HomeMy WebLinkAbout22M05 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Wiren Norris OFFICE USE ONLY
Name City of Miami ' 4
(2) 3527 NW 196th Lane Rec; vei t, .a2 .:,e City Clerk
Date:
Address (number and street) Time:_
Miami Gardens, Fl 33056 gy _
City, State, Zip Code Da•Irlo_S
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought City of Miami Gardens Council Seat 4
❑ 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 052622 / To 053122 / Report Type:
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $350.90 , • Expenditures $ 800.90 ,
Loans $10,090 , Transfers to
Office Account $ 0 , •
Total Monetary $10,350 ,
Total Monetary $ 0
In-Kind $0 ,
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 10,350, , $ 800.00,
(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)Wiren Norris (Type name)Wiren Norris
0 Individual(only for IE 0 Treasurer 0 Deputy Treasurer 0 Candidate ❑ Chairperson(only for PC and PTY)
or electioneering comm.)
X Wiren Norris X
Wiren Norris
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Wiren Norris (2) I.D. Number
(3)Cover Period 052622/ through 053122/ (4) Page 1 of 1
(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
City of Miami Gardens Seat 4 Candidate
05262 / 18605 NW 27th Avenue
Miami, Gardens, Fl. 33056
CAN $800.00
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Wiren Norris
(1) Name (2) I.D. Number
050222 053122 1 J.
(3) Cover Period / / through / / (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
Norris, Wiren
052622 3527 NW 196th Lane
/ / Miami Gardens, Fl.
01 33056 I LEO LOA $10,000
Norris, Jada
053022 1219 NW 11th Ct.
/ / Ft. Lauderdale, Fl.
02 3311 I Education CHE $150.00
Denmark, Jeanette
053122 18913 NE 10th Rd
/ / Miami Gardens, Fl.
33169 I LEO MO $200.00
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DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES