ROG3 Report 3-18-2022CAMPAIGN TREASURER'S REPORT SUMMARY
NLY
Name WO
Address (number and street)
City, State, Zip Code ---------------
_ T
Check here if address has changed (3)'i�diii?1f�"1
(4) Check appropriate box(es)-
Candidate Office Sought �. t M, i 5 S� GtiL (`�T� LLT
Political Commrittee (PC) - -
0 Electioneering Communications Org. (ECO) F-1 Check here if PC or ECO has disbanded
C1 Party Executive Committee (PTY) [3 Check here if PTY has disbanded
Independent Expenditure (lE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
er Period. Prom 31 4 1 2.Z.. To 3 1 � -7 1 2. _?- Report Type•Oiginal 11Amendment {] Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Gash & Checks $ , �. CC) Expenditures $
Loans $ Transfers to
Office Account $
Total Monetary $ ,5X•
Total Monetary $
!n -Kind $ _
(8) Other Distributions
(9) TOTAL Monetary Contributions, To Date (10) TOTAL Monetary Expendit res To Date
$ - ' IV $_ ,
(11) Certification
it is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I cerfify thal 1 have examined this report and it is true, correct, and complete
L�,zW-12'ia , (T name)
Q taediiW W (only for IE ETmasurer D DV* Treasaw Candmle Q Chairperson (only for PC and PTY)
or xw.ermg Comm)
Sig Signa are
DSZS 12 (Rev,111t3) SEE REVERSE FOR INSTRUCTIONS