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HomeMy WebLinkAbout21M11 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Andre Williams 8 �y Name City SIRE Recir.vec: ' the Office of the City Cie-r1 (2) 1850 NW 170 Street Date: • • Address (number and street) Time: S4 = v Miami Gardens, FL 33056 Bye• - ►•. �._, City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: Council Member, Seat 6, Miami Gardens ❑ Political Committee(PC) 0 Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded 0 Party Executive Committee(PTY) ❑Check here if PTY has disbanded ❑ Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 / 01 / 21 To 11 / 30 / 21 Report Type: 2021M11 ❑Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $0 , , • Expenditures $ 0 , , Loans $25 , _ , • Transfers to Office Account $ , , . Total Monetary $ , • Total Monetary $ • In-Kind $ • (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 25 , , $ 0 , , • (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) 7j� -10(re v1 1" 1 � J (Type name) A n�.Q k jl 0011-2 ❑Individual(only for IE I]Treasurer 0 Deputy Treasurer 0 Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) �i Litvok_ ,cee444_ Signature g Signature DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS