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F-1ElectioneeringCommunications Org. (ECO) El Check here if PC or ECO has disbanded
El Party Executive Committee (PTY) El Check here if PTY has disbanded
E] Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From I 0 / � / � To /[) / 9 �
/ � Report Type: I
El Original E] Amendment El Special Election Report
CAMPAIGN TREASURER'S REPORT SUMMARY
ren 1 I r l 0 W+ I OFFICE USE ONLY
Name 1 RECEIVED
(Z) 4'. �' OCT
Addrels (number and str t) City o f 10 2019
SQ di Zi Code ) FL �� ls� CityCeseb s"ar?
Ci
F-1Checkhere if address has changed (3) ID Number:
(4) Check appropriate box(es): I / / _ p
Candidate Office Sought: S e 1�1 Q A\ (A C / _ i 4 u-/_ )QP/1 C.�.�
F7 Political Coitte (Pr' /
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary $
In -Kind $
(9) TOTAL Monetary Contributions To Date
�5. a o
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $ 1 '_e—
Total
_
Total Monetary $ .
(8) Other Distributions
$ 1 ,
(10) TOTAL Monetary Expenditures To Date
$ I X/3R•I?-
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify thatIhave examinedthisreport and it is true, correct, and complete:
/
(Type name) Tri M HiQ �Pa aU'1 h (Type na�dh/1"
❑ Individual (only for IE Tre urer ❑ Deputy Treasurer ❑ Candi ate ❑Chairperson (only for PC and PTY)
or electloneering comm.)
Xy�'�
Signature ig "te
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R Fc
CAMPAIGN TREASURER'S REPORT - ITEMIZED
CONTRIBUTIONS VSO
onrI,
(1)
Name
f�� 1
�� (c1 M, t M jt`
I.D. Number
�'Ikof,o_ 2019
Un I l fl (2)
/Q�
(3) Cover Period through
�—�
(4) Page
of
(5)
(y) (6) (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
Amendyr%nl Amount
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
0
n AMP'pIIG,N TRRRy�7F�AS���7R�F—R'S�EPORT - ITEMIZED
EXPENDITURES C<es?bo ,,-
(1) Name
l (,i�( ISUJ V 1 1 1 )Y )r!l (
(2) I.D. Number
(3) Cover Period
through M
/oj/j�
(4) Page
of
(5)
(7)
($)
(9)
(10) (11)
Date
Full Name
Purpose
(6)
(Last, Suffix, First, Middle)
(add office sought if
Sequence
Street Address &
contribution to a
Expenditure
Number
City, State, Zip Code
candidate)
Type
Amendment Amount
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES