Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
M10 Report 11-12-2019
CAMPAIGN TREASURER'S REPORT SUMMA Y (1) (jQfiJ�CJf,,V Z+ 114Y OFFIC USE ONLY i� Namefy , ? r� /V V r C. 7 Lll M. (2) �/'2 .� . Address (number and street) a PA/, 0.eV ell, F1 331/3 -<- ' j�w City, State, Zip Code `: L C")> ❑ Check here if address has changed (3) ID Number: r*t� (4) Check appropriate box(es): �y Compix55.ra✓rw 7' Z Candidate Office Sought: !/�,nqr ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO his disbanded ❑ Party Executive Committee (PTY) ❑ Check here if PTY has disbnded F-1IndependentExpenditure (IE) (also covers an ❑ Check here if no other IE o EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From _jo 1 01 1 To /0 1 q' 1 1 Report Type: l� *riglnal ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ Monetary Expenditures $ Loans $ Transfers to Office Account $ , Total Monetary $ , , Q ©Q _ _ Total Monetary $ In-Kind $ , (8) Other Distribution (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures $ , % , l 00 �To/Date $ (11) Certification It 1s a first degree misdemeanor for any person to falsify a public record (s. 839.13, F.S.) I certify that I haveexamined this rep/ort and it is true, correct, and complete: .Vj, / (Type name) !®®R odj Z. m (Type nae) �/C)d�iR L� L - f7 / C3 Individual (only for IE Treasurer LlDeputy Treasurer Candidate I] Cl"airperson (only for PC and PTY) or efectfoneerfng comm.) X X Signature Signature DS -DE 12 (Rev. 11113) SEE IEVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name �©D 06J L. (2) I.D. Number (3) Cover Period Al / Q/ l F through /0 I 3/ I (4) Page- _ r a (6) (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 Type Number City, State, Zip Code candidate) Amendment Amount A0 /.2V/f CZ.��'R e cTPy 130yN F��KA,4z����� �,�.x�✓rxNG ��,T" 6.3y DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES