HomeMy WebLinkAbout01: M02-18 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Janice Coakley OFFICE USE ONLY
Name
(2) P.O. Box 551762
RECEIVED Address (number and street) MAR 2 2 2018 ~ Miami Gardens, FL 33056
City, State, Zip Code
0 Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
0 Candidate Office Sought: Miami Gardens City Council residential Area Seat 4
D Political Committee (PC)
D Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded
D Party Executive Committee (PTY) D Check here if PTY has disbanded
D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 02 I 01 I 18 To 02 I 28 I 18 Report Type: 0'10<1-l~ ------------
D Original 0Amendment D Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ ' ' Expenditures $ ' ' -- --------------
Loans $ ' ' 25. 00 Transfers to ------ --Office Account $ ' ' --------
Total Monetary $ ' ' 25. 00
------ --Total Monetary $ ' 00 ' --------
In-Kind $ ' ' --------
(8) Other Distributions
$ ' ' --
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 25 00 $ 00 ' ' ' '
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F .5.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) Shirley B. Clark (Type name) Janice Coakley
D Individual (only for IE 0 Treasurer 0 Deputy Treasurer 0 Candidate 0 Chairperson (only for PC and PTY)
or electioneering comm.)
~ign~~~ < ~ X ~
Si@ature
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAM N TREASURER'S REPO -ITEMIZ ONTRIBU
(1) Name Janice Coakley
(2) 1.0. Number
02 01 18 (3) Cover Period I I 02 28 18
through I I 1 1
(4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number City, State, Zip Code Type Occupation Type Description Amendment Amount
02 26 Coakley, Janice 18 19681 NW 33rd Av. I I Miami gardens, FL.
1 33056 I LOA N $25.00
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OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES