HomeMy WebLinkAbout22G02 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �\`-;. >> i.\,\ \`:.. OFFICE USE ONLY
Name
(2) \vS�1\) 'N, \,� r� City of Miami Gardens
"��(4...-\\\J�' Rec, vei.;the Office ci ale City CI
Address (number and street) Date:31S/7-0
3 ---1ime 3 1 Q �yJ
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City, State, Zip Code �`
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): \
❑ Candidate Office Sought: ��.\�C,\` �L,U - ► ,j.
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) E 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 �,;,; I '‘ 1 I-,3,- ,-(1',7,- To . , / l / . ` — Report Type: `a. .<< J
3 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , ,- •5\', . V Expenditures $ , A . 0
Loans $ , , S• t) , Transfers to
Office Account $ .
Total Monetary $ , , \9kU •
Total Monetary $ ,, �� . ,,1
In-Kind $ ,
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , -, u t , • , . $ , , , '\. • t'
(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) Yom\ '% --- �1 \', \.Q (Type name) \.-3, `At
❑ Individual(only for IE a reasurer 0 Deputy Treasurer [2-Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
N1 ,
,
V-- . j-N)0A.k.)' . X 4 .,..-\_A-Ns, L . -
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name \--.\ \\\;\J (2) I.D. Number
(3) Cover Period \.' / 1 ' /")-..W-•through On / 0 / ?):.1) ;j.,}. (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
/ 3'0 I 1\4\1-\ wa�vt`n�
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) NameiA\
(2) I.D. Number
(3) Cover Period j )G / l� I4 ') hrough [/ / (4) Page 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
I Y
/ /
/
/ /
/ /
/ /
/ /
/ /
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES