HomeMy Public PortalAboutCampaign Treasurer's Report (8)_____---d CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �j kee/ 7 ,
OFFICE USE ONLY
Name
f,/
(2) /3 7 id, a„,„, -, L
t=)_
A ess (number an treet)
MOY26'17
City, State, Zip Code
❑ Check here if address has changed (3)
Number:
)
(4) Check ppropriate box(es): 2 ^/ /
MeCrandidate Office Sought: (/Iv" /Celli'r — /15/7;01 g. --
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 / 1 /4 To /et / j/ / 4 Report Type: �z
❑ Original Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ /.� , , • 60
(7) Expenditures This Report
Monetary Z.
Expenditures $ , •
Loans $
Transfers to
Office Account $
Total Monetary $ , , /0d . �v
Total Monetary $
In -Kind $ , , •
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
$ , , 676P . o»
(10) TOTAL Monetary Expenditures To Date
$ , , 2 .3c9
(11) Certification
It is a first degree misdemeanor for any person
I certify that I hav amined this report and it is true, correct,
(Type name) i �/
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type nom) it -a
• Individual (onl >r » -Treasurer • Deputy Treasurer
or electioneer mm.)
andidate ■ Chairperson (only for PC and PTY)
ign re
Signa e
DS -DE 12 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name 0: &a/ -X 4�1 l (2) I.D. Number
(3) Cover Period 42 / / / 4.9 through /02 / 2/ //- (4) Page / of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
State, Zip Code
Contributor
Type
(8)
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
/21.27 , //
/City,
!la/eenigarle4/
y453.•/?S ,14"ri'
o F1 sa
1
Schvv/
304/'1
C III
se A do
0/
/2, E , /(0
s0tL4r1
yi
fans '1 i;
,5513.- �2N
664 -14 sal ....
S
,Qe1-Thu!
MD
g 3v- &
d z
DS -DE 13 (Rev. 11/ 3)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES