Q1 2009
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ~llA.C1 8.((;{(f.ot1c:. OFFICE USE ONLY
Name
(2) 79'3 jJl a "{fIre- {2 Q[y 0 ( .
Address (number and street) 7- I. ? .c:..
a'i/7-fol1 gtpac h I F7 .--J) 1 .--J./
f I
City, State, Zip Code
D CHECK IF ADDRESS HAS CHANGED (3) ID Number: 80- 0 35 i pC;; rr
(4)
Check appropriate box(es): 1
IX'j Candidate (office sought): I\~(A ~) or j
D Political Committee
D Committee of Continuous Existence
D Party Executive Committee
D Electioneering Communication
t~l\ ~on I,~ack
D CHECK IF PC HAS DISBANDED
D CHECK IF CCE HAS DISBANDED
D CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From () I / ~ / b (1 To -; /:; i / 0 (/ Report Type Q ,
J5Q Original D Amendment D Special Election Report D Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7)
EXPENDITURES THIS REPORT
Cash & Checks
$
Monetary
Expenditures
$
Loans
$
Coo. 00
Transfers to Office
Account $
Total
Monetary
$
~
0
\D
...
-0
::0
,
....,.J
-0
:x
-
..
Total Monetary
$
In-Kind
$
(8)
Other Distributions
$
::i:
(9) TOTAL Monetary Contributions To Date
$ (,0,00
(10)
TOTAL MonetaarxPenditures To Date
$ .
r
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
-} 0 .
J OS )UC'l ICleoll'C He.
o Chairperson (only for PC, PlY &
electio erin . anization)
(Type name)
Olndividual (only for
electioneerin commun.)
')41;0 Yt7f-e
~reasurer 0 Deputy Treasurer
--
x
Sign
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name 'J()Sh lA(A
,-) .
\ 'ad 0 e\ l-<-
(2) I.D. Number 80- () 55 l' C (; ~
(3) Cover Period Dl 1 01 1 Oq through '-z 13/ 1 () "I (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 Tvoe Occuoation Type Description Amendment Amount
." in -J 0 S H U p.. _
':)/ /OP\.
P!\o b<' TTL.:. , LoA r;; 0, Go
/t1 ~ ~'Iv /1.. kt g ....y
\ 'J 81"{,[" / (I
I~Cf(l.Jor 3 r, '} S
/ /
/ /
/ /
/ /
/ /
/ /
/ /
OS-DE 13 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
___ CAMr~IGN TREASURER'S REPORT - ITEMIZED EXPENDITURES _ " . ~
(1) Name \;:r:,hlto ~<j41A'k (2)I.D.Number hV-- O.?S Ctft,~<jJ
(3) Cover Period ~/_!!_i._L!j_ through ~/~-2J (4) Page I of (
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Street Address & contribution to a Expenditure
Sequence City, State, Zip Code candidate) Type Amendment Amount
Number
/ /
/ /
/ /
/ /
/ /
/ /
/ /
/ /
OS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES