HomeMy WebLinkAbout20M02 / CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �Jp OFFICE USE ONLY
Name City of Miami Gardens
(2) 2zl 702 Rec;.;ve-. i,i t e Office of:he City Cler<
Date:s
Addre $ (number and street) Time: iOn 4 r)1
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Chec appropriate box(es):
andidate Office Sought.-
F-1
ought:❑ 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 eriod: From ,0zj t� To 0,1 / 2i 9 / � Report Type.U� 0�
Original ❑Amendment ❑ S ecial Election Report
P P
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $� Expenditures $
Loans $ Q Transfers to
Office Account $ _0 .
Total Monetary $ � ,
Total Monetary $ —1�/1
In-Kind $ -
(8) Other Distributions
$ ,
(9) TOT Monetary Contributions To Date (10) TOT 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) (Type name)
❑ Individual(only for IE ❑Treasurer ❑ Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS