HomeMy WebLinkAboutGeneral - 20G01 CAMPAIGN TREASURER'S REPORT SUMMARY
Name -- OFFICE USE ONLY
(2) City of Miami Gardcns
Rec;;!ve-: i;,,the Office or e Cit ler,
Address (number and street) Date: ^C�D CJ Time:Time: // '.2/`
City, State, Zip Code By.
[� Check here if address has changed 9 (3) ID Number:
(4) Che 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 To / f `/ / Report Type:
❑ Original El Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash 8 Checks Expenditures $ �•
,i
Loans $� QJ Q (A' Transfers to
Office Account $
Total Monetary
Total Monetary $ ' O
In-Kind $Q ,
(8) Other Distributions
$ T
(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:
(Type name) >� b (Type name)
❑Individual(only for IE Treasurer ❑ Deputy Treasurerandidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
�j
X X
Signature Signature