HomeMy WebLinkAbout20M01 CAMPAIGN TREASURE,R'_S/REPORT SUMMARY
(1) Z j A )k)JT �.tS N�i� /�/7 Rec.01 f*� 1 . �*,ye Cit :lerx
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e Date: � '✓ l 10�0
(2) ZTime: 10
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Addr ss (number a treet) By`
a/� Hi �L
City, State, Zip Code
❑ 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 Q l l 2 Q To t) _ / / ) Report Type: 20 M d
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 $ ,
In-Kind $ >
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ 2 $
(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(onl r IE ❑Treasurer ❑Deputy Treasurer 0 Candidate C1Chairperson(only for PC and PTY)
-electioneeri comm.)
i
X X/
ltd
Si ature SI atur
DS-DE 12(Rev. 11113) SEE REVERSE F TRUCTIONS
CAMPAI N TJREASURE�jS RESORT-ITEMIZED EXPENDITURES
(1) Name [ fj L=� M��//A I (2) I.D. Number
(3) Cover Period GI / cel / 576 through _/ _/� (4) Page t 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
Z 2 i o 'r6w 5� F �s'�n L A '4 L',(-,, 06
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES