M1 Report 02-10-2022CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Tho/ -7 6 4lg'NArif
OFFICE USE ONLY
Name%JEC1
Address (number and street) _
FEB 1 iO"l
City, State, Zip Code
QW01FBOYNTON 8EAC, iC�
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es)-
91 Candidate Office Sought: �zp�'I�7�� F-,
! f (�/'��� �t 51'4'1 7y,`C7
❑ 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 _ / 1 / uyz.
To j / j r / ;..:n.Z. Report Type: m 2
19"Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ ,(,(,� C
Monetary
Expenditures $
Loans $ , , (; • �U
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In -Kind $
TT
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures T 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 this report and it is true, correct, and complete:
/examined
(Type name) / r t ' `l P66 7i �e? T
/�
(TYPe name) t�%Ll ` 5 1, 0,A -i Lil l
❑ Individual (only for IE ❑ Treasurer Deputy Treasurer
or electioneering comm.)
Candidate ❑ Chairperson (only for PC and PTY)
f
Signature
Signature
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN STR� SURE�2'S REPORT -ITEMIZED EXPENDITURES
(1) Name 1 1 ' P� `+•T _ —_ (2) I.D. Number
(3) Cover Period _! J , I �' 2"through ! �� �(4) Page _ j -
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
(1 1)
Amount
(6)
Sequence
Number
S,7 5-
r �,� -1
v
1 70
U''
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�rr Iw.KI %?
V"-,frile
( � /
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES