HomeMy WebLinkAboutM9 Report AmendedCAMPAIGN TREASURER'S REPORT SUMMARY
(1) CkOA 111.0 (11 , MQI_AJ1'
Name
(2) -q.� R 1 1 FJ✓� n ri � V/X _
Address f number and stye )
1 s06nC1 i1orn 1Z _:AlagS5S
City, State, Zip Code
❑ Check here if address has changed
OFFICE USE
f
(3) ID Number:
(4) Check appropriate box(es): TL
Candidate Office Sought: 'SSL YJ� QM l :I V CAU_/ 1 el I
❑ 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
Cover Period: From jog / QL / I_q_ To / 0 / 1 /] Report Type: CA
nm �p
❑ Original BfAmendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary 3 '
Cash &Checks $ Expenditures $ )
_ �, �s • G ,
Loans S, goo • od
Total Monetary S_ 00
In -Kind $
(9) S TAL Monet�ontri� Contributions Date
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$�—to -17 13-
(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 and it is true, correct, and complete:( I �/� �/� l
(Type name)�Q�l CIG y-(. 1 e�tn 1 jd (I -Rb (Type name) `L1 CQ Wit / 1 I- f ► / Q (�l"I !
❑ Individual (only for IE ATreasure ❑ Deputy Treasurer 14Candidate ❑ Chairperson (only for PC and PTY)
or electioneeringmmm
r
Signature Sig a re /
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S
REPORT- ITEMIZED
t31 F/_Sr �^p�CF�VFJ
(1) Name rL4 6A m m
0 U(2),
I.D. Number
(3) Cover Period
0 / / _
through �a / _,IQ /' L
(4) Page of `
(5)
(7)
(8) (9)
(10) (11) (12)
Date
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
Contributor Contribution
In-kind.
Number
Citv, State, Zi
Code Type Occupation Type
Description Amendment Amount
9/ 3 0, /9 I
Goadoly-caws
QaS�(w 11
W-e�
roop
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II
Stu o�
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DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIi/�C7
CT 3 2gig,�CFn,E'n
City of
�� 10
CAMF]AIGN TREASURER',S REPORT —ITEMIZED EXPENDITURES n• ;,,
19
(1) Name �� G(/� ((p IY�. IVl c,'�1 i t (2) I.D. Number
(3) Cover Period / C) / / -�Uf through / 30 /cad i (4) Page 1 of I
(5)
Date
Sequence
Number
�1aC�J/I�
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Crn- Ltr��
V'�?-ry b- cd I FL
Purpose
(add office sought if
contribution to a
candidate)
cc fl
I ost(NalA,
(9) (10)
(11)
Expenditure
Type Amendment
Amount
(- iwv —
� l7. i!o
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
HEcEJv I-
ftrr
23
C/ ,of:;
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
,+�,0�9
(1) Name C CAS 10,8 1 r I 11 1 Q'LA�t
(2) I.D. Number
6166 JSr,
(3) Cover Period
/ Igthrough /
3 / (4) Page
of
(5)
I (7) (6)
(9) (10) (11)
(12)
Date
Full Name
i
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address & Contributor
Contribution In-kind
Number
City, State, Zi Cade Type Occupation !
Type _Description Amendment
Amount
q q
[ I l I
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�iYJO
C�pcF
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Cash
t�
f
3 15�LaA-cOj
FL
1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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f
1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES