 ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 , 0 0 .00 Expenditures $ 61. 00 Loans $ 0 0 0 .00 Transfers to Office Account $ 0. 00 Total Monetary $ 0 , 0 0 .00 Total Monetary $ 61. 00 In -Kind $ 0 a 0 0 -00 (8) Other Distributions $ 0 0 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 0 0 70. 00 $ 0 0 61 .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 ❑ Individual (only for IE El Treasurer ❑ Deputy Treasurer ❑� Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X Sigiwure Sig a ure DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Jerome Adams (2) I.D. Number (3) Cover Period 08 01 1 2014 through " 1 31 1 2014 (4) Page 1 of 1 (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 08 25 14 City of Sebastian 1225 Main St., Sebastian, FL 32958 Qualifying Fee CAN $61 001 ofs ark's sti O� h DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Jerome Adams (1) Name (2) I.D. Number OB 01 2014 OB 31 2014 1 1 (3) Cover Period I I through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number I ! �P C'*t of C� Cleo basti a s Coe I I / 1 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES