G3 Report 03-04-2022CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Co U 6'Tcft N D T r -(C Qu,i e'e
OFFICE USE ONLY
Name�'��
(Z) Salo W N t''S PeCIV -0}moi NES q b
Address (number and street)
&AR 0 4 ?V? ��O 30f Y"'
'� NToK �3�GN �� 3-3
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number.
(4) Check appropriate box(es):
Candidate Office Sought: L' T11 Cp(-t H('_3 Sp f\f iv (L - D 15_(m (C/C" 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)
(5) Report Identifiers
Cover Period: From 2 I 2_5I Zc� ZZ To
`j /03 I Z a7•Z Report Type: C -t,
[`Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ , 052-
Expenditures $ ; Li t .33
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
$ , )
$ (0o3.. L4-7
(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) `t'( C*iC-_t lE r1 C-Qi_C.i't2,C
(Type name) CC) Cl �1"i, m� T-tL- '-Lt z-
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer
❑ Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
x`C,r`Z a—
t
xC4
Signature
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
('1) Name _f 0ue.T L-Aw ) H C �t U1 _ (2) I.D. Number - -
(3) Cover Period Z / 7-5 / V2 through F) /0 3 (4) Page ___ —of -
(S)
of
(S) (7)
(8)
(9)
(10)
(11)
Date Full Name
Purpose
(s) (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
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Cf�Ukk ffiM
UCt �l,l'
(2)
I.D. Number
(10)
In-kind
Description
(3) Cover Period -;?
/ 2�5 / 2.2_ through 3 / 03
/ 2-'?
(4) Page of
($) -
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
Cit, State, Zi Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(S)
Sequence
Number
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Dei trE-; is ELf NM FL
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RUALT`/
prnvocltcq
C H e
11000
J
I J
DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES