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General - 20G01
CAMPAIGN TREASURER'S REPORT SUMMARY (1) H Q1 T AJ OFFICE USE ONLY Name Chy C-lorlc 1ni c—a j,- (2) 993o N. �� ff=,�� the c� <r5s cit Date:— = - 2 Q Y Clea. Address (number and street) :ime: :D� City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Che appropriate box(es): Candidate Office Sought: ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbanded ❑ Independent Expenditure(IE)(also covers an ❑ Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From i0(0 / Q / Zi3 To d ib / ( 9 / �� Report Type: 20 &_2 /original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 0 Expenditures $ 3 gJ 7 . 55 Loans $ , Transfers to Office Account $ Total Monetary $ , 15 ,;2co •QQ Total Monetary $ 7 . '- In-Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Moneta Expend, turesTo ate S $ , }�SO 6 G $ - (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) �J r�P G'/� L (Type name) G et, ❑Individual(only for IE 5211reasurer ❑Deputy Treasurer Candidate ❑C airperson(only for PC and PTY) or electioneering comm.) X 4"2�� Signature Sigfiature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name ela din p 7 I1[� QI rl'j�'r (2) I.D. Number (3) Cover Period f) (o / 0 1 / through ()�d / / 0 (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 F,a.,4;J jmItti CCD /oIamI /67144. Sfs roe-,6,u..c. ICGmi led,IkO Ivo ✓.R'a'IQ) lc ' Ca,->44 ►��. C f4� 1, � /(�/11►'rte�� FZ. 3?'1,/ Qr?� S Hq/JMR KI-I w c,11zr,*- 4, , 1, 0 DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name k3d4'p!� q (2) I.D. Number (3) Cover Period / / / 2Q through d(b / / oZ O (4) Page L-,2 of 3 (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 I Occupation Type Description Amendment Amount a l.eqh ;rriekik ��� 1►b� LLC QO 0 l lZ� g14w7L4o Vr LL 49b A/•C IZTKfA4 i 9 ,it-M 1 ,"; /2j-pj C,,4�1+►� (0 /VMr �,Fc'331)./ L3 S b/ /6 l 0 ''� L C Jrre �, n / � /2� �'�/f�ti �'�'a', „mob►�� r 2T 33 l 2 N/N�«'9+,,_Pr i�/ / 13 L e- DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name 9(a 01/1 (2) I.D. Number (3) Cover Period 06 l ©/ / v?') through 0(0 / 191 ,20 (4) Page 3 of 3 (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 L 23I UJB /'S. f� Vt M,-.", 6- T 3 /Z-0 173a1Al-V1 Al Aor r-74 s IV,LAI if . 33,s� moij ,,dsl l5/ MC5P fl o � . a� 3$,W DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C�MP�jjIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES (1) Name P✓) (4A /nJ /q (2) I.D. Number (3) Cover Period 04 / 0/ /e through a6 / / / / Z (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix, First, Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount i-e- fj 4 09 A�� 3 30 if cl 3 J j'`�l N��c.,1i��t • 33 I bl DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES