HomeMy Public PortalAboutCampaign Treasurer's Report (4)CAMPAIGN TREASURER'S REPORT SUMMARY
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OFFICE USE ONLY
Name
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Address (number and street)
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City, State, Zip Code
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(4) Check appropriate box(es):
Candidate Office Sought: �(' ��� �7 l S,`j I Noel'
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Political Committee (PC)
0 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 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From ((.-(/ C0/ 1,_)075-- To 0 y / ,- 0 / /s Report Type: H/5-
10 Original
•
Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 0 • On
(7) Expenditures This Report
Monetary
Expenditures $ , r). ,_
Loans $ ,
Transfers to
Office Account $ , , (7 .
Total Monetary $ , •
Total Monetary $ , 0. (3 0
In -Kind $ , , fin' •0 0
(8) Other Distributions
$ , l
(9) TOTAL Monetary Contr'"utions To Date
$ ,_(0_•-d
(10) TOTAL Monetary Expenditures To Date
$ , 0•�
It is a first
I certify that I have
(Type name) ,.•i0
(11) Certification
degree misdemeanor for any person
mined this report and it is true, correct,
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to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name �JJ /�
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❑ Individual (only for IE Treasurer 0 Deputy Treasurer
or electioneering comm.)
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l•Can idate 0 Chairperson (only for PC and PTY)
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Signature
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DS -DE 12 (Rev. 11/13)
SEE RE E FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Antonio Ortiz
(3) Cover Period 04/01/2015 - 04/30/2015
(2) I.D. Number
(4) Page
47-3524881
0 of 0
(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)
Amendment
(12)
Amount
(6)
Sequence
Number
Nothing to report on
this
form
This form is based on DS -DE 13 (Rev. 11/19)
Adjutant Workshop, Inc - Campaign Tooli3ox
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Antonio Ortiz
(3) Cover Period 04/01/2015 - 04/30/2015
(2) I.D. Number
(4) Page
47-3524881
0 of 0
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form is based on DS -DE 14 (Rev. 11/13)
Ad utant Workshop, Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name Antonio Ortiz
(3) Cover Period 04/01/2015 - 04/30/2015
(2) I.D. Number 47-3524881
(4) Page 0 of 0
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought it
contribution to a candidate)
(9)
Related
Expenditures
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form is based on DS -DE 14A (Rev. 08/03) [Note about Committees has been removed.]
Adjutant Software. Inc. - Campaign ToolBox
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Antonio Ortiz
(3) Cover Period 04/01/2015 - 04/30/2015
(2) I.D. Number 47-3524881
(4) Page
0 of 0
(5)
Data
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
Nothing to report on this
form
This form Is based on DS -DE 13A (Rev, 11/13)
Ad utant Workshop, Inc. - Campaign ToolBox