M11 - Report 12-12-22 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) —Th PI fam / C'c'/ D r 1L EEN
b
Name
(2) Ci-0 6 f Tom, /- /31,�c/ DEC 12 2022
A dress(number and street) CITY CLERK'S OFFICE
bo- x`14 8e Kr-!, 334.3-c
City,/State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: C 4 y C tM r- i -P/c
❑ 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 El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From // / C I / _� To / / / / 2 =Z Report Type: I f l -
E Original El Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ I , s7 • 6 0 Expenditures $ , , I LI
Loans $ , Transfers to
Office Account $
Total Monetary $ , q , S7 . 66 r ,
Total Monetary $ , '� . I . (-1 V
In-Kind $ , • cx1
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , c73 $ , , .
(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) C 14£ L -"-R p M'cc( C.) (Type name) 6Th / m I Cc 0\
❑ Individual(only for IE `9'freasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electioneering corm.) /�
X 0----afr.7 6_19 PO-t„ _
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
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�`� CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name 7 Ol7/'9S '9 /c't ,d (2) I.D. Number ri'\ /
(3) Cover Period /1 / 0/ / DJ.. through I / "U l )a (4) Page / of T�
(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
// / /( // 72.1)/N /ZS-/Z....46
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DS-DE
jrDS-DE 13(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name 17/0171/S�jc/�!'r// Ce" L (2) I.D. Number r,� )
(3) Cover Period 1 / / I / TX)- through /I / 3cr / 'ate (4) Page c-1 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
/ N((/N
111 CPC'i-X)- "Pri/v-7 /N
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DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
,___,CAMPAIGN TREASURER'S REPORT – ITEMIZED EXPENDITURES M
(1) Name I, of of !•i.,,,fCr/ o (2) I.D. Number / I - //
(3) Cover Period /I / G I /-D a through //_/ ?_/ (4) Page / of /
(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
1/103/2; M L,k, c afil ,-lY(
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES