HomeMy WebLinkAboutAdams G3 Campaign ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Jerome Adams OFFICE USE ONLY
Name T'EC4eIV�
(2) 901 Roseland Rd. Q
Address (number and street) OCT 3
City 2Q�ll
Sebastian, FL 32958 o f s
City Clerk, bastien
City, State, Zip Code
F-1Check here if address has changed (3) ID Number: e
(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 / 18/ 14 To 10 / 30 / 14 Report Type: G3
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 0 , 0 0 00
Expenditures $ 0 0 863. 20
Loans $ 0 , 0 , 60 00
Transfers to
Office Account $ 0 0 , 0 .00
Total Monetary $ 0 , 0 60 00
Total Monetary $ 0 0 , 863. 20
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 1 330 00
$ 0 1 , 317 16
(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 121 Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X4X A40
-
_'==
Sin ure Sig re
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Jerome Adams
(1) Name (2) I.D. Number
10 18 14 10 30 14
(3) Cover Period I 1 through 1 1 (4) Page
1 1
Of
(6)
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 22 14
Jerome Adams
901 Roseland Rd.,
Sebastian
1
LOA
$60
001
®Cr
I 1
City of
City Cler
, b, of fan
s 'Ce
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Jerome Adams
(3) Cover Period to / is / 14 through 10 / 30 / 14
(2) I.D. Number
(4) Page of
(5)
(7)
(8)
(9)
(1 0)
(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
USPS
Stamps
10 18 14
Sebastian, FL 32958
CAN
$34.00
001
10 20 14
Treasure Coast News
Newspaper Ad
1939 S Federal Way
Stuart, FL 34994
CAN
$325.00
002
Office Depot
Postcards
10 20 14
5950 20TH STREET
VERO BEACH, FL 32966
CAN
$64.20
003
HomeTown News
Newspaper Ad
10 21 14
P.O. Box 850
Ft. Pierce, FL 34954
CAN
$165.00
004
Vero News
Newspaper Ad
10 22 4
4855 North AlA
Vero Beach, FL 32963
CAN
$275.00
005
�
E�V�
Q
O
�T
c�t
2
41�
fs ea
007
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES