G3 Report 03-04-2022 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) lila.r;'1 /4 Jt•f ll maks E ONLY
Name
(2) is é. Octcz.n Ave- 370 MAR 0 4 2022
Address (number and street)
`t3 D n•I'ar 1��wc FI_ 3 3 X133 C6-
City,
r ► CITY OF BOYNTON BEACH r
City, State, Zip Code �J�r
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: (._a•nrr);65 i 0Atr' 3rd i S -1-r i ci
❑ 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 A / 2 3 / Z2- To ,,' / Ai 3 / 2 z Report Type: 6,3
d Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ , , 95 q •• '° Expenditures $ , , yo . �'o
Loans $ •
Transfers to
Office Account $
Total Monetary $ , •
Total Monetary $ , ,Vo . 30
In-Kind $ •
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , ZI' , 0J4 • 70 $ , i7 , OM . IZ
(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 thisreportand it is true, correct, and complete:
(Type name) C IIIc. /Z AAICIZ Lst,.✓ (Type name) rn a r ;1. [ILA Lt t
E
❑ Individual(only for IE Treasurer 0 Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering co .)
x lir l x ....., erA �
Signature Signal e
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name /76yi'f t7Ldcc n (2) I.D. Number
(3) Cover Period % l 25 / 2Z through 3 / 3 / 12 (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
V dor- 4.-1 air
.3 / /21.. C1 Nva L La-
4)c..i-t. C f♦t q Si •'r0
S9a s.w z ��t.
/ �Z�`,;,; , el. 83 1'4 3
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name /71o,r' f Ned 4 t►'1 (2) I.D. Number
(3)Cover Period 2 / / 22- through 3 / 3 / ZZ (4) Page I of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(Last,Suffix, First,Middle) (add office sought if
(6) Street Address& contribution to a Expenditure
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
3 /3 /2L E.me
G X P„t,5a S
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES