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HomeMy WebLinkAbout01: M03-17 Report(1) (2) OFFICE USE ONLY CAMPAIGN TREASURER'S REPORT SUMMARY Name , . , I ^>2.40 I\1 V^l H: Plo-cg- Address (number and street) . \Y\\cxm'\ G?nordL0OS| 35o3S City, State, Zip Code City o; Miami Gard-^ns D Check here if address has changed (3) ID Number: (4) Check appropriate box(es): , . ©Candidate Office Sought: '5ecA.-V4 - CYY^6i Cou<y)c^ \ D Political Committee (PC) ^I I ruNiitai uommiuee □ Electioneering Communications Org, (ECO) □ Party Executive Committee (PTV) D Independent Expenditure (IE) (also covers anindividual making electioneering communications) □ Check here If PC or ECO has disbanded □ Check here if PTV has disbanded □ Check here if no other IE or EC reports will be filed (5) Report IdentifiersCover Period: From V^I ^1 JJ_ To 03 / 3 I / I~y Report Type: U^riginal Q Amendment □ Special Election Report (6) Contributions This Report Cash & Checks $ . Loans $ Total Monetary $ In-Kind $ .505-OO ■ 50SOO (7) Expenditures This Report Monetary Expenditures $ ,. Transfers to Office Account $ Total Monetary $ ^■OD , Si . OO (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ . . 50^. QQ (10) TOTAL Monetary Expenditures To Date$ , .SI DP (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) □ Individual (only for IE Q'l'reasurer □ Deputy Treasureror eiectianeering comm.^ (Type name)S □Candidate oLncSbrc^ M^ocodl □ Chairperson (only for PC and PTY) Signature Signature DS-DE 12 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name SardLft^ RlQ\rvLtU%]>)u3g,il (2) I.D. Number ^ (3) Cover Period / _2_L ' JiL through jD5 / ^ -Q_ (4) Page \ of _[ (5) Date (6) Sequence Number 03, OlAl (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State. Zip Code (8) Contributor Type Occupation XnS' (9) Contribution Type Uxxf- (10) In-kind Description (11) Amendment $505 (12) Amount / I I I I I / / / I A. DS-DE 13 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S RE^RT - ITEMIZED EXPENDITURES(DName iMCOcx^Or'11 (2) I.D. Number (3) Cover Period / O I / \'l. through D3 /3 I / t~7 (4) Page 1 of (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code MSP5 <r'0 1 1C,K110C (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount 1 openfOito: CAi/?7t. 3 /3i/ r 2^ "ToDpico.! Rnanctcil "CyEoIi-V LAl^tC7 0;,j C/tr/^5 LJ^ LJ^ DS-DE 14 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES