HomeMy Public PortalAboutCampaign Treasurer's Report (20)CAMPAIGN TREASURER'S REPORT
(1) tj (" "t?x, I. Ai;
SUMMARY
OFFICE USE ONLY
_ -1.
(2) IV, O,13(0 x 5-5153 9
Address (number and street)
-lan dD rL 2g wo��
ity, State, Zip Code
❑ Check here if address has changed (3)
(4) Chepk appropriate box(es): rat
Candidate Office Sought: ; ..()yyn l'\ t SS t j� t-1
ID Number:
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1
�Nr" ► 5"t� �I C t
❑ 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 l I 1 / 17 To 7 / 3) / ) '7 Report Type: /4
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ 1 , U (pr, 06
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , , //3 . 3V
Loans $ •
to
$ .
Total Monetary $ . ---1 ' Dk • 60
$ /U3 . 311
In -Kind $ •
(8)
Other Distributions
$ 1 •
(9) TOTAL Monetary Contributions To Date
$ , I/ , (057 • 5
(10)
TOTAL Monetary Expenditures To Date
$ 1 , 85O . /7
It is a first degree misdemeanor
I certify that I have examined this report and
(Type name) c y,
(11) Certification
for any person
it is true, correct,
to falsify
and complete:
(Type
a public record (ss. 839.13, F.S.)
name) T e( 2=L-- • ' r
Treasurer
,
Candidate
• Individual (only.for..E reasurer IN Deputy
II Chairperson (only for PC and PTY)
or electioneering corn .) ,
i (____-)e-
Signature
Si ture
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name n ihre4,/ / 1 • /j'
(2) I.D. Number
(3) Cover Period 7 / / / /7 through 7 / / /7 (4) Page
of
z
(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
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DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
Urge 1 n-\:
r
(3) Cover Period '7 / / / /7 through
(2) I.D. Number
7/ 8/ / /7 (4) Page 2 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
7 1 A7 l7
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DS -DE 13 (Rev. 111 3)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
J2#1 ��%PE N A�SjIJI�ER'S REPORT - ITEMIZED EXPENDITURES
f ff f//� (2) I.D. Number
(3) Cover Period 7 / / / /7 through
7 /S/1 /7
(4) Page
of /
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(6)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
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7/ 27/„
7,041
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/ /
/ /
/ /
//
DS -DE 14 (Rev. 11113)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES