G1 Report 02-11-2022CAMPAIGN TREASURER'S REPORT SUMMARY
_,YSE ONLY
Name
(2) _ IC.E 0 \J10, ' ��� _ _ 'FEB 1 I a
Address (number and street)
— y CtiY 80°lN1T0N 13EA[_;I I
City, State, Zip Code /
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
tr-C*andidate Office Sought:���d�
❑ 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
El independent Expenditure (IE) (also covers an [71 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From To 'a/
Original ❑ Amendment ❑ Special Election Report
Contributions This Report
(6)
Cash & Checks $ �J ID .tea
Loans $ ,
Total Monetary $ , , 55O.0C.,
In -Kind $ 7 ,
(9) TOTAL Monetary Contributions To Date
$ , 30 , 7 2r.), 0"t
: ,:2 Report Type: (&
(7) Expenditures This Report
Monetary
Expenditures $
Transfers to
Office Account $
Total Monetary $ t �,
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
$ , '7 ,Z�, 51 aq-7
(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) 0— CCJZ (Type name) ej<� �� e�
❑ Individual (only for IE reasurer ❑ Deputy Treasurer [4-Kandidate ❑ Chairperson (only for PC and PTY)
or electioneers comm.)
X
Signature Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name C1� Q�i�, ���(2) I.D. Number
(3) Cover Period through (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
!6) (Last, Suffix, First, IJliddle)
Sequence Street Address & Contributor Contributicn In-kind
Number Cite, State, Zip Code T • e Occupation Type Description Amendment Amount
loo�l svy t-► st �e.ceb (� O
� �A
cq5
_ '33 436 i
T1s. 9-0't cqA
`3 x'13 �o.rn,cy�uc� S�
i
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name
UQ- - - _ (2) I.D. Number
(3) Cover Period *�L / \ / through / \ o / 'a f2 _ (4) Page i of 1
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES