HomeMy WebLinkAbout01: M03-17 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
C) L/filDA Hq LLP WAY
Name
(2) f 0 ?>nx 6'}3!)&t
Address (number and street)
M/AM) pL
City, State. Zip Code
OFFICE USE ONLY
Q Check here if address has changed
(4) Check appropriate box(es):
0 Candidate Office Sought: CoUriCIL SsAT Z
□ Political Committee (PC)
(3) ID Number:
□ Electioneering Communications Org. (EGO)
D Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers anindividual making electioneering communications)
□ Check here if PC or ECO has disbanded
D Check here if PTY has disbanded
[H Check here if no other IE or EC reports will be filed
(5) Report identifiers
Cover Period: From 3 > ^ To _^/ J/! // Report Type: ^03'If
[M Original □ Amendment □ Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans $,5^0 • OO
Total Monetary $
In-Kind $
M.
(7) Expenditures This Report
Monetary
Expenditures $ , ,
T ransfers to
Office Account $
Total Monetary $od
(8) Other Distributions
$• 1
(9) TOTAL Iffonetary Contributions To Date$ , .S50 . f/D (10) TOTAL Monetary Expenditures To Date
j . . M.
(11) CertificationIt 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) i//yi>A
O Indivklual (only for IE fi^Treasurer □ Deputy Treasurer
or eiecUoneering comm.)
(Type name) l4(}D4eS
Hf CandidaiB □ Chairperson (only for PC arxl PTY)
X
Signature
X
Signature
k
DS-OE 12 (Rev. 11/13)SEE REVERSE FOR MSTRUCTIONS
CAMPAIGN TKcaSURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name L/htpA l~lot>ajPS l-loLLdiWAV' (2) I.D. Number
(3) Cover Period ^3 / / / 7 through / ^// / 7 (4) Page / of _/_
(5)
Date
(6)
Sequence
(7)
Full Name
(Last, Suffix, First Middle)
Street Address &
(8)
Ccxitributof
(9)
Contribution
(10)
In-kind
(11)(12)
Number City. State, Zip Code Type Occupation Type Description Amendment Amount
I
HOLLCvJAi^
Miami Ci4iiv£/Js Pl 3SJf)
LOA SO.CD
2
HouOrJAH, C M*\>A
M Bay 5^/
tU 14*11
LoA
I L
I /
/ /
DS-DE13 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES