Loading...
HomeMy WebLinkAboutAdams G2 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) Jerome Adams OFFICE USE t.Y Name C�c�V�O (2) 901 Roseland Rd. Address (number and street) Oily Sebastian, FL 32958 of C� "�'b Clerk s O ti�17 City, State, Zip Codee ❑ Check here if address has changed (3) ID Number: (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 10 ! 4 1 14 To 10 1 17 1 14 Report Type: G2 ✓❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 , 0 , 600. 00 Expenditures $ 0 0 380. 21 Loans $ 0 0 0 00 Transfers to Office Account $ 0 0 , 0 .00 Total Monetary $ 0 0 , 600. 00 Total Monetary $ 0 , 0 , 380. 21 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 1 , 270 00 $ 0 0 453 96 (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 [D Treasurer ❑ Deputy Treasurer El Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X '4X SigWure Sig ture DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Jerome Adams (1) Name (2) I.D. Number 10 4 14 10 17 14 (3) Cover Period / / through / / (4) Page 1 1 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 10 9 14 1 1 Carolyn S Anderson 262 Fig St. Sebastian, FL 32958 I Retired CHE $100 001 10 1 17 1 14 Waste Management 2700 NW 48th St., Pompano Beach, FL 33073 B Waste Mgmt CHE $500 002 J 1 c;�yy C; s p eb Ice I I DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURE, �2 2 Jerome Adams 7 (1) Name (2} I.D.DNumber City °�SA�, _ 10 4 14 10 17 14 1 erk O&a� (3) Cover Period I 1 through I ! (4) Page of ce (5) (7) (8) (9) (10) (11) Date Full Name (Last, Suffix, First, Middle) Purpose (add office sought if (6) Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code candidate) Type Amendment Amount Walmart Copy paper and 10 4 14 2001 US Highway 1 printer ink Sebastian, FL 32958 CAN $40.60 001 10 6 14 USPS Stamps Orange Ave. Station Ft. Pierce, FL 34950 CAN $49.00 002 USPS Stamps 10 11 14 Sebastian, FL 32958 CAN $49.00 003 Walmart Mailing Labels 10 11 14 2001 US Highway 1 Sebastian, FL 32958 CAN $4.76 004 Custom Ink Shirts 10 11 14 2910 District Ave., Fairfax, VA 22031 CAN $76.35 005 Impeccable Signs Signs 10 13 14 832 Doctor Ave, Sebastian, FL 32958 CAN $80.25 006 Impeccable Signs Signs 10 17 14 832 Doctor Ave, Sebastian, FL 32958 CAN $80.25 007 DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES