HomeMy WebLinkAbout20M04 CAMPAIGN T ASURER'S REPORT SUMMARY
(1) J ��,� ,.1,��T 1"t'57'47 &6 OFFICE USE ONLY
City of Miami Gardor+s
e Reccivec: 'n toe Office of the City Cierf;
r �j
(2) ��.G� Date:
Address (num and stree
MTime:
ir+ tL .�d By
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
`Candidate Office Sought: 9Arl i
❑ 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 / � ) / y To Report Type:,:�6_ a
❑ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ L. Expenditures $
Loans $ U Transfers to
Office Account $ t;
Total Monetary $ t'
Total Monetary $ c,
Cl
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.)
certify t t I h e examined this report and it is true, correct, and complete
(Type name 0 (Type name) Yjc,-_, ,0T❑
Individual(only for IE Treasurer ❑ Deputy Treasurer ❑Candi ate ❑Chairperson(only for PC and PTY)
or electioneers g co m.) /
Signature Sign ture
DS-DE 12(Rev. 11/13) SEE REVERSE FOR IN CTIONS