HomeMy WebLinkAboutM7 Report(1)
(2)
(4)
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE O`
Name
� Le 23 V S c.(-tt y/ t A —5
Address (number and street)
l7 srrwe jz`v c S
City, State, Zip Code
❑ Check here if address has changed
Che appropriate box(es):
(3) ID Number:
F/VSO
4110 �
C;�y
Crry o
C/o kebC
ce
Candidate Office Sought: Ear rum �'.j e L
❑ 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)
Cover Period: From '1 / 1 /
[Original ❑ Amendment
(6) Contributions This Report
(5) Report Identifiers
19 To —( / 3 l /
❑ Special Election Report
Cash & Checks
Loans
Total Monetary $
In -Kind $ �—
(9) TOTAL Monetary Contributions To Date
$ (oc
r 9 Report Type: LJ k_ '7
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ , —
(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:
t
(Type name) G , LL, rA. 5. (Type name)
❑ Individual (only for IF surer ❑ Deputy Treasurer ❑ Candidateai on (only for PC and PTY)
or electioneering com
X X
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Yu,
(2) I.D. Number
cfiCzf66 019
Fr . d
(3) Cover Period � / t / t � through � / 3t / t 9 (4) Page t of �lla,�
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution
Number City, State, Zip Code Type Occupation Type
In-kind
Description Amendment
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
Amount
lli
F
C CAMPAIGf� TREASURER'S REPORT - ITEMIZED EXPENDITURE$-?,
1G9 ��L�,
(1) Name (2) I.D. Number
(3) Cover Period / t / l g through / 9 (4) Page t of ,nyT asi,.
Y v
71 (g) (9) (10) (t1)
(5)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Street Address &
Sequence
City, State, Zip Code
Number
Purpose
(add office sought if
contribution to a Expenditure
candidate) Type Amendment Amount
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES