HomeMy WebLinkAboutGeneral - 20G01 (Amendment) CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Andre Williams OFFICE USE ONLY
Name City of Miami Gardens
(2) 1850 NW 170 Street - — Date:v , �
* (� �e of rhe City Cie k
02
Address (number and street) A
Miami Gardens, FI 33056 Time:
- -
By:
City, State, Zip Code
U Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
0 Candidate office Sought: Miami Gardens, City Council Seat 5
❑ 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 U"6 / 01 GU r o UD i IV / [.0 Report type: 4Ul7 I
❑ Originai ❑✓ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $200Q expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind 5 - ---
(8) Other Distributions
S ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 3000 S 344 80,
(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)Andre Williams (Type neme)Andre Williams
❑Individual(only for IE \46Treasurer ❑Deputy Treasurer
or electioneeringCandidate [:1 Chairperson(only for PC and PTY)
dz 1�2114
l� �comm.) _
- v
Signature Si ature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS