TR Campaign Treasurer's Report 01/09/24 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) 1)\\)[-Q Th( M ` OFFICE USE ONLY
Nam A FILED
�n
(2) n `" 4k (fl
dddress (numb r and street) JAN 0 9 294 in tI 3 Lf3 ) CITY CLERK'S OFFICE
L
City, S. Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
IgI Candidate Office Sought: OCA
Elolitical 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 01 /C7 I /(1,Z1.9.' To / 3 l /2�tSf Report Type^-
Original ❑ Amendment - W❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , • Expenditures $
• O-j
Loans $ , d 'Sit Transfers to
Office Account $ , ,
Total Monetary $ , , •
Total Monetary $ ' _L_ ,Z .
In-Kind $ , , •
(8) Other Distributions
$ , , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , . , ZO . °O $ , % , •Sbi . Cie)
(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 eamined this report and it is true, correct, and complete:
(Type name) Type name)
ElIndividual(only for IE Treasurer ElDeputy Treasurer andidate ❑Chairperson(only for PC and PTY)
or eleEffbneering comm.) ,St
XNA/rf:A...)---- )
(:------\ X -.CP __\ 0\it.14 .,.
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ‘61 41-Th %Usk NM t (2) I.D. Number
(3) Cover Period 0 1 / Ol /2 1. hrough / 3 1 1C1,. (4) Page 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
'DM mS _Pti of
Tiat4biiiii) )i-:1.11' (
/ /
/ /
/ /
/ /
/ /
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) NameD1\\31O 1 , M tom-; (2) I.D. Number
(3) Cover Period_01 / O ) /ltiL rough / I /1'D1'� (4) Page ) of I
t
(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)to si,‘3)14,. .1t. . _
% II RInt I SOD
/ /
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES