Loading...
HomeMy WebLinkAboutM7 ReportCAMPAIGN TREASURER'S REPORT SUMMARY (1) �,a l'�� I "1 , 1 10, IA_ I OFFICE USLR&W/VED Name ll ` �u (2) ��eDra1��'��, G'92019 Addres (numberr and strbet) City of Seb S cba s� CDM I City Clerk's Office City, State, Zip Code ❑ Check here if address has changed (4) Check appropriate box(es): 1 j Candidate Office Sought: e _ o O'slt _ O/V\ ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (3) ID Number: AfIll C(+qcjwjrnc� t ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers Cover Period: From // � v l9 To l3� I t7 Report Type: "Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks S Expenditures $ ,g" Loans S_ 2 50 - Total Monetary In -Kind $ (9) TOTAL Monetary Contributions To Date $ 14gS • O 0 Transfers to Office Account $ _ Aer, Total Monetary $ Jok (8) Other Distributions $ .f- . (10) TOTAL Monetary Expenditures To Date $ ,_101—. (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) I (ATrI cia 'r I • t C -7 1 IiI (TYPe name)4/%el2r - /�/ /�NY- ❑ Individual (only for IE Treasurer ❑ Deputy Treasurer []Tf andidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) Signaturegn r DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS RFcF/� CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS jI C l ofs 9 '91 (1) Name CkOAII " 1' I, rYIQI.+I� (2) I.D. Number ��:¢ebas�j (3) Cover Period U_- / Jq /�l through 07 / 3 I / jO'q (4) Page a of (5) (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 6i 111 IA015 M a Ll 4-1,) 112 �i i �� k b I* 4' �-)z zo 3a95� / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES �11�-b�i C/y Cof '01619 er�0`lsti CAMP IGN TIy��AS EROS (1) Name Ch Lel I 1 I _ �0i U�I SPORT- ITEMIZED EXPENDITURES /� O �e4 (2) I.D. Number /T%//Ci (3) Cover Period o-7-1 1 I /through 0 - l 3 0 17 (4) Page of (5) (7) (8) (9) 1 (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence I Street Address & City, contribution to a Expenditure Type Number State, Zip Code candidate) Amendment Amount DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES