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