HomeMy WebLinkAboutM3 Report - AmendedCAMPAIGN TREASURER'S REPORT SUMMARY
(1) SET3dJSTfA� VO'rG2S RCG)tNST
NameC�([ v�✓tg prep PE1fZ21S
(2) 477 TLIc� rtoS S �zGs r
Address (number and street)
S�G3ASTr. (=L O2 t ,7A 3 295P
City, State, Zip Code
❑ Check here if address has changed
(4) Check appropriate box(es):
❑ Candidate Office Sought:
[5Political Committee (PC)
OFFICE USE ONLY
RECEIVED
MAY 112020
Clty City Of CleSebastian
s Off,'
(3) ID Number: 84- 51761355
❑ 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 p3 / 01 / 7020 To 63 / 51 / ZO26 Report Type:
❑ Original 'Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Cash & Checks $ 1_ . 61 QD
Loans $ — 0 • 00
Total Monetary $ 2L( 00
In -Kind $ 0 DC7
(9) TOTAL Monetary Contributions To Date
$ _7�61 00
Monetary
Expenditures $
Transfers to
Office Account $ p OU
Total Monetary $ — 0. 00
(8) Other Distributions
$ 1 — , 0. 00
(10) TOTAL Monetary Expenditures To Date
$ , — 0. m
(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 it is true, correct, and complete:
(Type name) H I"ph6a, C -Co Z'>F— 10
❑ Individual (only for IE I9(Treasurer ❑ Deputy Treasurer
or electioneering mmm.)
X 'P/�l� b�✓
Signature
DS -DE 12 (Rev. 11/13)
(Type nameFT_Z( 6_y' Cp[,�_
❑ Candidate Chairperson (only for PC and PTY)
Signature
SEE REVERSE FOR INSTRUCTIONS
RAY
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS CCity
ry ot s
SG�3�( Atm UCT-s2S ctetj Sb asr
(1) Name GiuL(4mS AK5-D aF43';Z _(5 (2) I.D.Number '614-5) S6 `
(3) Cover Period 3 / CX / 7cW through 3 / 3/ / 76z0 (4) Page I of L_
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
(7)
(B)
(9)
(10) (11) (12)
Dale
Full Name
(6)
(Last, Suffix, First, Middle)
Sequence
Street Address &
C mtributor
Contribution
In-kind
Number
Citv, State, Zip Code
Type
Occupation
Tvpe
Description Amendment Amount
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3
10
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69
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DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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Cit C e keb,St/a 1
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name 5GVSA5TI a-.) V6-rZ913 VSA IU ST (2) I.D. Number 94-906 1365
C, 1 L -L t Pn.S IO&SD JCA r2 Z S
(3) Cover Period 63 /C�' I_/Z-C)through!s __/3�/ z ? (4) Page ( of
(5)
(7)
Date
Full Name
(0)
(Last, Suffix, First, Middle)
Sequence
Street Address&
Number
City, State, Zip Code
(8) (g) (10) (i1)
Purpose
(add office sought if
contribution to a
candidate)
DS -DE 14 (Rev. 11/13)
Expenditure
Type Amendment Amount
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES