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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