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HomeMy WebLinkAboutM5 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) iALA U--et4 0 • 6f LA--f.A'u* S OFFICE USE ONLY Name (2) j(P2_-'5 L13 lEtui–1 5� { y1 S Address (number rind street) SEAS �.wrJ t Y 3z �i SFr City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): (3) ID Number: RFCE���o c; y Of 10 2019 e Uy C1e ks O�ao ['Candidate Office Sought: 7€'6wS"tl«.+J C`'Ry e"oc'we. ❑ 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 S / I'1 / ( O� To S / 3 / t 9 Report Type: V4, S ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ Loans $_ , I ob y Transfers to Office Account $ • Total Monetary $_ , _ , _ • _ Total Monetary $ — In -Kind (8) Other Distributions $ 1 1 . (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date (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: (Typename) JAVA"K 61%L .&k t. (Type name) ❑ Individual(only for IE Ej Treasurer ❑ Deputy Treasurer []'Candidate or electioneering com X X Signature Signature DS -DE 12 (Rev. 11113) alrperson (only for PC and PTY) Y SEE REVERSE FOR INSTRUCTIONS ✓(� R`ccF��FO CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS ciC� o�I0,?©, h-cie�kSbaS���9 (1) Name 1�lAt,tu G� C—� `0 "� f (2) I.D. Number (3) Cover Period 7 / Ll / tS through ) / 7 / (') (5) (7) (8) (9) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution Number City, State, Zip Code Type Occupation Type Dy>:wo--eh aalfiniq 16-1,3 'Ji 14wl- l 's �e,oL e,,, t k O- S a0 ( '�i5gt4STI"" 32$ 5r DS -DE 13 (Rev. 11/13) (4) Page ( of I (10) (11) (12) In-kind Description Amendment Amount SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES RF�Fi��O ✓ ON cr 0 c/r Of CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES cr �kSe%'/� �hke (1) Name 04V-L—e� Gk L-- (2) I.D. Number (3) Cover Period/ II/ t x through / 71 / i (4) Page l of 1 (5) (7) (8) (9) (10) (11) Date I Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure Number City, State, Zip Code I candidate) Type Amendment Amount DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES