HomeMy Public PortalAboutCampaign Treasurer's Report (22)CAMPAIGN TREASURER'S REPORT
(1) %!1'1- / %4//J
SUMMARY
OFFICE USE ONLY
(2) ' , p; 75/6J7
A ess (number and street)
4'4l'l//L2 Sv7 ge6"--
City, State, Zi Code
❑ Check here if address has changed (3)
(4) Chec appropriate box(es):
Candidate Office Sought: CThTh) 6S � �/')�/"
"
ID Number:
; s -Ii -,'d 6
❑ 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 9 / / / /7 To f / ...3/ / / 7 Report Type: 4,f2
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
Cash & Checks $ , , 57-5-7 C)Q
(7) Expenditures
Monetary
Expenditures
Transfers
Office Account
Total Monetary
This Report
$ , , /2G) • 15
Loans $ ,
to
$ , ,
Total Monetary $ , , _ 7. (:)c)
$ , , n6' /S. —
In -Kind $ , , •
(8)
Other Distributions
$ , , •
(9) TOTAL Moneta Contributions To Date
$ , , An 52/
(10)
TOTAL Monetary Expenditures To Date
$ , 2 ,irge . gz
(11) Certification
It is a first degree misdemeanor for any person
I certify that I examined this report and it is true, correct,
(Type name) Vfl6-, F-: li
to falsify a public record (ss. 839.13, F.S.)
and complete:
(Type name) J K.Jr"e— Q,1 /li it
I
X
■ Individual (only for IE Pr<surer • Deputy Treasurer
ndidate • Chairperson (only for PC and PTY)
or electioneers omm.)
X w r ae
---7
Sifn ure
I ature
DS-DE'12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS