HomeMy WebLinkAbout19M10 CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
dais
me (� the Office of the City Cleek
(2)
A dress (numb d street) Time" o
M I a " I"
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): r _
)idCandidate Office Sought: ! n IAM t P44 T- Jtt'
❑ 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 �Q / L; l Gr To C,) l 3f l I Report Type: t l M ID
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ C)J> Expenditures $
Loans $ _ , qW Ljo 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
$ Q . QL b $ �' G7
(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:
(Typename)VALERIE CUMMINGS (Typename)PATRICIA D. WRIGHT
❑Individual(onl or IE 0 Treasurer ❑ puty Treasurer I]Candidate ❑Chairperson(only for PC and PTY)
r electioneers )
X �
Si ature n e
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS