HomeMy WebLinkAbout02: M04-18 ReportI. I
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ,{4/AN)rn/ vi. f!AIJ1f3fi,u OFFICE USE ONLY
(2) NJ27Lf JrJ !6~ fr RECEIVED
Address (number and street) /1. ]JOjb · AY 0 3 201~~ AJ!lAMf_L W&Jtl'IC p 1ra: .. 11.-:-: .. ~",. City, State, Zip Code I ~
0 Check here if address has changed (3) ID Number:
(4) ~k appropriate box(es):
ltrV ()L AIIAN,1 Wt..r'tJ/S f!ovr!CL0 J,Jl * 4_ Candidate Office Sought:
0 Political Committee (PC) ~ J 0
0 Electioneering Communications Org. (ECO) 0 Check here if PC or ECO has disbanded
0 Party Executive Committee (PTY) 0 Check here if PTY has disbanded
0 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
Report Type: l8frJO~ Cover Period: From 04 1 () J I 1f2_ To o4 I }0 I j_B_ ~riginal ----
0 Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
' 5:5 . 00 Monetary _::___ ' M; . __!10 Cash & Checks $ (/, 0 Expenditures $ -' ------
Loans $ __(}_. 0 ' 0 0 Transfers to ------f) f) [) () Office Account $ ' ' --------$~·_L · ss ._@_ Total Monetary
$Q_,_f)_,283_._2&_ Total Monetary
In-Kind $ 0 0 {) 1J ' ' --------
(8) Other Distributions iJ 0 $ 0 ' f) '
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ' S ,035 . (!)0 $ o , D , 288 . _!}_i2_
(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) '5~N()N CAwtf'BFLL (Type name)
D Individual (only for IE liZ!' Treasurer D Deputy Treasurer D Candidate D Chairperson (only for PC and PTY)
or electioneering comm.)
x ~Jt~qA fL~iloG X
Signature Signature
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
1 8mof
CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS
(1) Name St/;.NJrrrJ .?(. f'AIAA7?!J:L(/ (2) I.D. Number ___ _
(3) Cover Period 04-1 0 I 1 /8 through 0 1 1 }O 1 18 (4) Page I ot L
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address & Contributor Contribution In-kind
Number Citv, State Zio Code Type Occupation Typ_e Description Amendment Amount
o4 1 Zo 1 rg {;UJtrl Arm c A '% t..93o J~AP115cn-J fA5 1JV~1V!J}l/A~ ---ij~ 1 u () Llll M(JJJ -
r-L.
o4 ~zO ~t8 1-/MfJE ~~AU(~ ~ 1105 AJN to~ 81 {'I-f£ -I 11/JJVI!i!IJ~ _.. )0. ()} -.
2 MtA~~ 1(k ·
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OS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPA,IG~TRJ;~SU~~: REPORT-ITEMIZED EXPENDITURES
(1)Name Ct/ANNUJ\_ LL C'flfrll:2::Jt!.LV (2)1.D.Number-,-------.---
(3) Cover Period (}jf__, ()/ ;___!_8_ through ()4-,_]Q_, J 8 (4) Page 1 of _ _,!f __
(5) (7) (8} (9) (10) (11)
Date Full Name Purpose
(6) (last, Suffix, First, Middle) (add office sought if
Expenditure Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
ot101 1 18 IT) uv L1 { t. mf\ T\J p,q£S~ JJdoP.. HAI'I fAt'K.S )'() urJ ....
/.93. Jh d l ?~o 4 If\ , l'<A mrvL P. 1<. wY fhtt'2Am~~ .,!{.,.-J}tJ2S
0412.{/ 18 f{)l JJuiEmArJ P/1£(.~ !Jtl&,tft« lMit maN -.9S4D J 2 (}OLJ m rRf!!! P 11.. W i
2 mn~~mllt L 310Z')
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OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES