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Treasurer's Report
_ CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1 ) Name `j • h 4, G C' c, e U 1 G (2) I.D. Number (3) Cover Period 4 1 / 6 1 / 13 through tt 1 / as/ (3 (4) Page 1 of I (5) ( ( (9) ( 0 ) ( 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 Ai /13 ' ! c.kt Song ak) 3C ) 64, AD C a r+ \h <- ∎ C' 3.. 5i 33 q/ O 3 13 �3-ac r _. Is) C C H 6.oag / s' t, 3 D g.z.n u a A D o g c o a \ 3 a r,* L 33 f 63 D G C 1 21, p/I 2 7 ny 3 c\. v ��, o Cpl Q 1 .2 i3°y,ri-aNi 31(34 • N mi cas += 1 L / DS - DE 14 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY ( 5 [` A C' h T.) OFFICE USE ONLY Name ( 164.2 C1r �, :-:{ Address (number and street) c_ co 0a„a f3 ej - V• 2.. 33M 4 r es City, State, Zip Code co :a ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): nor Candidate (office sought): C O can M 5 5 I n u ic!` 1Nn 7-i" > ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED 0 Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED 7 Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period From 61 /01 / 1 2 To p l /S/ Report Type £ 1 ❑ Original ❑ Amendment II`1 Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ S b � Expenditures $ , ^,1 C. N Loans $ a S Transfers to Office Account $ Total Monetary $ Total Monetary $ In -Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To D.at (10) TOTAL Monetary Expenditures To Date $ j o 0 e� $ (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 83913, 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) S k AC pij L G r G t v) C (Type name) s t g c` h j_.„ Gr., t V!4 ❑Individual (only for DTreasurer ❑ Deputy Treasurer fso Candidate ❑ Chairperson (only for PC, PTY & electioneering commun) electioneering commun organization) X A X Signature Signature \ ? DS -DE 12 (Rev. 08104) FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS C AMPAIGN TREASURER'S REPORT SUMMARY ( Vr-, c - d Jam, CT r r .Q V 1 e.:_. OFFICE USE ONLY Name ( � Vi -- C \PSQ \ Address numbefand street) "' City, Sate, Zip Code rn�n' rn ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: 3 i. (4) Check appropriate box(es): - e_;, o Candidate (office sought): C- o An 0/ S 5/ o 0 -Q rN i)11 -- a = ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED p ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ^' -� ❑ Party Executive Committee (1 Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From d / / , / J 3 To (--% _ / U% / ) 3 Report Type -- Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT 6 Monetary Cash & Checks $ (�) (2 Expenditures $ ,' Li , Loans $ S C7 0 Transfers to Office Account $ ---__-._ Total Monetary $ l U Total Monetary $ s (J , 3'7 In -Kind $ � (8) Other Distributions $ (9) TOTAVAonetary Contributions To Date -, (10) TOTAL Monetary Expenditures To Date $ 1J c? ud $ 6Sy•3 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) c r v N' rj r C U) C, (Type name) ❑ Individual (only for ❑Treasurers Deput Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneering p: mun.) electioneering commun. organization) P " \ p4 X I Signa t ure v Signature DS -DE 12 (Rev. 08/04) ■ CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS I . (1) Name t l r ,� L GC c -Q? J I (2) I.D. Number (3) Cover Period 0 / /) ? through (a / / , (4) Page / of (5) ( (8) ( ( (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 / /) 3 M cl-, t maC0 is lJv44) t. - [, tl. S cAv., CG m Pa \ ct / S / I0(s L\i - D -1 L .. :\s. 72. a '' 33y3(,,, C li a'1'h 1 n � d, ar, ) / / 1-� S �- I (. <t' SP,c�H'L _ 1 ((J h. ri i 3 ,� X0 a C 3 1 /be- / 7 /) ? (fl , ,..\,.42, Qlade1r,F,) J \ V 44 o c- c-, e,),,_,‘.. ; Cr . :6c1 k Or- fjO 5 E E- 72 _ 331 / S / i 1 h-k,-. Q-S a 1-r.,-- 1 5 \AI 50-)t)■D, , - h r ). / ); /\ C rn/ -- -�1``N., / , 5 / 13 -�36kA 1 R ps ( k) 8 pc. c L- 3 3 DS - 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name h O r c) ,-) 3' r 1 c, _ (2) I.D. Number (3) Cover Period 1 / o L, / ) 3 through 6 a. / b 7/ / 3 (4) Page 4 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 /5 3 P.(;) - I lib(- I,.,,✓N -IL 9 ti3 -c3 . c� 3 3 y� y l3 �Na b' (0 j_ 3 3h3 // 0 ��.. L S� I ( e,c, 33x (,, CV(,) s k o \\ o r a /S /'' )3�� P � b ‘Jr- `a 1 -. ) c) 1 , r - \'o >R &«t„ 33H36 _ t, )c\ Co�4 .c s / // 3 C> 0 1 W Woabc•S)-6 C_ S J I 3,6, c _ . 3 3 � LN 0 ( k a CAS - -- / 3 Ia.D s6 tf L a 5 _ l 4 X 6 3 . 3 7(3'13 C ■est (--eAl_a «« f\ ,N\ Z G3, SL 3393 cc, / / l DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Page 1 of 1 Prainito, Janet From: Prainito, Janet Sent: Thursday, February 14, 2013 6 57 AM To: 'BoyntonRealty @aol.com' Subject: E2 Campaign Report Good morning Sharon: In reviewing your report, I found there are errors that need to be addressed. Please stop by the office or call me so that we can discuss the errors and you can do an amendment to correct the errors. You are required by law to correct your report within three days to receiving notification of an error. Thank you. t/1 r./ ^Ar' City of Boynton Beach 100 E Boynton Beach Blvd Boynton Beach, FL 33435 Phone. (561) 742 -6061 FAX (561) 742-6090 email Pramitot ©bbfl.us 2/14/2013 FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) SHARON L. GRCEVIC OFFICE USE ONLY w ?--r Name (2) &) $# CHESAPEAKE CIR CO - 1 -1 i Address (number and street) BOYNTON BEACH FL # #$ # City, State, Zip Code s • 1:1 CHECK IF ADDRESS HAS CHANGED (3) ID Number: u 1 , - CO (4) Check appropriate box(es): ® Candidate (office sought): COMMISSIONER DISTRICT IV ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 01 / 26 / 13 To 02 / 08 / 13 Report Type ❑ Original Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ ( r t Expenditures $ S l ' . J Loans $ c Transfers to Office Account $ Total Monetary $ ) 0 Total Monetary $ y , 3 2 In -Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date °— $ C <. . (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete (Type name) SHARON L. GRCEVIC (Type name) E Individual (only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneering CQmmun) electioneering commun organization) X � =� X Signature -� Signature DS -DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name e. - t' c . (2)1.D. Number (3) Cover Period 6 / I o�k. I fR through / `5 l (4) Page 3 of 3 (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 C z �,�' 1i5 kS 05"r�'�� cS •7 33t 3 3 j3s 3'4 s Z t 1 / t�� `�t 0 ;o g_ 3 > S te' / cJ1 �Url a ( , i � / / ... / DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C) j -n CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONC (1) Name _�.,� �,�, C v c (2) I.D. Number s ,. - ; = (3) Cover Period 4 / / / )2 through �j / (3� / /3 (4) Page of > 4.43 ( (7) (8) (9) (10) (119 412) 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 1S / �3 \ 1 / / j l apt KA -es. ake �- �s 3 S �. ) s 3 "334' , ) 3 (--ms- Au �sbt) -�- C._Q S (3 1 r e- C cDV('' I iSi0,■1 6 s )aa S 40D- 3 q 36 DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) OFFICE USE ONLY = r 1 ^J Name -n (Z) a 5 A Address (number ancj tre -t) r • City, State, Zip Code , ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: vt ' ' (4) Check appropriate box(es): � . ' -45, Candidate (office sought): L; (v) r c,) :� ,r. S O Political Committee a CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From c / / / ) To / ( c / / _ - Report Type 0 Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ C. ( Expenditures $ J (/ - / Loans - ® Transfers to Office Account $ Total Monetary $ v / �� Total Monetary $ S � � 3 -1 In -Kind $ (8) Other Distributions (9) TOTAL Monetary Contributions To Date ry (10) TOTAL Monetary Expenditures To Date E, n (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) 1 certify that I have examined this report and it is true, 1 certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) _ > d\ < o, / �� 1 �� \, f (Type name) ❑ Individual (only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & efectioneenng mmun) electioneenng commun organization) XX 1 Signature - Signature DS -DE 12 (Rev. 08/04) CAMPAIGN TEAS RER'S REPORT - ITEMIZED EXPENDITURES (1) Name < 1-, Q ., r-, - - ^ c - 11 - (2) I.D. Number (3) Cover Period t 1 / -D G,/ 1 3 through (1 ,-) / (:) / ( (4) Page 3 of - S ) (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 0 (7, r ? 113 ` ) V ," , ) 1 5 f _a w C_ 3 - ?ii. ty `�S4- "."o, f; ,j3.D - S' f1A r, t 1Aice i � / '' S (i y i„ —cam l JN f ",1 � � ,, , u- , r, N,,„:, �r 1)) ; c. CO ) ) 4: : r:: *- 1,, -h ' C L/() :, K / 1 / 1 / 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY ( SHARON L . GRCEVIC OFFICE USE ONLY Name (2) 7043 CHESAPEAKE CIR Address (number and street) BOYNTON BEACH FL 33436 City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ❑ Candidate (office sought) COMMISSIONER - DISTRICTIV ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period From 01 / 26 / 2013 To 02 / 08 / 2013 Report Type E2 ❑ Original ❑/ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 610.00 Expenditures $ 654.37 Loans $ 200.00 Transfers to Office Account $ Total Monetary $ 810.00 Total Monetary $ 654.37 In -Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 910.00 $ 654.37 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) SHARON L. GRCEVIC (Type name) E Individual (only for ❑ Treasurer 0 Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneering commun) electioneering commun organization) X X Signature Signature DS -DE 12 (Rev. 08/04) INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY (1) Type full name of candidate, political committee, committee of continuous existence, party executive committee, or individual or organization filing an electioneering communication report (2) Type the address (include city, state, and zip code). You may use a post office box If the address has changed since the last report filed, check the appropriate box (3) Type identification number assigned by the Division of Elections (4) Check one of the appropriate boxes Candidate (type office sought - include distract, circuit, or group numbers) Political Committee Committee of Continuous Existence Party Executive Committee Electioneering Communication If PC or CCE has disbanded and will no longer file reports, check appropriate box If individual or organization will no longer file electioneering communication reports, check appropriate box (5) Type the cover period dates (e g , From 07/01/03 To 09/30/03) Enter the report type using one of the following abbreviations (see Calendar of Election and Reporting Dates) If report is for a special election, add "S" in front of the report code (e g , SG3) Quarterly Reports General Election Reports January Quarterly Q4 46 Day Prior G1 April Quarterly Q1 32 Day Prior G2 July Quarterly Q2 18 Day Prior G3 October Quarterly Q3 4 Day Pnor G4 Primary Reports 32 Day Prior F1 90 -Day Termination Reports (Candidates Only) 18 Day Prior F2 Termination Report TR 4 Day Prior F3 Check one of the appropriate boxes Original (first report filed for this reporting period) Amendment (an amendment to a previously filed report) Special Election Report Independent Expenditure Report (see Section 106 071, F S ) (6) Type the amount of all contributions this report Cash & Checks Loans Total Monetary (sum of Cash & Checks and Loans) In -kind (a fair market value must be placed on the contribution at the time it is given) (7) Type the amount of all expenditures this report Monetary Expenditures Transfers to Office Account (elected candidates only) Total Monetary (sum of Monetary Expenditures and Transfers to Office Account) (8) Type the amount of other distributions (goods & services contributed to a candidate or other committee by a PC, CCE or PTY) (9) Type the amount of TOTAL monetary contributions to date (parties keep cumulative totals for 2 year periods at a time (e g , 01/01/02 — 12/31/03) Candidates keep cumulative totals from the time the campaign depository is opened through the termination report) (10) Type the amount of TOTAL monetary expenditures to date (parties keep cumulative totals for 2 year periods at a time (e g , 01/01/02 — 12/31/03) Candidates keep cumulative totals from the time the campaign depository is opened through the termination report) (11) Type or print the required officer's name and have them sign the report Candidate report (treasurer & candidate must sign) PC report (treasurer & chairperson must sign) CCE report (treasurer must sign) PTY report (treasurer & chairperson must sign) Electioneering Communication report (individual or organization's treasurer & chairperson must sign) AMENDMENT REPORTS: An amendment report summary should summarize only contributions, expenditures, distributions, & fund transfers being reported as additions or deletions. Read the instructions for the sequence number & amendment type fields on the back of forms DS -DE 13, 14, 14A and 94. The Division will summarize all reports submitted for each reporting period and for the filer to date. FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) , L pn r- o .,1 G'" c- , J t OFFICE USE ONLY Name (2) ' ?0y 3 s 2 Address (number a street) Z-' - 1 '"{ cid 6 yr fa re t ?eac.F-1 3S`13L r ..art City, State, Zip Code N , ;111: ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: _IR (4) Check appropriate box(es): IN w � .a ❑ Candidate (office sought): C L5 M I (vl 1 S s i O N-e1!' i ev ::14,101 ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ' 3,, ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 0 / a- / 1 3 To B a / / ) Report Type ❑ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT 1 (7) EXPENDITURES THIS REPORT 4 ,k) / Monetary Cash & Checks $ ° o Expenditures $ / Q o c^ / Loans $ Transfers to Office Account $ Total Monetary $ c .. U O , Total Monetary $ /D ‘b / In -Kind $ -------- J �/ (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name ",, o nl .2-.. 6 0 ce...-2v i c., (Type name) ❑ Individual (only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneenng comvun) ( electioneenng commun organization) X 4 .ter X I Signature — Signature DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name 1 h « r� r,..� S'� r -e �1' � . (2) I.D. Number (3) Cover Period 0 C) ?/ L2 through / A c 3. / 13 (4) Page of (5) ( (8) ( ( ( ( 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 /fJ /l3 aLI s5' 5 �U '3a L 3 `- �a� f' tic (0 S E F� 1 NI q ( / / / / u' lap-< �c z 1 1 3 c z N rYt / / DS -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES c-� gAMPAIGN TREASJIRER'S REPORT - ITEMIZED EXPENDITURES (1) Name _`� o CC':*: ( ' �'J r c (2) LD. Number (3) Cover Period O 1 O q / J 3 through r t / (4) Page of (5) ( ( (9) ( 0) (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 -5 E 1 e c , n v-S V et t.f' 6 D ^} Lo.e FL 33 1/5 <-0 s / 1 1 / 1 1 w .r rn r N MC) n WS a 1/ Pa 7;> 1 / 1 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREA$URER'S REPORT SUMMARY ( -S G o ,) C 3 r c e U) r, O FFICE USE ONLY Name ( 7 (2 u 3 ( 7- )-) S �, csi c ,r , , Address (number and street) City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: ' v (4) Check appropriate box(es): rn ❑ Candidate (office sought): C. 0 on rvI )s_57 6 / 5 ?-� � c ❑ Political Committee ❑ CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From / / j 3 To / / I 3 Report Type ❑ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ a a , '° Expenditures $ C Loans $ ^� Transfers to Office .,-- Account $ Total Monetary $ Total Monetary $ S C � , —20 In -Kind $ � (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ /_3 30•' 7 y $ / 30 , ; (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) f C s - Q `J / (Type name) ❑ Individual (only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneering .^ mun.) �/ electioneenng common organization) X X I Signature Signature DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name S h a o v 2-- GCz-QUj (2) I.D. Number (3) Cover Period / / through / / (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 3 /(9,. /(3 r - &p v- AOE ),iSa - ioe e �i 33�t 35 3 C /13 Ste' Z 2v;r� yr C E ®. /Yl n► or' Fbr -Q73k Q- ef3 - e 0'1 ysr-2 / / c E Q Q 3 '3y3 / / / / / / / / / / DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name S k 4 N c' o ^.1 .L C-2 r'..._ -N V i (2) I.D. Number (3) Cover Period e 9- /rD 3 /13 through � 6S /) (4) Page of (5) (7) (8) (9) (10) (1 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 r /):// L T _iiN v /s P rs - Lro z_-}- / 6 A A e d r s• LA) PL3 c)- 334/ 3/-2/(3 U S s 67()-----. 6 8 a i v u ) rO i c - „, ` j 0 J J v3 • C=C_ 3 3 tja� 3 /1/3 u S p 5 D, eiG S V M 4 3 b'i -� 5 a / / / / / / / / 1 DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUM/NARY a - (1) S� r 1 o L �7 C` < __ J i OFFICE USE ONLY mc -7 xv. - Name r-- (2) 7 C f 3 C_ L, -Q- L 0 -0 � 1/4.0 As X Address (number and street) _ , c c I 3kC„ Z City, State, Zip Code cn fi let ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): , ❑ Candidate (office sought): 6 M ni ) s 5 ) , „„.,c Sic- , ❑ Political Committee IN CHECK IF PC HAS DISBANDED ❑ Committee of Continuous Existence CHECK IF CCE HAS DISBANDED ❑ Party Executive Committee ❑ Electioneering Communication ,] CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 3 / _ / / / = To / / 4/ / - Report Type 7 R ❑ Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ Expenditures $ /0 3--. a 0 Loans $ Transfers to Office Account $ Total Monetary $ Total Monetary $ / 0 1 s . a 0 In -Kind $ — (8) Other Distributions $ c— (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ ) -2 5S . $ 13 - .�, (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) _ k c. r ca .3 6 c _-€_ I L (Type name) ❑ Individual (only for ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC, PTY & electioneeri . commun.) electioneering commun organization) X 1/ -----) X 1 Signature Signature DS -DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name L�' c (2) I.D. Number (3) Cover Period / ° t / /3 through 3 / / 1 (4) Page o f (8) (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 IV / / / / / / / / / / / / DS -DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name " j ty , L 5 ,1 ) (2) I.D. Number (3) Cover Period / 1 / / 3 through 3 / /La__ (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 Number �'° p ) Amendment Amount 7 o N 3 G h s. oe c3. c' 3 y a 1 / / / l / 1 1 / / 1 l DS -DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES