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HomeMy WebLinkAboutG2 ReportCAMPAIGN TR ASURE((R'S REPORT SUMMARY (1) �' (� ( 1 OFFICE USE ONLY Name v 1 RFCFj�FD Address �(number and street) Z�rASd-1EM T' Ja / CtyC kebast�n9 City, State, Zip Code s Ory a ❑ Check here if address has changed (4) Chec appropriate box(es): Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) (3) ID Number: ❑ 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 Report Identifiers (J Cover Period: From l / / 4 To l / , U / Report Type: ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report � Monetary Cash &Checks $ V (! o Expenditures $ 3 Loans $ Total Monetary In -Kind $ (9) TOTAL Monetary Con s To Date $ Transfers to Office Account $ 1 , Total Monetary $ _ IL • (8) Other Distributions $ , , (10) TOTAL Monetary Ex eq ,ndituresj%gate $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 639.13, F.S.) I certify that I h e xya�,miflneed this re nand it is true, correct, and complete:. r (Type name) Q t `� 1 rai—r � J (Type name) U (JVy'i�) l ja S ❑ Individual (only for IE easurer ❑ Deputy Treasurer ndidate ❑ Chairperson (only for PC and PTY) or election ng comm.) Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS R RcFi� CA PAIGN TREASU R'S REPORT — ITEMIZED CONTRIBUTIONS, 2r �^n n f M j/ cO (1) Name �v�`Itk j` (2) I.D. Number (3) Cover Period l V / �� through J � l ' U / (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 City, State, Zip Code Type Occupation Type Description Amendment Amount lo, Zooczeo S ad Vl s�b9 �2 Y GGIS d I , iq 161w > �r t Td�n $ ) IS - �I ? D uto ,f2,Shc�r�`�I s aR �3 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES T C;ryyofs ®1 CAMPA T ARURT-ITEMIZED EXPENDITURES 'fkPcsl, (1) Name (7 (2) I.D. Number (3) Cover Period 6/ / [through// 1 (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) I (Last, Suffix, First, Middle) (add office sought if Sequence Street Address & contribution to a Expenditure % Number D City, State, Zip Code candidate) Type Amendment Amount /�� � allSd aaoev --A - 5gl_9v Ccct,Clk04 �`� a y U4 "I fn A. 03,?,VO - � -I U 194 Lei I, C� DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 100