HomeMy WebLinkAbout12M19 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) (. �l�'r syr C� L'US ONLY
F= thc,r C,(tv Clerk
(2) Tme Date:- ' � � t✓Ir,% .le+
6B Tirrro:
Addr ss (number an reet) -
16
City, State, Zip ode
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): //��
Candidate Office Sought: NY)") &A-a d-_5 (�buz�c
❑ 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 j,2 / L , l t q To ' 1 ,71 / 147 Report Type: 11M ).2
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ L�
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
$ I , I $
(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)V ERIE CUMMINGS (Type name)PATRICIA D. WRIGHT
dividual(o for IE A Treasurer Deputy Treasurer 10 Candidate ❑Chairperson(only for PC and PTY)
or el 'onee' g m.)
t
X � J
nature St ure
DS-DE 12(Rev. 11/13) SEE REVERSE FdRINStRUCTIONS