HomeMy WebLinkAboutAdams G1 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jerome Adams OFFICE USE ONLY
Name
901 Roseland R�CEIV,Ep
(2) Rd.
Address (number and street)
OCT 2014
Sebastian, FL 32958
City
c,f Sebastia
City, State, Zip Code Cis
❑ Check here if address has changed (3) ID Number: rce
(4) Check appropriate box(es):
Q 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 10 / 1 / 14 To 10 1 3 / 14 Report Type: G1
❑� Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 0 0 500. 00
Expenditures $ 0 0 0 .00
Loans $ 0 0 0 00
Transfers to
Office Account $ 0 0 , 0 .00
Total Monetary $ 0 0 , 500. 00
Total Monetary $ 0 0 to . 00
In -Kind $ 0 0 0 00
(8) Other Distributions
$ 0 , 0 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 0 0 670 00
$ 0 0 73 75
(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 Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X AX ye
sidnolure Sig6ure
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Jerome Adams
(3) Cover Period 10 / 1 / 14 through
(2) I.D. Number
10 / 3 / 14 (4) Page
1 1
of
(5)
(7)
(8)
(9)
(1 0)
(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
10 3 14
Realtor Assn. of
Indian River County
/
(RAIRC)
Realtor Political
F
CHE
$500
001
Action Committee- RPAC
3250 67th St.,
Vero Beach, FL 32967
�
R
CE jV� .
Ocr
l� Of
CY Cie
k'� bO tan
I 1
s doe
1 I
1 1
�
.q
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
(3) Cover Period 10 / 1 / 14 through to / 3 / 14 (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
RSC
i��D
c4y Of
ON
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES