HomeMy Public PortalAboutCampaign Treasurer's Report (18)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Di' b y -c? i%`
q l t
OFFICE USE ONLY
Name
(2) 5-, 0, 5DX 55 X533 1
ress (number and street)
l2\ Gr\ d) 0) FL 3;43S —
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
andidate Office Sought: DIY) rn't 55, I)y) e u--:)5
,S'11 i r/ (•,f" 3
■ 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
Coy eriod: From 5 / ' / / 7 To 5 j / 3) / (7 Report Type: 5
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , 25b. D v
(7) Expenditures This Report
Monetary
Expenditures $ 707 . 5 j
Loans $ , ,
Transfers to
Office Account $
Total Monetary $ U U
Total Monetary $ /el • 55l
Y
In -Kind $
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
$ , 2 , 53a . /7
(10) TOTAL Monetary Expenditures To Date
$ , , 753/ . .2i
(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) 7Q/)1 %� /77/
to falsify a public record (ss. 839.13, F.S.)
and complete:
rt
(Type n e) i6 rC e/ ' ---4
❑ Individual (only for IE easurer 0 Deputy Treasurer
or electioneerin .)
a
andidate • Chairperson (only for PC and PTY)
X 47 4
x . ..2..c
Signa re
S nature
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
jhrez1 , i
(2) I.D. Number
(3) Cover Period 5 / / / /'7 through 3 / 5/ / /1 (4) Page 1 of
(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
6
1
/
/
/7
Dav;al Bruns&
75L/ anme, igit 4ti,
It1ct: fIan�/, �L
.3.7.5/
_
General
n
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cm'
��50. o0
U 1
DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CA ``IGN TREASI�RER' REPORT - ITEMIZED EXPENDITURES
i ,CIGN T �' � (2) I.D. Number
(3) Cover Period J~ / / / /7 through 5' / >3/ if/ (4) Page / of
/
(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
5////7
/ anypa/
Fel
X7,5"5.
of
x/3//7
4aV, rl lPorkrd jomwfl 64
6&474:t /79anafrove C'harsc
U. a/)c/D� �L 3c3 ,Id9
i'af /
Ili de o
100, v a
02
/ /
/ /
/ /
/ /
/ /
/ /
DS -DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES