HomeMy Public PortalAboutCampaign Treasurer's Report (5)CAMPAIGN TREASURER'S REPORT SUMMARY
k)((1) RiVertt
OFFICE USE ONLY
Name
(2) I C o rr riarde r br. 3 I'1--
tilAR 10 2015 , _?:.5��-�
3
Address (number and street)
()third()(pL 328zz
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Che k appropriate box(es): �, r -
Candidate Office Sought: (j vyvy- iss \(W \e t - (� is t_
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
■
0
IN
Check here if PC or ECO has disbanded
Check here if PTY has disbanded
Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover^ Period: From 02_ / b i / 15 To 02_ / zs / 1 3 Report Type: N Z
L1Q Original
•
Amendment
•
Special Election Report
(6) Contributions This Report
Cash & Checks $ , 0 . CO
(7) Expenditures This Report
Monetary
Expenditures $ , Q. 00
Transfers to
Office Account $ , 0 . 00
Loans $ 0
Total Monetary $ D • 00
Total Monetary $ , 0 . 00
In -Kind $ D • 00
(8) Other Distributions 1 �C�
$ 1 ( / •
(9) TOTAL Monetary Contrib Lions To Date
$ , 0. 00
(10) TOTAL Monetary Expenditures To Date
$ .00
(11) Certification
It is a first degree misdemeanor for any person
1 certify that I have examined this report and it is true, correct,
(Type name) SY v(LXrM4n 'c;3&
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name Q 1 kitjr6
■ Individual (only for It i Treasurer ■ Deputy Treasurer
or electioneering comm,)
L' • i • e ■ Ch = irperson (only or PC and PTY)
I
X
aThik-- -,
Signature
Signature
DS -DE 12 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS