M12 Report 01-09-2020% 3 �„t i, 4
CAMPAIGN TREASURER'S REPORT SOMMAR
Name
(Z) 713 hr - t—) , r
Address (number and street)
�b 7 �� 1, "-S cA [ 33
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
['andidate Office Sought:
❑ 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 I j 1 To Report Type: 1
[B Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
�1XL.uu�r�le_�fkr-
Monetary
Cash & Checks $ Expenditures $ ,
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
(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: r /
(Type name) Se_t a,& �-. J� ` e� h _ (Type name) gi CST C+S �'L lit i�
0 Individual (only for IE ❑ Treasurer Deputy Treasurer 0 Candidate I] Chairperson (only for PC and PTY)
or electioneering comm.)
X� ' XV�
Signature Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASI)RER'S REPORT — ITEMIZED EXPENDITURES
(1) Name b r-r1rar-d L�hr (2) I.D. Number.
(3) Cover Period AL / 1 / /1 through f 1 (4) Page___ / _ of
I T ($)
Date
(7)
Full Name
(Last, Suffix, First, Muddle)
Street Address $
City, State, Zip Code
() (s) 0
Purpose
(add office sought If
contribution to a Expenditure
candidate) Type Amendment
(11)
Amount
(S)
Sequence
Number
ass WY,►4V',V sr-
G�fI jiT'4n''Ir'Ytrs� a.2 �S
J
f
r � 14
1V D rea/
elf.4
l 2 3 1
ref — If �te.�7r
�f
S h�/.[Iit y�[/Sl�ir
ffj7411e4
S
/+
C ffy.
Qe
Sol
l
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES