HomeMy Public PortalAboutCampaign Treasurer's Report (3)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ( KL
/4 Son)
/f AK
Name
(2) Mt? s:. .,�., ._
Address (number and street)
s,c) 7
City, State, Zip Code
n Check here if address has changed
(4) Check appropriate box(es):
Candidate Office Sought: 4tac. y ,Y
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
n Party C'nmmiftaA /PTV\
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
OFFICE USE ONLY
(3) ID Number:
❑ Check here if PC or ECO has disbanded
n (_hark hara if PTV hac Aichandatl
❑ Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From /0 / 3 (2 / Is- To ( / 3/ / /6, Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ ,
Loans $
Total Monetary $ ,
l -imK id
6•
(7) Expenditures This Report
Monetary
Expenditures
Transfers to
Office Account $
Total Monetary
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
$ 8? T , . 6o
(10) TOTAL Monetary Expenditures To Date
$ t 35-8- . t)
(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) Sg (
❑ Individual (only for IE 0 Treasurer ® Deputy Treasurer Candidate • 0 Chairperson (only for PC and PTY)
or electioneering comm.) r
Signature
(Type name)
X //"' 4
Signature
Au.cse1\
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name ?Au.c s 4/4...,,,„„_ (2) I.D. Number
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1A Dana
(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
1(1z/is-
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DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name / Ids tior's
(3) Cover Period
(A , , ..%
v / fJ f (J UII UI911
(2) I.D. Number
(7) 1 fau
(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
I t f.. L . QS
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/-
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1-0 e.
/
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/
/
/
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DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES