HomeMy Public PortalAboutCampaign Treasurer's Report (3)/CAMPAIGN TREASURER'S REPORT
(1) J1,4,'-ee / .-- /4 /1
SUMMARY
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OFFICE USE ONLY P L MTV (
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(2) / 1, �X 5:5 ���
Ad fps (number and treet)
City, State, Zip Code
❑ Check here if address has changed (3)
(4) Chec appropriate box(es):
Candidate Office Sought:
ID Number:
❑ Political Committee (PC)
❑ 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 C7 / / / /'/ To / ;.9/% / /7 Report Type: 7/19
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , i ,'9,Z . UD
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , , <)--6.5 . 77
Loans $ ,
to
$ .
Total Monetary $ , , •
$ (7? 3a- • i7
In -Kind $
(8)
Other Distributions
$ , , e.
7'
(9) TOTAL Monetary Contributions To Date
$ , 7 , /(2/7/ • 5� �I/([
(10)
TOTAL Monetary Expenditures To Date
✓ $ , , 3 / //j6
(11) Certification
It is a first degree misdemeanor for any person
I certify that I have examined this report and it is true, correct,
(Type name) G)/) Lj 17 r //
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) !i/'e.E', / / / • /7/ /
• Individual (only for IE Treasurer ■ Deputy Treasurer
,candidate
X
■ Chairperson (only for PC and PTY)
or electioneers mm.)
e
/(1.X / �'C! C
• 2
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DS-DE12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
(2) I.D. Number
(3) Cover Period i / / / /I through / / 161 / /7 (4) Page
/
of 4/
(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
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
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(2) I.D. Number
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(5)
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(7)
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Contributor
Type
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Type
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ee/ '
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(2) I.D. Number
(3) Cover Period 9 / / / / % through 9 / le / /7 (4) Page 3 of 9
(5)
Date
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Type
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
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(2) I.D. Number
(3) Cover Period 7 / / / /7 through / t3D l /7 (4) Page 4 of
(5)
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(7)
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(1) Name ✓ ✓Drce../ NJ, (2) I.D. Number
(3) Cover Period q / / / /7 through / 30 / / 7 (4) Page / of ..3
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
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Type
(10)
Amendment
(11)
Amount
(6)
Sequence
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(1) Name
_CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
-)/Ave e i
(3) Cover Period / / / / /7 through 7 /.,�/ / %7
(2) I.D. Number
(4) Page 2 of
3-
(5)
Date
(7)
Full Name
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
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DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(3) Cover Period 9 / / / /7 through 9 / (9O)/ /7
CAMPAIGN TREPR, , $ REPORT - ITEMIZED EXPENDITURES
(1) Name
J,Ar <
(2) I.D. Number
(4) Page 5 of 3
(5)
Date
(7)
Full Name
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
TyPe
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
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-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES