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HomeMy WebLinkAboutM9 Report/CAMPAIGN TREASURER'S REPORT SUMMARY (1) v �OA6A M. MrA U,�/' OFFICE USE ONLY Name RECEIVED (z) 4 3Q G. Address (number and street) // /�� �` QC,,r 10 9019 Q rl niM .L �"IYl� C t`l of Sebastian City, State, Zip Code City C!c-;<'_ O« r ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): andidate Office Sought: otsh cum Gr-��r (D (t1%I CSG ❑ Political Committee (PC) 1 ❑ 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 / 0 To C)q /3C3 / a Report Type: }� ❑ Original ❑ Amendment ❑ Special Election Report —� — (6) Contributions This Report (7) Expenditures This Report Monetary ¢ �' Cash &Checks $_ , . Expenditures $ , e Q/� . • 30 Loans $_ , , K 0 Total Monetary $_ In -Kind $ (9) TOTAL MonetaryC ntributions To Date $ 13-15. O J Transfers to Office Account $ Total Monetary $ _ �� �%, 3o (8) Other Distributions $ , 1 (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 tt`hh� report and it is true, correct, and complete: I / /� / L (Type name)�Q `�✓/ �% k' lH> Pz? t Il (Type name) C f' i Cf fl'� A /V 1674 % / r ❑ Individual (only for IE reasfurer El Deputy Treasurer Candidate Chairperson (only for PC and PTY) or electioneering comm.) ��YiT� a El r —J Sig a� DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS RF�R/�F O CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS C,�Cr h� I_ yst ir,Ce �eba•fQ,(� (1) Name (w. (2),I.D. Number 0: (3) Cover Period 0 I � / .40/gthrough _y_I_ 13 Q /19 �% (4) Page _—L of (5) I (y) (6) (9) Date Full Name (6) (Last, Suffix, First, Middle) Sequence I Street Address & C mtributor Contribution Number City, State, Zip Code Type Occupation Type ct i a5, 17 A ykv1 Y-fssiv10 MOWJ 19 M��3r;r Cock J IPS, �r,H9�alle�a 61 S2�as�tarsi� F�.�as4 9 vat v1R: Resell Y 1�er�manh Clecf;. F -L 344 JV q, q, I g I e��' , Cash "wlit Looh 3 �LaS<isaM, FL i r DS -DE 13 (R 3) (10) (11) (12) In-kind Description Amendment Amount M SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Vero 'La0J, 3:Lc' (Q U DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES RE�F��Ro C/ty ©1p 19 CAMRAIGN TREASURER',S REPORT -ITEMIZED EXPENDITURES lC"SC6b (1) Name ('� Q /)�, �� Cl U I 1 (2) I.D. Number Sl/an (3) Cover Period v / / -�O' through/ 30 /Ql) (4) Page of (5) (7) (8) (g) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Sequence I Street Address & contribution to a Expenditure Type Number City, State, Zip Code candidate) Amendment Amount 17 toy` Crvn-L cGPY Ca/V — a(T0 Vero 'La0J, 3:Lc' (Q U DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES