HomeMy WebLinkAbout03: M05-17 Report(1)
(2)
CAMPAIGN TREASURER'S REPORT SUMMARY
Name ^
I M. iO PL
Address (number and street)
KT\t(xmi Gc\^d^os^fL 3j^c?3-S"
City, State, Zip Code
Q Check here if address has changed
OFFICE USE ONLY
City o: Miami Gardens
Rec. Jvev' b tha OffKje of ihe City Cleric
Date:
Time:.
By:
ec.Jvev' iy the Offcce of 1
ate: (c>/^rcLofY
me:Z_l£Wfc
/:
(3) ID Number:
(4) Chepk appropriate box(es):
CiyCandidate Office Sought: Sa:^t ^ - din (a C&u Coun^ii
□ Political Committee (PC)
□ Electioneering Communications Org. (ECO) □ Check here If PC or ECO has disbanded
D Party Executive Committee (PTY) Q Check here if PTY has disbanded□ 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 IdentifiersCover Period: From ^ I 0\ / 1""/ lo ^ I 3^ I \~~] Report Type: t^O ^-{*1
n Original D Amendment Q Special Election Report
(6) Contributions This Report
Cash & Checks $,_D.
Oo
Loans $, , 0-OD
Total Monetary $, . 0.00
In-Kind $
1
p
00
(7) Expenditures This Report
Monetary
Expenditures $ , ^•
T ransfers to
Office Account $
Total Monetary $
iM jI
■_D _no
(8) Other Distributions
$ . , •S'l . oo
(9) TOTAL Monetary Contributions To Date
$ , , ^05. oo
(10) TOTAL Monetary Expenditures To Date
$ .P.03.19
(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)(Type name)
□ Individual (only for IE Treasurer □ Deputy Treasurer
tioneenrvT:om
X
□ Candidate Irperson (only for PC and PTY)
Signature
□
X f
Signature
DS-DE 12 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
AM^IGN;rFJEASURER'S^EPORT p ITEMIZED EXPENDITURES
' (2) I.D. Number
CAMRAIGN TREASURER'S REPORT r
(1)Name \xCX)0{J(y^\
(3) Cover Period ^ I 01 / l"7 through ^ ! 3 \ ! I "7 (4) Page /of
(5)
Date
(6)
Sequence
Number
"f/ivn
I
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Ent^pfisc^ Rcni-Acac.h/\A/lQ?iij^ sf
nn i n.33d?/^
(8)
Purpose
(add office sought if
contribution to a
candidate) .
-DijOCyTTf-MQ
use
Cafr)p^ip^
(9)
Expenditure
Type
CA//
(10)
Amendment
(11)
Amount
5/22/n
2-
Ouie. Cross^coAs
147 S Giarr^o
Ti+usv'lle.,
mnch
cicin:;5lid<i?v^^-
z_z.
AJ.
LJ^
LJ.
DS-DE 14 (Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ^12.^17