HomeMy WebLinkAbout19M11 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) 1.j'1_1A�y OFFICE USS gNLY
ame
2
A ress number and treet
I-YJ 14 I.. 1�1
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: )A H ) 49A leD O S DA 367A )
❑ 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 / / 9 To ) j / / t Q Report Type: y )
❑ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $
Loans $ 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 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)VALERIE CUMMINGS (Type name)PATRICIA D. WRIGHT
❑Individual fpnly for IE Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only f PC and PTY)
or election ',qdnng m.)
x -x
ignature ture C
DS-DE 12(Rev.11/13) SEE REVERSE FOR 114SfRUCTIONS
CAMPAIG TR SURER'�POR - ITEMIZED EXPENDITURES
(1) Name Lt - H r-r (2) I.D. Number
(3) Cover Period r� / C / 1 �J through / / Z (4) Page of
(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
//Y,(-
'0"
. 6c)
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES