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HomeMy Public PortalAboutMORGAN - Treasurers ReportsWAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) Name OCCI?Al 611J0 Address City Office Sought State Zip Code na didate © Political Committee ❑Electioneering Communications Organization © Party Executive Committee ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report # Indicate report # Indicate report # Indicate report type and # P G as applicable: M � ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF R r74AI /, -? 0 /V THROUGH ,-- �r4. ;7-0 ?-,IV 'Signature Date Signature Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Electioneering Communications Organizations: Treasurer (s. 106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) In any reporting period when there has been no activity in the account (no funds expended or received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. DS -DE 87 (Rev. 11113) WAIVER OF REPORT (Section 166.07(7), F.S.) (PLEASE TYPE) �_ �' u tom_` �{ �.� .'L -�s�'N � ,N' L3 ^� , ti►I S,f l a - �/�y -✓L. Name Office Sought / /t,/0 W,- Address El-Candidate ❑Political Committee ElParty Executive Committee 4'yc'c ',-A ;�F 33 y'Y3 City State Zip Code ❑Electioneering Communications Organization ❑ Check here if address has changed since last report. ❑ Check here if PC or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box) ❑MONTHLY REPORT ❑PRIMARY ELECTION FLI-GENERAL ELECTION ❑OTHER REPORT TYPE Indicate report # Indicate report # Indicate report # Indicate report type and # M P G Z' as applicable: ❑ TERMINATION REPORT ❑ SPECIAL ELECTION NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF THROUGH / 6. Z 0 / Y Date Date REQUIRED SIGNATURES FOR: Candidates: Candidate and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Political Committees: Chairman and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.) Electioneering Communications Organizations: Treasurer (s. 106.0703(4)(c), F.S.) Party Executive Committees: Treasurer and Chairman (s. 106.29(2), F.S.) In any reporting period when there has been no activity in the account (no funds expended or received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting date that no report is being filed. 4 DS -DE 87 (Rev. 11113) CAMPAIGN TREASURER'S REPORT SUMMARY Lt-". A Aj OFFICE USE ONLY Name (2) i o e- Address (number and street) uL F ST/L&A --I; City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Che appropriate box(es): Candidate Office Sought: I -o -,j ,,j c/ ill 4 6,jL_F ❑ 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 l ! Lf To 'Z / 2- % / Report Type: (� ❑ Original D- Xmendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report j C $ / , Z 0 Cash &Checks / Monetary Expenditures $ Loans $ > Transfers to Office Account $ , Total Monetary $�� 0 0Z: Total Monetary $ In -Kind $ > (8) Other Distributions $ , U (9) TOTAL Monetary Contributions To Date 1.° (10) TOTAL Monetary Expenditures To Date Z $ ZZ - $ Z ,-10 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Se° ► W, A-t- -G 4 -/ (Type name) SCE �l' w• ❑ Individual (only for IE reasurer ❑ Deputy Treasurer [1]- Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X -- Signat re Sign ture DS -DE 12 (Rev. 11/13) 5F-F- REIFI=KSt f UK INS I Kut, 1 1UN0 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (' a7T— (2) I.D. Number (3) Cover Period / / / through 2— / 2/ / (4) Page of lF (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description Amendment (12) Amount (6) Sequence Number 2/ p/ L A fo 244.e ,za —irW lltlo N,0cZ.4N 41" (�L) L,c !T� 4'`1, ►4 Jeer= S C4S H CAS f--o 2 51 X s► (c>,uyr-V" v'6A -I kcie 47'1 -41 / Z-1 / A 4 0'L �,Q-� Jka I1 w �/qo Iv. voo4v6uP, 6 L)J/- ((-A-F 4^^, r-L 334?33 'J i� S c�4ec1< GN 4 /,WO,"C Z Z L A 10 Iv. c 5cc A Q 60 � (j� SrAZ A� rk 3 %Ili 4 Crams I4 eA a WAiX116 4151 �J' $ai, so 3 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS ANU cwt vALUta CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name &-/. (2) I.D. Number (3) Cover Period 2 / ;g' / /L/ through Z l L (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 / y / P& 5VaA_W4ti 0(-' �GEC�a4r1 w 6sr Pnt,r►� AtA ek, FL 33Y/1 t;�tiiFLG.YI�o�+ NA•KS s / Z ?fit Sv(?iA' /iSa-J m" Qjt%f �)gr)^G 07P Ci+�M1S1ta-ty � QF -Taws J->` Gd/GFS�dL�..tM Ail � DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY Name (2) /! Address (number and street) 6 vz- ,e t City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): WrCandidate Office Sought: i w� Go,•,..�.;Ss�'n,e� +F 6tll F STic.f,4,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 I y To Z l Z / l Report Type: G,,3 E'Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report / Monetary Cash & Checks Expenditures $ O U Loans $ Transfers to Office Account $ Total Monetary $ ©c . •�� Total Monetary $ 0; a In -Kind $ , (8) Other Distributions $ 6 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ �J fJ,y _ �y $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) SccTT k./. N( /L6.¢ (Type name) Se--Tr ".j . ❑ Individual (only for IE asurer ❑ Deputy Treasurer Ekl andidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X ✓��. � X -_vtJ. Signa re Signat r DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. '_ Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. ' Amendment: must summarize only contributions /fund transfers and expenditures /distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS -DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In -Kind: the fair market value of the in -kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Number (3) Cover Period Z / S' / / Y through Z / 2 / / /Y (4) Page / of / (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number )1140 N. D(� �d dl,.� k�I-r` sTA6 � ri Sdi S CASHD CAS �ti s� $-/LNA+NMT V�c ti1 FiCAA%sN r i N1 o n 6 a,✓ Spa W� /IYv N. D r- CAt'41✓ I jyt,CA,,t Fz 33y�3 P-+ sEt� S S�`L F C7 -�£tbc C H 4 $�,COo.00 Z DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee (PC), electioneering communications organizations (ECO) or party executive committee (PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates (e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers (e.g., 1 of 3 ) (5) Date contribution was RECEIVED (Month /Day/Year). (6) Sequence Number — Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report (M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor (including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over $100 only. (If a business, please indicate nature of business.) I Individual CAS B Business also includes corporations, organizations, groups, etc. E Electioneering Communications Organizations INK F Political Committee federal or state P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self REF (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In -Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name 56: rf--- '-V • "--by /L&4--J (2) I.D. Number (3) Cover Period _�/ S / ��/ through 2— yJ l %L/ (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 2 /A %y $p. Gc� DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (Month /Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment (including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign effective 11/1113 DPP Disposition of Funds to Political Part effective 11/1/13 DPV Disposition of Funds to Petition Verification effective 11/1/13 ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary Not to a Candidate PCW Petty Cash Withdrawn PCs Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1�67_, C,,1, ✓ -(P /1-C *AJ OFFICE USE ONLY Name (2) / j Lp -tip . D C04-Al 61- V O , Address (number and street) 61&r- s Z_K�f 4,ti . >iz 33'IA 3 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Chec appropriate box(es): Candidate Office Sought: p„�/,y 1!�70 y+M /.SS /a AJS A— eJ= Jr/t'4 ­7 ❑ 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 / 2 Z / ZD / t1' To 31 l 20 / uj Report Type: [Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ ) = Monetary Expenditures $ Loans $ , Transfers to Office Account $ , Total Monetary $ , 13 o' 22 Total Monetary J.� 2 $ In -Kind $ (8) Other Distributions $ , 0 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expeendittuures To Date $ fr � , -000— Z-1 0 $ LJ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) "S -- /�ic9 � R ti (Type name) ❑ Individual (only for IE reasurer ❑ Deputy Treasurer ndidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X Signat (e Sig ature DS -DE 12 'oev. 11/13) _ SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions /fund transfers and expenditures /distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS -DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In -Kind: the fair market value of the in -kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name 's—e. r'— ''✓, �� (2) I.D. Number (3) Cover Period 2-- / ZZl 20 I through 3 / Co / ZO 1`'/ (4) Page of _/ (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description Amendment (12) Amount (6) Sequence Number C/ �, 14a A4A,*Ji in 7 CA S L Ab�I 3 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTION5 ANU COUt VALUtO CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name ,S-Zo it W. Vq4e-)d-,Co. -4 n/ (2) I.D. Number (3) Cover Period / 7,L/ .?,0/'/ through y / / %`' (4) Page ` of / (5) (7) (8) (9) (10) (11) Date Full Name Purpose (Last, Suffix, First, Middle) Street Address & (add office sought if contribution to a Expenditure (6) Sequence Number City, State, Zip Code candidate) Type Amendment Amount 2 z5 /�I cl A -A-14-e 10931 tA-V21-4-Ie Or, �%+ AJ '0 be z Ko s_ �� l,'�� �-� >'� L./�I,e1s a P � ye r� �A 2, 3 -z" Yi I- 26 `j Z © S. M,L,`f- n.Ay 14.47'1 L"M,4-4-t AC(--4, 11--z- C til6e/1 m F N C „q '13..si n 3 ':�3Y /r atop-/6C '2 S'4'0 e-a 6'tW '. AAjd a � L A1-i ��y ai -rl- �fY2 (1, �4 s2 f w q o 60 �,- -rz-� bic.4: I Z S, A 41-J �/�.0 YT 5 33�3� `77 2- L/ DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (Month /Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment (including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign effective 11/1/13 DPP Disposition of Funds to Political Part effective 11/1/13 DPV Disposition of Funds to Petition Verification effective 11/1/13 ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary Not to a Candidate PCW Petty Cash Withdrawn PCs Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. CAMPAIGN TREASURER'S REPORT SUMMARY (1) ��a� GJ� /t �o -IL& A 1J OFFICE USE ONLY Name (2) / /yd ,J. oCIcA -t-J G&IV Address (number and street) 6 UL r^ Sri C-4 City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): E�6andidate Office Sought: �L'!��/✓ ��- �r.c- ��sf�o.✓f:z �� �iULF ST 2c "�M ❑ 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 3 __2y IV To V / .3 Report Type riginaI ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ U Monetary Expenditures $ Loans $ r Transfers to Office Account $ Total Monetary $ Total Monetary $ S Y7. In -Kind $ C) (8) Other Distributions (/ $ , U (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ / D3 S- $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) p��it% ��0,4 -C� (Type name)o'�j G.-J, ¢,V ❑ Individual (only for IE [- Tfe-asurer ❑ Deputy Treasurer [9-eandidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X ��&�Zlu Signatu Signatdr DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. -, Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers (i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code (i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions /fund transfers and expenditures /distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS -DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In -Kind: the fair market value of the in -kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (11) Type or print the required officer's name and have them sign the report: Candidate report: treasurer and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. (1) Name CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES -7% w , '-�e-, q ---' (2) I.D. Number (3) Cover Period ,..3 / -7 /through / Z�/`/ (4) Page i of I (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 V1311LI s6 w. /-10/L-(:PAN 11,19 �/. �cS��'r3t ✓�i. 6 uL,^ 1 .4-1, 2 33Y 93 %�> 5 SG�c) b�' I DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee (PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers (e.g., 1 of 3). (5) Date of expenditure (Month /Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment (including city, state and zip code). (8) Purpose of expenditure (if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought (Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign effective 11/1/13 DPP Disposition of Funds to Political Part effective 11/1/13 DPV Disposition of Funds to Petition Verification effective 11/1/13 ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary Not to a Candidate PCW Petty Cash Withdrawn PCs Petty Cash Spent PPD Pre-paid Distribution REF Refund (Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account (Disposition of Funds (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter "ADD" in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39.