M1 Amended Report 02-25-2022 CAMPAIGN TREASURER'S REPORT SUM ED
(1) " ' 10" `451,!S r1-0(11✓\ � OFFICE USE ONLY
CITY CLERK'S OFFICE
City,`Shate,Tip Code
0 Check here If address has changed (3) ID Number
(4) Check appropriate box(es): Q� /
1'Candidate Office Sought: Cr 41 C 6Ivk N , Ortkr 0,S QA- S w`1 ti-_
A-- �
❑Political Committee(PC) �J
❑Electioneering Communications Org.(ECO) 0 Check here If PC or ECO has disbanded
❑Party Executive Committee(PTY) ❑Check here if PTY has disbanded
❑Independent Expenditure(1E)(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 O. / OI. / Et To G l / 3 t / 71._ Report Type: M1..
❑Original 14..Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Ca &Checks $ , 3 , 2L . Expenditures $ , L ,M i 9 . 2-
Loans
-Loans ' $ • Transfers to
Office Account $ , •
Total Monetary $
Total Monetary $ .
In-iGnd $ •
(8) Other Distributions
$ , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
S ,&-13 3 , 31_5 3�
(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) M O U‘[.611( (Type name) 11(-101A0-53 Maj 1-'V A V-\v
0 Individual(only for IE %Treasurer ❑Deputy Treasurer ,Car date ❑Chairperson(only for PC and PTY)
or eiedioneerirrg coma)
Signature Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
Thomas Turkin
(1) Name (2) I.D. Number
(3) Cover Period I / ( / 11 through i / 31 /27, (4) Page of
(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
RPPBC
1/6/22
1555 Palm Beach Lakes
Blvd #500, West Palm
Beach, FL 33401 I Committee CHE 1108.23
P
1
Will kise
1/12/22 3022 trafalgaz way
Chamblee,Ga 30341
I insurance CHE 90.00
2
Jackson Campbell
1/13/22 800 East Caminao real
/ / a.312
Boca raton,F1 33432 1 �pi� CHE 58.76
y�ypr ✓mac-+
3 r►1rtrlo5 r
Constant Contact -125.00
1/13/22 1601 Trapelo Road
/ Waltham, MA 02451 REF
Emm-it"'rmmt, CNE
EMS).41
Se,{1/1 C-e
1/18/22 Nicholas Turkin
675 Crowe Rd, Murphy,
NC 28906
I onlin �r� CHE 441.35
on I lne
5 Sa 1-eS
1/18/22 Kristin Martin
155 se 27th ave
Boynton Beach,F 33435
1 Banking CHE 100
6
1/18/22 Hunter Goldberg
4491 crystal lake dr.
Deerfield beach,FL
33064 206a 1 •40n t4: CAS 40
7
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES