G2 Report 02-25-2022 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) I^, o u TLA ND"( 1 Ou EE RE6FryEBSE ONLY
Name
(2) 5 0(0 WO i 5 Pt a CM fl Q Imo) s -D • FEB 2 5 2022 P'�1
Address (number and street) —1-1z3
60'1 NT-0 13VAC N 1 pt 330135 CICIOF TYCLERK'S YTOFBEAC
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
('Candidate Office Sought: CO-L{ tort r-i f-i l 5&'10 J (L - r)i 5 T IL(C1 3
O Political Committee (PC)
O Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Party Executive Committee(PTY) 0 Check here if PTY has disbanded
❑ Independent Expenditure(IE)(also covers an 0 Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From 2 / tt• / 22 To Z / 2y / 2 . Report Type:
Original 0 Amendment 0 Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ 2 , Zoo °" Expenditures $ , 825 . ''
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
$ °( , o(0o . ou , W , 721 . ly
(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: I�
(Type name) �1ChelI�e 111C-COu.i (� (Type name) CO•U({'1 CA(/1 d 1 rit.Q U 11(e_,0 Individual(only for IE if freasurer 0 Deputy Treasurer ❑Candidate 0 Chairperson(only for PC and PTY)
or electioneering comm.)
x Li 47:11171 �cS�-�-( �r x64/0c9- -
Signature
Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name OL{12•rLim of MC Q(Lt.i2 (2) LD. Number
(3) Cover Period 2 / I ( / 22 through 2 / / 22 (4) Page A of 1
(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
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DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT—ITEMIZED EXPENDITURES
(1)Name ('0 Vet'LAAllj1 t-k Q IAA Lt (2)1.13.Number
(3)Cover Period 2 / I 1 /ZZ through 2 / 2 LI / Z Z (4)Page 1 of 1
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
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DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES