HomeMy WebLinkAboutGeneral - 20G03 CAMPAIGN TRE URER'S REPORT SUMMARY
(1) G) 46I T N 60?(5 OFFICE USE ONLY
e City of Miami Gardens
(2) a 1 U Recc.wer ir, he Office of the City Clerk
Date:
d ess (number and street ��}/ QTime:EL
jAt I41
By:, q,RS W_
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): /� I
,Candidate Office Sought: ) CTA , /��
❑ 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 l �� l To Report Type:
Original ❑Amendment ❑ Special Election Report
1(6) Contributions This Report (7) Expenditures This Report
_ Monetary
Cash & Checks $ J Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $ >� 66
(8) Other Distributions
(9) TOTAL Moneta Contributions To Date (10) TOTAL Moneta Expenditures To Date
$ , y3 $ , � �
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify aVhav xamined thi rt and it is true, correct, and complet(TYPe nameC Yj( ( am �-�
❑ Individual(o y for IE XTreasurer ❑Deputy Treasurer 49fandidatep EIChairperson(only for PC and PTY)
JIF-Is
r electionee g comm.)
X
Sitrnature Sig ure
DS-DE 12(Rev. 11/13) SEE REVERSE FOR UCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
4(1) Name �s f�� (2) I.D. Number
(3) Cover Period �27 through &E / / (4) Page 1 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 City,State,Zip Code T Occupation Type Description Amendment Amount
d / 2 9r APIJ ez I E"Ari e
�zg 41 NW 212,E j
R ,
56-Sw 33 C T
1-4
1,143-4 J
) 9.in dyy IA-1 C� ) Lam,LYS
1q1 AY_f j FL S
1,.1 f"�I CO
D am brl
17��"16��
Jb '5 CAr1�,0tG
19 1 lyW 1,57� Y1 MA,*6 �Dr 0a
by �yt 4
1411��,I, FL r
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES