Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My Public Portal
About
Independent Expenditure Report
(1) FLORIDA DEPARTMENT OF STATE. DIVISION OF ELE TIO " r 11'H 9' 2 0 CAMPAIGN TREASURER'S REPORT SUMMARY Yr- andidate, Committee or Party Name (3) J3 W ft q __CF-1111j061 AddrearnArt arOreet) City ❑ Check box if address has changed since last report (4) Check appropriate box(es): D Candidate (office sought): El Political Committee ❑ Committee of Continuous Existence El Party Executive Committee Cover Period: From ❑ Original (2) I.D. Number State Zip Code El Check if PC has DISBANDED © Check if CUE has DISBANDED (5) REPORT IDENTTFIERS Li D2- To 2 t CZ. _ Report Type ❑ Amendment ❑ Special Election Report kje independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ Loans To/el Monetary $ In -kind $ (7) EXPENDITURES THIS REPORT Monetary Ex r 1 . �76r1�ltUfBS Transfers to Office Account Total Monetary , t 1 . (02 (8) Other Distributions (9) TOTAL Monetary Contributions to Date (10) TOTAL Monetary Expenditures to Date (11) CERTIFICATION it is a first degree misdemeanor for any person to falsify a public record (55. 839.13. F.S.) I certify that I have examined this report and it is true, 1 certify that I have examined this report and it Is true, correct and complete correct and complete Name of Treasurer ❑ Deputy Treasurer Name tis, Q Candidate ❑ Chairman (PC/PTY Only) Signature Signature DS -DE 12 (9/01) SEE REVERSE FOR INSTRUCTIONS AND C ' E VALUES (1) Name (3) Cover Period 2 1 l )1 through (Si Date (6) Sequence Number (7 Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code I 1��ffC}AMPAI TR SURER' REPORT — ITEMIZED EXPENDITURES 40WW7 (2) I.Q. NLimber. (4) Page of Purpose (add office sought if contribution to a candidate) oc P6Ivr go' VIU4 OW UD owe (9) Expenditure Type (10) Amendment Amount I I I EFS-IDE l4 (N9tE) SEE REVERSE FOR INS RUCTrONS ANLJ WIJ J VALUES