HomeMy WebLinkAbout20M01 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) _ 994 t �I r!)l�L L�� { l./.L�K FF'%Yr ONLY
City of Liam r ens
Name �} Rec6;ve i:i the Sffice jj City ';le►�
(2) �/�60 ;W7 5-r P&O Date aD LL�p
� Ti _
AdI?fress (number
and street)
1 Com, _ me• --- i
OLM
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City, State, Zip Code
❑ Check here if address has changed g (3) ID Number:
(4) Check appropriate box(es):
andidate Office Sought: Y
LJ 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 I I ! 19 To C)_L_ / Z,j 1 Report Type: 20 MV
❑Original ❑Amendment ❑Special Election Report
i
(6) Contributions This Report (7) Expenditures This Report
i
Monetary E
Cash &Checks $ . D O 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
,�co�m ,I)te: — C
tTYpe n f)U6&eP' ii YP8 nameS'�� -
❑Individual(only for IE VTreasurer ❑Deputy Treasurer Candidate 0 Chairperson(onty for PC and PTY)
or electioneering comm.)
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
' 3
CAMPAIGN TI ►SURER'S REPORT- ITEMIZED C1 'RIBUTIONS }
(1) Namer
l� t�c Ll„F.►� (2) I.D. Number
(3)Goner Period / ! through (4) Page of
3
(7) (8) (10) (11) (12)
Full Name
(a) (Last,Suffix,Fitst,Middle) ,
SAquenoo Street Addrew Contributor Contrbution in-kind
Number City,State Zip Cade T -Occupgon Type Desai 'on AffwdftwM Amount
0100'M
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0544E 13(Rev.11N3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES