HomeMy WebLinkAbout19M12 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) C— 1� 7ii_y , ;ft9131�E'IIS�ONLY
F.' t}hk-i s C�tv Clerk
(2) Tme Date: itg6e c t..ii:; Cleo,
o Tim4`
Add r ss (numberan reet)
City, State, Zip ode
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
'Candidate Office Sought:
❑ 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 To l r l Report Type:
Original El 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 $ O
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:
(Typename)V ERIE CUMMINGS (Type name)PATRICIA D. WRIGHT
Vionee
r IE Treasurer Deputy Treasurer �f Candidate El Chairperson(only for PC and PTY)
or m.)
X )
nature SI ure
DS-DE 12(Rev. 11/13) SEE REVERSE F RUCTIONS