HomeMy Public PortalAboutCampaign Treasurer's Report (6)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) JoG���
Name,
Address (�u� mber�and street
32�01-
City, State, Zip Code
0 Check here If address has changed
(4) Check appropriate box(es):
3Candidate 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 ff PTY has disbanded
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From / / / /6- To / 30 I / S Report Type: p„{ 4
-Original 0 Amendment 0 Spacial Election Report
(6) Contributions This Report
Cash & Checks $
Loans $ ,vco • 00
Total Monetary $ , c>t) 0 • 0 G'
In -Kind $ •
(7) Expenditures This Report
Monetary
Expenditures
$
Transfers to
Office Account $
Total Monetary $
(8) Other Distributions
$ L • --�_
(9) TOTAL Monetary Contributions To Date
$ , 5 ,oCO . CV
(10) TOTAL Monetary Expenditures To Date
$ U .
(11) Certlflcatlon
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have Jexamined this report and it is true. correct, and complete: �,�.
46,0 (Type name) 4C, en fl 1 r11:6 T`)� me H/ • (3q e r, rk aI pier
( ype ) J
❑ Individual (only for IE 0 Treasurer . 'Deputy Treasurer Candidate 0 Chairperson (only for PC and pry)
or electioneering cornm.)
X
4571
Signature
Signature
DS -0E 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name n cc. 6.r
(3) Cover Period ' _ / / / /C through
(2) I.D. Number
30 / /.5 (4) Page r of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amsndmmt ,
(12)
Amount
(6)
Sequence
Number
1
/0/3 c t{ri d`%kyr,5/
/vm d4 k-` 3 2
f
`� of
Li)A
bboo.faO
/
/ 1
1 1
1 /
/ /
1 1
1 1
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
...bb�N h Cx (2) I.D. Number
(3) Cover Period / / I _ through 4 / `5o/ 1
(4) Pegs / of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(5)
Purpose
(add office sought If
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequencr
r
umber
Numbe
/ 1
7)O71.e,
1
1
/1
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES