HomeMy WebLinkAboutM6 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) °^ "e"., (___1 I f OFFICE USE ONLY
Name RF
(Z) ► X023 .V j ► a t - $ ✓ CF'VFQ
Address (number and street)
S��Pt�s-t f W.� R 3ZCi S 9 cit 'tYots 2Q�9
City, State, Zip Code y0/ork's 81/6n
�r
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
ETCandidate Office Sought: '5C_R v'�-571 IA -ti ,rt 7rt ,rO v A, c. Q
❑ 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
C_o/ver Period: From / t / t cl To (o / 'c' / 19 Report Type:tq-
LJ amu'
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
$ ►oma
(7) Expenditures This Report
Monetary
Expenditures $—"
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ 1 1 -
(10) TOTAL Monetary Expenditures To Date
$ 1 1
(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:
ff�y,!pp�name) �4E''`��—� GIc.0 Y�i—�... i ,(T�ype_rame)�-
01[ndividual (only fprJ F Treasurer ❑ Deputy Treasurer [ Candidate ❑�C 'person (only for PC and PTY)
or electioneering c m,) /
X X
Signature Y Signature y
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT
— ITEMIZED
CONTRIBUTIONS ✓(/� �
Lc ' '4"" c
C;r J
(1) Name
VA,—L, C"
(2)
I.D. Number0��Ofseb�47VI9
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(3) Cover Period / t / 19 through Qe
(4) Page
n of t
(5)
I (7) (8)
(9)
(10)
(11) (12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address & Contributor
Contribution
In-kind
Number
City, State, Zip Code Type Occupation
Type
Description
Amendment Amount
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R
ci�iC°FSFoos
b ?®%
(1) Name �� -A' (- TREASURER'S REPORT —ITEMIZED EXPENDITURES �"rsps14
(2) I.D. Number �1„
(3) Cover Period / t / 14 through l 3J l t `) (4) Page of i T
(5) (7) ($) (9) (10) (11)
Date
I
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Number
City, State, Zip Code
l
I
DS -DE 14 (Rev. 11113)
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES