HomeMy WebLinkAbout19M04 REPORT SUMMARY
OFFICE USE ONLY
',arne
r (2) I j,v— 1v �t S City d Miami•Gardens
Address(number and street) Recclvec in th p Ice of the City I It
G. >a•�5 FL 33�'�5 Date:
City, State, Zip Code - — — Time: -9,2t
❑Check here If address has changed (3) 119W
(4) Che appropriate box(es):
Candidate Office Sought: I v /vt l' fjy ��r r i r i l Y (c,oy'l'l
❑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 / / 17 To t l 30 / /1 Report Type.
Ea-Cinginal ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Ex enditures $ 3 c C•
Cash& Checks $ p
Loans $ r Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $
(8) Other Distributions
$ , __
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ $
(11)Certification
It is a first degree misdemeanor for any person to falsity 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) 14 4t e f l tii�(%SCS r( (Type name)
❑Individual(only for IE Treasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(oily for PC and PTV)
or electioneering comm.)
Signature Signature
DS-DE 12(Rev 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name Abl ( —e1i ,"II 2 I.D. Number
(3)Cover Period / [ / IT through i`f (4) Page I' of
(5) (7) (6) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix,First,Middle)
Sequence I Street Address 3 Contributor Contribution In-kind
Number I City,State,Zip Code Type Occupation Tvpe Description AmwW t Amount
z lit (cf
C
7
V)-Me
C
T
� T
0OC h►►� C
T
Ader
S
{ DS-0E 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
I
i
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name (h"C_ IY tZ��'j'� (2) I.D. Number
(3) Cover Period �� ' _�_ through I( / ,� / �/ (4) Page of d'
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix,First,Middle)
Sequence Street Address i3 Contributor Contribution In-kind
Number City,State,Zip Code TvDe Occupation Type Description Am«wmsm Amount
26✓k' rk T I�
N 6T
r"
tj, dso n Z C
Pest-pi l
i
I � /
I
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASUR' R'S REPORT—ITEMIZED EXPENDITURES
(1)Namo-J� /h,c'_ IV,I/Cr/50 1 _ _ (2)I.D.Number
(3)Cover Period IL/—�l_��through_ t_/ �C / (9 (4)Page t of
(5) (7) (6) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought If
Sequence Streot Address 3 contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
I
w b>'
DS-DE 14(Rev 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES