M10 2021 Report 11-04-21CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Gregory Hartmann
OFA ONLY
Name
(2) 1083 SW 25 PL
NOV U 4 2021
Address (number and street)
1X53F -
Boynton Beach, FL, 33426
C"OFBOYNTON BEACH Ur
CITY CLERKS OFFICE
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
P/1 Candidate Office Sought: Boynton Beach Commission District 1
❑ 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)
(6) Report Identifiers
Cover Period: From 10 / 1 /2021 To
10 /31 /2021 Report Type: M 10
❑✓ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ , 1,00 .00
Expenditures $ 0 ,
Loans $ 0
Transfers to
Office Account $ 0 ,
Total Monetary $ 0 ,
Total Monetary $
In -Kind $ 0
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1,50 .00
$ , 33.99
(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) Gregory Hartmann
(Type name) Gregory Hartmann
❑ Individual (only for IE ❑r Treasurer ❑ Deputy Treasurer
EI Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X
Signature
Signature
DS -DE 12 (Rev. W13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Gregory Hartmann
(1) Name (2) I.D. Number
10 1 2021 10 31 2021 1 1
(3) Cover Period / / through / / (4) Page of
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type I Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
10 29 2021
Gregory G. Hartmann
1083 SW 25 PL
Boynton Beach FL 33426
i
video editor
CAS
100.00
001
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name Gregory Hartmann
(3) Cover Period io1 /zozi through io ai 2021
(2) I.D. Number
(4) Page _ of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
�J I
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES