Loading...
HomeMy WebLinkAboutGeneral - 20G01 CAMPAIGN TREASURER'S REPORT SUMMARY (1) —❑,�),�-� J(������. .��jlr� OFFICE USE ONLY Name City of Miami Gardens (2) X31 N uJ I'S( L� S4reCf Recd_'ve-' �the Office o:;rhe l;it}•�leri: Address (number and street) Date. Time: s P/" HiQl �R : City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): { dCandidate Office Sought: IQ,l'YtClh� Ch ,t,�l�A , ❑ 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 �;. ! 0 _ / OD To ( / / � Report Type: 2 G 1 [Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks Expenditures $ Loans $ Transfers to Office Account $ Total Monetary $ 5u o") Total Monetary $ , �`7 . 2(p 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: rrm/� M 1n�7 (Type name) I i l� ' t�J[ I 1 �. 1�� (TYLE ❑ Individual(only for IE Ej Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY) or electioneering comm.) 1 X � X — Si nature Sign ture DS-DE 12(Rev. 1111/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name _[hP 0A lbYWSD �- ]bheS (2) I.D. Number ll� l f� l (3) Cover Period � / � / �2C) through 4 Page ( of f —(5)- - - (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address& Contributor Contribution In-kind Number ZD;*� City, State,Zi Code Type Occupation T e Description Amendment Amount ZD K1 _ 1 / DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES (1) Namet t'1�{'%( y�` '� i}'1F�5 (2) I.D. Number i (3) Cover Period through �' / �� /ZL� (4) Page of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address& contribution to a Expenditure Sequence Type Number City,State,Zip Code candidate) YP Amendment Amount 12 r�na�~�- �(�e�x�s VDI �t�- � �llc�r 'j�Yt�, peace 4v�K i�FN1S A L+ Clued I dare SiSnS DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES