HomeMy WebLinkAboutG2 Report(1) Jo
Name
��/CAAMPJAIGN TREASURER'S REPORT SUMMARY
/'(_ I' i r r (a r OFFICE USE ONLY
(2) Address (number and street
City, State, Zip Code
❑ Check here if address has changed (3)ID Number:
(4) CC—heck appropriate box(es): I , /
F],&didate Office Sought: 2 �a.t 11 4 n L t �t/ Qld 0 L Y) e– 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 /0 lJ� l To /Q l / /q Report Type:6 j
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary ����
Cash &Checks $_ _ .� Expenditures $ _ , /1 7' %
Loans $ 1 1 -
Total Monetary $ 550• Qv
In -Kind $ -
(9) TOTAL Monetary Contributions To Date
'3,/SD. 00
Transfers to
Office Account $
Total Monetary $ 1 5� '/
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ ,_/,S/S.? /
(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 have examined tthiss repo//rte and it is true, correct, and complete: //(� /j ////
(Type name) /� Gt / < c' ! y f -//, (Type_ ame) /go (j / < < 9 (r' I, ,
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer Ofandidate ❑ Chairperson (only for PC and PTI)
or electioneedng comm.)
Signature I Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
/ (2) I.D. Number
(3) Cover Period L / S / L through /0 / 4 / � (4) Page
(5) (7) (6) (9)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution
Number City State Zip Code Type I Occupation T
/01 /I
/o/ /l
/0//(
/I ype
I/9 �evelJa/d L
'Sm�/r9dew,��s
Ye-ro
Kr'7& 31963
/94&t,5on/�oS
!1l spow��jre� We�y �--
�64�lrQN,
J /
�v J// 9 �a�9�1 l��aer f
/a-25 33r` '_ S %
V�>, &aaI Ft
C klc_
LI{�
cfrr
C8E
M�
(10) (11)
In-kind
Description Amendment
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
R�cFi
pCT , �Fo
e eb o
'� c asci
of
(12) 1
Amount
�D. (qt)
75-',08
lro"6o
/,00,50
ugqSi�,�s1
//0/rs h Sf J / 37 c7
Se-ka3/1"4R / f' /4 S�
V✓q/� ,-r-i
ref 5 f1wY l
/0/IS/I�
l jonl Y7s, co
GA rJ 7/, 7F
GA � r (g
�A W9e 4/7
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
'
®l l<'
��
AM,,�P I�9 N TREPSURER'S
C"
REPORT –ITEMIZED EXPENDITURES�'�yof
Sm,
(1) Name
/ (� I n / L / n n
(2) I.D. Number
n. </1.
(3) Cover Period
/o/ S / / through
(4) Page
of
(5)
(7)
(8) (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
ugqSi�,�s1
//0/rs h Sf J / 37 c7
Se-ka3/1"4R / f' /4 S�
V✓q/� ,-r-i
ref 5 f1wY l
/0/IS/I�
l jonl Y7s, co
GA rJ 7/, 7F
GA � r (g
�A W9e 4/7
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES