G1 Report 02-11-2022CAMPAIGN TREASURER'S REPORT SUMMARY
(1) " �) OF.
Name,-
(2) lV?CVI'M � ONE'S P D
Address (number and street)
NT -0 N 5 EA c N j F r_ 3; Lt 3�
City, State, Zip Code t -Al -Y 09F Hi
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
(Candidate Office Sought. c ((� Cp r Mj 53 cq\j1r a_ fXS z I C 7 3
❑ 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)
Cover Period: From 2 / i
[Original ❑ Amendment
(6) Contributions This Report
Cash & Checks $ ,
(6) Report Identifiers
/2c)ZZ To 2 / 10 / 202Z Report Type:
❑ Special Election Report
(7) Expenditures This Report
Monetary
3 5_0 o Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $
Total Monetary $
In -Kind $
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , � , by $ 3'e)910. Iy
(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 r4examilned this report and it is true, correct, and complete.
(Type name) I t� V if -, l" Call/L (Type name) ' ,C) Ir + a 11-
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer andidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
Signature S
DS -DE 12 (Rev. 11/13)
X {
Signature
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name C_0U12TLftr4 _f MC(QLk t2.t
(3) Cover Period 2 /1 / 2L through
(2) I.D. Number
Z / 10 /22- (4) Page of
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(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
Type
Occupation
Type
Description
Amendment
Amount
2
1
Z
Perm 2 tv i
CAMPAIGN TREASURERS REPORT - ITEMIZED EXPENDITURES
(1) Name _L O1 (L7,' btl -jr l� c� v l.iI a (2) I.D. Number
(3) Cover Period 2 I_�l 27- through Z / 12 2 (4) Page I of
(5) (7)
(8)
(9)
(10)
(11)
Date Full Name
Purpose
(6) (Last, Suffix, First, Middle)
Sequence Street Address &
(add office sought if
contribution to a
Expenditure
Number City, State, Zip Code
candidate)
Type
Amendment
Amount
2 Z Mr-IU0Pi-MP ArLAtJIA Cflits
CaMpa;9n
ernarl-hlasl-
CAN
GC�IODOK�
SD �d McClrz
��
C,4 NJ
2
Face b Or? 1;�-
j 0C,4'6 Q jYl -ecl t
r
2Z
4 C
C -A N
Z5
3
2 ? 2-z FGtCe boD IC-
S�G'GP �rreG�r
Mac La rer7 S l`9 zqS
Lave ma4e of
2-1 31-5 N- Fed--ral 6hjh way
tArge-F-0Mta i
� �
< 200
l r-& { Beacj I r-1 3'3 / $ 3
S+-r'-eei- S iy (n S
�
<
5"
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES