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Treasurers Report FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) MAI'<K t<AAA&~04<;€: OFFICE USE ONLY Name . (2) 2. YO A I'Ytf I;,) /3 WI? ~ Address (number and street) ..~ ~'741.J.'r~Al B~C-h/~ ~'9*.5 Cit{ State, Zip Code ;" o CHECK IF ADDRESS HAS CHANGED (3) 10 Number: (4) Check appropriate box(es): ~ Candidate (office sought): 'Dl5'f;,) c:.--r- 3 c.... O"n..AA.J $~ ;~Vf)6' ~ o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICA TION REPORTS WilL BE FilED (5) REPORT IDENTIFIERS Cover Period: From ID ILl 0<1 To t2-, 1"31 I 6<p ReportType ----G..L j30riginaJ 0 Amendment 0 Special Ejection Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ ~d. 0, L>6 Loans $ (,,0, CD '3/ /26. ~o Total Monetary $ , In-Kind $ 100.1' <C>~ (9) TOTAL Monetary Contributions To Date $ 1/2,0, 00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 6' Z-.e D~ Transfers to Office Account $ <::> Total Monetary $ h C, '2--.. <::> "2.-. (8) Other Distributions $ 0. (10) TOTAL Moneta(llpenditures To Date C> "2.- $ . .- (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. (Type name) Dlndividual (only for electioneering commun.) <i::Eore 0./ o Deputy Treasurer OS-DE 12 (Rev. 08/04) f#.~e , cl:1>~ rf CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1)Name~~~ ~CcSevt:L~ (2)I.D.Number (3)CoverPeriod~---1-; D7'thrOUgh~/-2LJ~~ (4) Page l Of~ (5) (7) (8) (9) (10) (11 ) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Street Address & contribution to a Sequence City, State, Zip Code candidate) Type Amendment Amount Number 1/ #9t/ II ~l3~ A.J4'??~ ;t:' 8A#a$ ~~ ~~ ,~ ~ OS ~6~ '7) IdI~ O.4tJq N~~ (7~~ ' :2-' C/l-ffck L -DC";) {- Na-J ~/?Ji7 ,~~~~~ , .. ~<.. ., OS-DE 14 (Rev. 08/03) '., ,{) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name fttlr;A-K ~rs&..::)t <se; (3) Cover Period (5) Date (6) Sequence Number I t::><f through /"-- I ~ I I ~ <:j (8) (9) <.:) I I (7) Full Name (Last, Suffix, First, Middle) Street Address & Cit , State, Zi Code M4~ ~A4- ~.eO/Z.--~ " ::t 'Z%A'MAi;.! 8ft--!. ~- M~ ~OA-- /ttr 10 I '7 IO~ / I 0 /O~ I:E//;Jt; ~~~ 2/'-I(C,J.~~ 13 ~d:r/ ~U~~fIl.- -;~" '0MJ& t11k//i ~A.A . l(5 '65"0":; <f\. ~~ ?;P>,~,/ ~~~ ~JA1'I ~~I r~f~"E4?<-r- f ~1t~4P c & ~Jcfh /P7fl--. 101 (:) 161 ~Yi~j) C ~ to I (0 I (7 "1 /0110 109 ~<'6 G IV 10//0 ~~ U/~ OIID ~ C:.I~ ~ OS-DE 13 (Rev. 08/03) (2) 1.0. Number (4) Page (10) In-kind Descri tion fboO I (11 ) of ~ (12) Amendment Amount '0 ~ C5W) k~ c.. i, 5t:>/ <:5 $/~,,~ 1/~.; ~ SEE REVERSE FOR INSTRUCTIONS AND CODE VALU CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ~ ~~6/t&-~ (2) 1.0. Number I ~ 'f through It..., / ~/ I {) 9' (8) (9) (4) Page 7- of (10) (11 ) (12) In-kind Descri tion Amendment (3) Cover Period (5) Date (6) Sequence Number ~~~ C z: ..,~ JO / ~ c.Rt? ~g I(&~ c:# cA? lo/v >~ SEE REVERSE FOR INSTRUCTIONS AND CODE VAL~E CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS (1) Name f71A;u<" ~412k~~ (2) 1.0. Number (3) Cover Period /6 I (5) Date (6) Sequence Number through 2-1""?~ 109 (8) (9) (4) Page "3 of (10) (11) (12) In-kind Descri tion Amendment Amount ~/ ~ c./I'~ t>~, 1->50f I t...-I f>z..~~ ~ LIf# ctf~ -rt-zs; u") ~~ j,A- f~~ ~-\ ~: \t~ ;,.;'~ ~6 C\ .~ \\~v " \-1) -=--;( d~ ~E REVERSE FOR INSTRUCTIONS AND CODE VAL {(\ \... ~~7'&';Jg:~~6 ~ FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) 1t1/1~ ~LV1&~6~ Name (2) It/0A ./l/4//t///~~ Address number and street) ~-y. .?5' Ci , State, Zip Code D CHECK IF ADDRESS HAS CHANGED OFFICE USE ONLY Ofht of tile City Clerk ol-a.o-/o @ '8.'()()/fn1 7Yf (3) ID Number: (4) Check appropriate box(es): >>Candidate (office sought): D Political Committee D Committee of Continuous Existence D Party Executive Committee o Electioneering Communication C0/'-A-/U/1iCpl~~ 9)~~=-tt; '3 D CHECK IF PC HAS DISBANDED D CHECK IF CCE HAS DISBANDED o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From ~ I 1- I /0 To ~ I ~ J I 10 Report Type t:!3 Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 2- t56b~ ~ I Monetary ~K~ /' Cash & Checks $ Expenditures $ / Loans $ ~ Transfers to Office Account $ 0 Total Monetary $ 2, (06.- ~ Total '3~ / Monetary $ <g 't Y: ;--- / In-Kind $ C> (8) Other Distributions $ 0 (9) TOTAL Monetary Contributions To $ z.. -Z6. ~ (10) TOTAL Mon~ry Expe~s TOJte $ ( :5~/ . \. (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. ~Gl c.k o Deputy Treasurer (Type name)~ ;.v,r~ <":.,Cfi'-CY't-L. Candidate 0 Chairperson (only for PC, PTY & ~=--=O""i,") CSignat~r.e-' OS-DE 12 (Rev. 08/04) Ofht oft"e Clt,y Clerk () , - Q,O-/O @ g. AWl CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS f}1Kf (1) Name ~ ~ ~~ ~~ (2) I.D. Number (3) Cover Period , I I 0 through / I (4) Page r of (5) (8) (9) (10) (11) (12) Date (6) Sequence Contribution In-kind Number T e Descri tion Amendment Amount 19 ;(0 II () ~~ g ~~ cJt~ e~V ~~~~ j/<(-~~ J3 fk~ ~U&: 'l:t"-Y' rif-~ ~ G.. ~ It l3><"l.e4"--. ~ J, //~4 \V~4' ef~ C:5LA--S4e~/4 ~ ~~Nd~~ t>~~ I I 7 I 10 /I II 0 #M ~:7cf! ~ C#% c..- I 1 /0 I/O -t-Z)~ I I/~ ~ 1. '6'~. ~~~ OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 0IIct of the City Clerk Ol-~-ID @ gAttlfJ"f J/J ACAMPAIGN lR~ASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Y"'P~ ~~.4(~~~~e (2)1.0. Number (3)Coverperiod~j--L-i /Othrough_/~_ (4) Page 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 I ,c....j ~&~ w:J6z, o~~ /viA 176J'~ ~ ~>;J "<11~ ( ~-T/J>d .L/ rp~ ~4>> ~~ o 'B<rl <5:~S LAJ/~ ~ Fz-.~ I ~ /0 /l?/~ ~~ ~~ A2W ~0c-4' ~~'~ ~. / If) r~/S.sr 6,/- ~ch'~ ~/!P ~ II/DA~/ &;/!~~ oJ(Q ~w g;-- ~//dS ~6AI #f'"-J~. $' OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELEC"t.J SOF BOYNTON BEACH CAMPAIGN TREASURER'S REPORT SUMM · (1) JjAj(K t<A/!A&foAL5~ OFFICE,~f{8N!-8 AM 8: 13 Name (2) 2- Yo /J- M#nJ 23t~v. g;A dress (number a'b.d ,s~e.;~ L ~~ lz~h1"2- '33~S City, State, Zip Code / o CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ]if Candidate (office sought): C 6kJ/f....-L; 5' S ;; ~.-<, rr} j<;:,Ja ""5 o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS 7.- V I <:::. To ~ / ~ / /0 Report Type o Special Election Report 0 Independent Expenditure Report riginal From L / o Amendment Cover Period: (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Loans $jVh: ~ $ 6 Monetary Expenditures $ > 2..-3> _ -~ (" Cash & Checks In-Kind $/V??: 2 $ ~o~( ~ Transfers to Office Account $ Total Monetary $ --0 Total Monetary 32-5_ 6 b (8) Other Distributions $ c (9) Contributions To Date 5J~ (10) TOTAL Monetary Expenditures To Date $ 1"ft8 (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. . (Type name~ ~t?-c.;r ~Candidate 0 Chairperson (only for PC, PTY & electioneering commun. organization) ~ Signature- / 1 fltIM ~ K/A./2vA ~b~ through 1- / tf6 (8) CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS CITy CIT1F BOYNTON (2) I.D. Number CLERK'S OF~fcACH 10 FES C / / <::> (4) Page r "'80fA": (9) (10) (11) (12) (1) Name (3) Cover Period (5) Date (6) Sequence Number In-kind Descri tion Amendment Amount / 1 1..t tie:. q# ~~-; .-- :c. ~~~ 4#" ~~ J 12-"'1 J 1 2-/ 1 /1 ~ ~'2:X5 II I ~ ~~ y~ OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1~lry OF BOYNTON B CAMPAIG~EASURE2 REPORT -ITEMIZED EXP~OI~ OFFfttH (1) Name trJ A-~ '-;/td ~ oA~ (2) I.D.1&rrtr;-trJ (3) Cover Period ---1-/ ~ 10 through ~I ~ I /0 (4) Page / ~f 8: /3 (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 ?D~ I ~-b/ ..k-~ ~('5/'11 2." ~~~~ ~dh~ ~C/AJ ~-5: DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1 ) OFFICE USE ONLY (2) Ci ,State, Zip Code o CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): ~ Candidate (office sought): o Political Committee o Committee of Continuous Existence o Party Executive Committee o Electioneering Communication (3) 10 Number: o CHECK IF PC HAS DISBANDED o CHECK IF CCE HAS DISBANDED o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 1- / -;;- / /0 To Z- / ~/ {6 Report Type o Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 950r -- Monetary Z/> 31 a, $ Expenditures $ ,..- Cash & Checks / Loans $ - Transfers to Office Account $ s/ $ &;)0 ---- 1./ Total Monetary Total Monetary $ ~/770.,- In-Kind $ D , (8) Other Distributions $ (9) TOTAL Monetary con~. t,ions To 7 $ 'f;'-~~ TOTAL Monet. ary Expenditures To D~e $ ~7.~ 3~ / (10) (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. (Type name) ~1 / - _- .' '- ~&: '~ividual (only for Treasurer Deputy Treasurer ~~~--~ Signature- ~ --" o ""'1 f'T1 CO N N ~ :x Cf.' ~-) n-i N -<0 n"'" rco r'Tlo :xJ-< :;J::z vi ( o oz ""'CD ::!(T1 n> rtln ::J: ./ / Signature OS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name k42c-~ K4:~~/'L~ (2) 1.0. Number (3) Cover Period 2~ /y / to through "2~- / I~ / ( ~, (4) Page I of (5) (7) (8) (9) (10) (11 ) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zio Code Type Occupation Type Description Amendment Amount L /~ 3~c<J J11/~lJ Ve~b f.Z52t- - t/'t) "B C~J#- '13o<:4~ ~.u~ fC ~ ,~5Y3~ 1. ( tf(.1/<} '~>-^/Jz;~/ P4/ ~II& '15'00 ~ t3c..1tZ-4 .p::: I /,-r:#- __ ft . )r fi,t,.,J--..c-r 1- ~ ~4/'/c:-' ~ Ir~ I/O ~~,./ ~ j/~ - - elK '-7#1-,<, ~A'~ 15 ~~ I I I I I I I I I I f OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAiG~ ~ASUREij'S REPORT - ITEMIZED EXPENDITURES (1) Name ~4'"Lf?1:: ~4d"d'oA-C# (2) I.D. Number (3) Cover Period ~ I ~ I r 0 through CZ- I / &1/0 (4) Page of (5) (7) (8) (9) (10) (11 ) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount '--I '/10 MA?~ Q;--A~/jfr-J /Ju. ~ #If -tt-v~ "" --' --T J, ....../ ~A'/~ jtld~ 2- / t}W 10 fJJ..J 04VP 1 ~- t....,) h~~ <<0 Mo~ f>~- 136c?~~A? <z- /("'/0 ~'4-/lCC (j-~/Cf I~ f~ f'jb,J tJDq 14ItrI~ - 00Ck J1kfo~,(--L. / / / / / / / / / / OS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) MAli, K J<AA4(~~CJAL5-~ OFFICE USE ONLY Name (2) ,?'ro4- /l'~U /?h'/:?, Ad ess (number and street) .I ~ 3"'?7"3S City, tate, Zip Code o CHECK IF ADDRESS HAS CHANGED (3) ID Number: C) --0. n--i 0 ~-< :l: -<0 :r.- :::\:I n" r-cc co A)-< :J- ~2 (.f)-' :x 00 <:? ,,2 .."co n'" en ",> n ::t: (4) Check appropriate box(es): )8 Candidate (office sought): P) 5/?e"Ic-/ ~ ~J~\??-~ o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From L- / 1<1 / IfP To ~ / Y / /0 Report Type c:: ~ ~Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 2-~S-o, Monetary 5; 7 f" ,t Z-- Cash & Checks $ -- Expenditures $ (' Loans $ ~ Transfers to Office - Account $ ]21/ $ 2-~~, ,e. Total Monetary -- Total Monetary $ >; 7 t.r~, l~' $ (56. -' / In-Kind (8) Other Distributions $ ~ ( (9) TOTAL Monetary Contrib~ions To Date $ JO" 3 95: <2--~ . / ~ (10) TOTAL Monetary Expenditures To Date $ 111'1;~ (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, (Type name) 0rJ~K e~~- ~ndidate D Chairperson (only for PC, PTY & - . electioneering commun, organization) ~~ /~~------.._- / Sign;rt~ ~ /-- Slgnatur-Ef OS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name ftt4A~ r~4'<2'~r?/!R~ (2) J.D. Number through ? / (8) / I eo (4) Page I of 2.-J (9) (10) (11) (12) (6) Sequence Number In-kind Descri tion Amendment Amount 2-1 fC IA-c- C~ t:;~ '-0 U~,~ dL- .L- ~~~.'" ~ff t'? f;~~~ :"$: L ...-;}<? IV;! ~Sl5o. ' "3 I I tt~6.. ~ '1 I ~ "0 t5~.. 3/} ~ ~a, ~I tf50PJ ~zso. - CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name fi--j'4.d~ P(4';7A/f~cr4<t~ $ 7' (2) J.D. Number (3) Cover Period 2. I/<t I/O through 1 1"6 (4) Page ~ of "2---/ / (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, Zio Code Tvoe Occuoation Type Description Amendment Amount ~/1 10 CZ~,d~f ~ ~~ .:r&- ~~ 1; S-~ - C'"Z: ~ ~Zpr~ ,?-g::-- ;/ G6.#/:r/7""7 c ~~ "" J -/ ~~h~-t, /' I I I I I I I I I I I I u SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES OS-DE 13 (Rev. 08/03) I I CA~':~GN T EASURE~S REf?ORT - ITEMIZED EXPENDITURES (1) Name c ~~ ~ 'h ~ ~ (2) I.D. Number (3) Cover Period ~I t11---'..Q.. through -:J / t:.r I /0 (4) Page; of ,.~ (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code 1.-,. '(D C,.C:VV O~ .5 uJ~~A~reL.. ,,/ OM~f. . ~/~/ ~~; l~ rY-.> 7~7)!hffi-~ <{Cz'/ 10 M-?/,~ ".pz-pkr~FL z, 1...2 -z.~ L. ~ (8) (9) (10) (11) Purpose (add office sought if contribution to a Expenditure candidate) Type Amendment Amount ~~ /(f, ~~~5 S/j/VJ 1" /'~ 2.- - j/U'~~/ ~:> ~~~J~ 10 jC-{~/C'~ ~~/~ 7)h~~,:-v f}oc-4 4~;/1/ ~-Z. ;?t;? ~ ) / ] I. J~ t;/~/t/J~/ () ~L~ ~~,fnvJJct~ 1)) A(6tJG)a?1~ 11~~#~~ ~/J/ ~~- :q, ~~ - OS-DE 14 (Rev. 08/03) ]k-~ - ~ ~~ 1:,63/ nlc:;J o/cy./ v4Y 1;t~ -- ~4 fl/c,/ SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAjVlPAIGN JI3PASURER'S R. EPORT - ITEMIZED EXPENDITURES (1) Name frl.4?e../---<. ~2'?4c..d<~~ e.'-c.Z (2) J.D. Number (3)CoverPeriod '2-/~~through~~~ (4) Page '2- of ("_/ (5) Date (6) Sequence Number (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ? ~/t-J~r ~~~)~ C~7/7 C~~t'.~v W1'~~/~ f7~ E~, 6 ~~ D t;A1:~71~' ~ #1/#hH) 17- / OS-DE 14 (Rev. 08/03) (8) (9) (10) (11) Purpose (add office sought if contribution to a Expenditure candidate) Type Amendment Amount c Iv< 6/1/ C"'~ rtt'a ~~~ 7'1~/ 6Z.~-(7 49tJ ~(d ,~., k'~ SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1 ) (2) (4) City, tate, Zip Code D CHECK IF ADDRESS HAS CHANGED Check appropriate box(es): ~andidate (office sought): TI Political Committee D Committee of Continuous Existence D Party Executive Committee D Electioneering Communication 1J;~/I';~ ~ ~~5~~ 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 L / 5"" / /0 To ~ / -7 /.L.9 Report Type r: ( /Z. riginal D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT - Monetary -;3 ??, ~~ Cash & Checks $ ~ ~ Expenditures $ Loans $ - D - Transfers to Office Account $ -0 - $ - c:::> - Total Monetary Total Monetary $ 3n ~c $ -0 - In-Kind (8) Other Distributions $ -0--- (9) TOTAL Monetary Contributions To Date $ /~ frrs-: ~ (10) TOTAL Monetary Expenditures To Date $ 1<3 3~*5,!tf: (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. ~CJ D Chairperson (only for PC, PTY & electioneering commun. organization) N' (Type name) ~andidate OS-DE 12 (Rev. 08/04) _ ~ _ C~MPAIGN TBEASUR~ REPORT - ITEMIZED EXPENDITURES (1) Name ~ ~~ ~ (2) I.D. Number (3) Cover Period 3-/ S- /~ through ~/---.2..J~ (4) Page { of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount '} $';/0 ~~~,v~ /I /5,h-r ??r?r ~~S~ {;~/!~~Y~r C4-<:J? - ~A7 ~ ?D1f~ f?~ ~ CA"> ~~. '5J.J~~r /~k. g~ re;l,U ~ /J/4"r'~~ OS-DE 14 (Rev. 08/03) ~ SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ....... <::> J> -< N > :x