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Campaign Treasurer Reports
11,'1"., AUN CAMPAIGN TREASURER'S REPORT 1 R'Y�JOFFICE (1) Stephanie S. Hayden 180 M IR& lft�._P42 Name (2) 2181 SW 15TH Ave. #N102 Address (number and street) Boynton Beach, FL, 33426c ; 22 City, State, Zip Code = -: ❑ Check here if address has changed (3) ID Number: ca (4) Check appropriate box(es): -o =� Mayor of Boynton nton Beach �� o F_,1Candidate Office Sought: y - ❑ Political Committee (PC) _gym ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded �b rn� ❑ 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 2 / 1 /2018 To 2 /28 / 2018 Report Type: M2 2018 [L]Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 120. 00 Expenditures $ 2. 93 Loans $ 0. 00 Transfers to Office Account $ 0 . 00 Total Monetary $ 120. 00 Total Monetary $ 2. 93 In -Kind $ 0.00 (8) Other Distributions $ 0. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 120 00 $ 2. 93 (11) Certification It is a first degree misdemeanor for any person to falsify a public rec=d- ss. 839.13, F.S.) I certify that I have examined this report and it is true, correct, and complet ' T e name),S. Hayden (Type na? St {� anie S. Hayden ( ), yP c�ivid (of y'for I E]Treasurer El Deputy Treasurer ❑ a di ate ^ ❑ ChairperaQn my for PC and PTY) ��--- or -elect'- neeaFlg:.cow� "Signa DS -DE 12 (Rev. 11113) W r SEEtREVERSE FOR INSTRUCTIONS '•.,r.. CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden (2) I.D. Number Stephanie Hayden 2 1 2018 2 28 2018 1 1 (3) Cover Period / / through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 2 10 2018 Hayden, Stephanie 2181 SW 15TH Ave. #N102 Boynton Beach, FL 33426 S Teacher CAS 50.00 1 2 22 2018 Hayden, Brenay 7824 Overlook Rd. Lantana, FL 33462 I Admin. Asst. CHE 20.00 2 2 22 2018 Hayden, Dianne 7824 Overlook Rd. Lantana, FL 33462 I Maintenance CHE 20.00 3 2 23 2018 Anonymous I CHE 30.00 4 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. Numberstephanie Hayden (3) Cover Period 2 / 1 /2018 through 2 / 28 / 2018 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate)Amendment (9) Expenditure Type (1 0) (11) Amount (6) Sequence Number 22/2018 WePay 350 Convention Way, Redwood City, California 94063 ' 2.9% + $0.30 per transaction MON .88 1 2 22 2018 WePay 350 Convention Way, Redwood City, California 94063 2.9% + $0.30 per transaction MON .88 2 23 2018 WePay 350 Convention Way, Redwood City, California 94063 2.9% + $0.30 per transaction MON 1.17 3 u IN N DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY `. (1) Stephanie S. Hayden OFFICE USE ONLY Name - (2) 2181 SW 15th Ave. #N 102 r,_ Address (number and street)' Boynton Beach, FL 33426 ' CD City, State, Zip Code a ❑ Check here if address has changed (3) ID Number:, (4) Check appropriate box(es): ' ❑r Candidate Office sought: � Mayor for the city of Boynton Beach ❑ 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 3 / 1 X018 To 4 / 1 418 Report Type: M3 QVS ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 120.00 Expenditures $ 3.20 Loans $ 0. 00 Transfers to Office Account $ 0 .00 Total Monetary $ 120. 00 Total Monetary $ 3 20 In -Kind $ 0. 00 (8) Other Distributions $ 0. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , 240 .00 $ 6.13 (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, correct, and complete: (Type name) Stephanie S. Hayden (Type name) Stephanie S. Hayden ❑ Individual (o f r IE � eas r Deputy Treasurer ❑ Can ' ate C ' erso for PC and PTY) or election e g co X X Signatur Si nature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden 3 1 2018 4 (3) Cover Period / / through / 1 (2) I.D. Number Stephanie Hayden / 2018 1 1 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (1 0) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 3 8 2018 Ellis, Patricia 1146 Dunad Avenue. Opa-locka, FL 33504 CHE Retired I 100.00 1 3 17 2018 Francis, Nurit 1245 South G Street Lake Worth, FL 33460 CAS Health Aide I 20.00 2 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIUNS ANU Lout vALUta CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. NumberStepanie S. Hayden (3) Cover Period 3 / 1 / 2018 through 4 / 1 / 2018 (4) Page 1 of 1 •(5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (s) Sequence Number 3 8 2018 WePay 350 Convention Way #200, Redwood City, CA 94063 Processing fee 0176 _q o . so G 1 MON 3.20 i DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPO ,; { 3 . t FICE (1) Stephanie S. Hayden 18 rihy QYFIq;IMLLPEjCeNLY Name n (2) 2181 SW 15th Ave. #N102 -<c Address (number and street) 3 711 r-W Boynton Beach, FL, 33426 m City, State, Zip Code ❑ Check here if address has changed �(3) ID Number: (4) Check appropriate box(es): rnh p Candidate Office Sought: Mayor of city of Boynton Beach �- ❑ Political Committee (PC) - F1 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 4 )2 2p18 To 5 / 9 /2018 Report Type: M4 2018 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 00 Expenditures $ 17. 00 Loans $ 0 .00 Transfers to Office Account $ 0 00 Total Monetary $ , 0 .00 Total Monetary $ 17. 00 In-Kind $ 0.00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240 .00 $ 23. 13 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) ave examined thi eport and it is true, correct, and complete: I certiframq) . Ha den (Type name S S . ayden (Typetephanie ❑ Indivi IE Treasurer ❑ Deputy Treasurer El C di e ❑ airpe for PC and PTY) or electio comm. X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Stephanie S. Hayden (1) Name 4 (3) Cover Period / (2) I.D. Number Stephanie Hayden 2 2018 5 9 2018 1 1 / through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type occupation (9) Contribution Type (1 0) In-kind Description (11) Amendment (12) Amount (6) Sequence Number No contributions for this cover period 4/2/2018-5/9/2018 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. NumberStephanie (3) Cover Period 4 /2 /2018 through 5 / 9 / 2018 (4) Page 1 of 1 Hayden (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 5 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 May's monthly maintenance fee MON 17.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES � { *'I- CAMPAIGN TREASURER'S REP ROW ICE „ (1) Stephanie S. Hayden ii�Rl .1fFI a§�PNLY Name (2) 2181 SW 15TH Ave. #N 102-' -c Address (number and street) C - CD Boynton Beach, FL, 33426 ate' City, State, Zip Code c '' v,- ❑ Check here if address has changed (3) ID Number:CD (4) Check appropriate box(es):`• ❑ Candidate office sought: Mayor of city of Boynton Beach ❑ 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 4 / 1 /2018 To 4 / 30 / 2018 Report Type: M4 2018 ❑ Original 0 Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 .00 Expenditures $ 0 00 Loans $ 0 00 Transfers to Office Account $ 0 00 Total Monetary $ 0 .00 Total Monetary $ 0 00 In-Kind $ 0 . 00 (8) Other Distributions $ 10 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240 . 00 $ 6 • 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, correct, and complete: (Type name) Stepha ie S. Hayden (Type name) S phanie S. Hayden ❑ Individu (o for [].Deputy Treasurer El Candid air on (only for PC and PTY) or electio ri co XX Sig ture Signature DS -DE 12 (Rev. 11/13) 5tt KEVtKSC rUK INO I KUI.I1UNQ CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. Numberstephanie Hayden (3) Cover Period 4 / 1 / 201$ through 4 / so / 201e (4) Page. 1 1 of _ (y) Date . (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add "office sought if contribution to a candidate)Amendment (9) Expenditure Type (1 0) (11) Amount (s) Sequence Number No expeditures for M4 2018 cover period DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden (2) I.D. Number Stephanie Hayden 4 1 2018 4 30 2018 1 1 (3) Cover Period / / through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street'Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number No contributions for this M4 2018 period 4/1/2018-4/30/2018 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND COoe vAwtb CAMPAIGN TREASURER'S REPORT SUMMARY (1) Stephanie S. Hayden OFFICE USE ONLY Name (2) 2181 SW 15TH Ave. #N 102co Address (number and street) C=£, Boynton Beach, FL, 33426 C� __Q _ _ City, State, Zip Code ==- ❑ Check here if address has changed (3) ID Number: CDC) (4) Check appropriate box(es): N3 � M ❑Candidate office sought: Mayor of city of Boynton Beach ► rn3> ❑ 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 / 1 9018 To 5 / 31 /2018 Report Type: M5 2018 Cover P td:XAmendment riginal ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 .00 Expenditures $ 17. 00 Loans $ 0 00 Transfers to Office Account $ 0 00 Total Monetary $ 0 .00 Total Monetary $ 17 00 In-Kind $ 0 00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240 . 00 $ 23 . 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 t1p report and it is true, correct, and complete: (Type name) S P anie S. ayden (Type name S -anie S. Hayden ❑ Individual (o y for El Tr urer El Deputy Treasurer [] Candidat ❑ Chairperson (only for PC and PTY) or electionee ' co ) _ X X Sign ure Sign e DS-DE`12(Rev.11/13)' ' SCC REVERSE PVRIIYSIR\JVIIV11�7 CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden (2) I.D. Number Stephanie Hayden 5 1 2018 5 31 2018 1 1 (3) Cover Period through (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor TVpe Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number Noibutions for thico2018 period 5/1/2018-5/31/2018 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTKUUi wrvb ANU L.Vue VALUCO CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. NumberStephanie Hayden (3) Cover Period 5 / 1 /2018 through 5 / 31 / 2018 (4) Page 1 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type YP (10) Amendment (11) Amount (6) Sequence Number 5 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 May's monthly maintenance fee MON 17.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Stephanie S. Hayden OFFICE USE ONLY ,. Name c (2) 2181 SW 15TH aVE. #N102 c Address (number and street)' r� Boynton Beach, FL 33426 City, State, Zip Code , ; ❑ Check here if address has changed (3) ID Number: - C:>cn (4) Check appropriate box(es): m ❑r Candidate Office Sought: Mayor Of City Of Boynton Beach ❑ 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 06 / 1 /2018 To 06 / 30 / 18 Report Type: M6 2018 [E] Original. ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 00 Expenditures $ 17 .00 Loans $ 0 00 Transfers to Office Account $ , Total Monetary $ 0.00 Total Monetary $ 17 . 00 In-Kind $ 0 00 (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240. 00 $ 23. 11 (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: tephanie . Hayden (Type name) Stephanie S. Hayden (Type name) ❑ Individ I or, Tr asurer ❑ Deputy Treasurer 0 Candidate ❑ Chairperson (only for PC and PTY) or e ' e ing corn Aff S gnature natu e DS -DE 12 (Riv. 11/13) or 5F -F= REVEK5E FUK INS f KUV I IU" CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden (3) Cover Period 06 1 2018 through 06 30/ (2) I.D. Number Stephanie S. Hayden / 2018 1 (4) Page 1 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12). Amount (6) Sequence Number No contributions for this M6 2018 period 06/1/18-06/30/2018 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. NumberStephanie S. Hayden (3) Cover Period 06 / 1 / 2018 through 06 / 30 / 2018 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 06 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 June's monthly maintenace fee, MON 17.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Stephanie S. Hayden OFFICE USE ONLY Name -s (2) 2181 SW 15th Ave. #N102 - Address (number and street) cG-) Boynton Beach, FL 33426 CD City, State, Zip Code -r ❑ Check here if address has changed (3) ID Number: : (4) Check appropriate box(es):-- F-_11 Candidate . Office sought: Mayor of city of Boynton Beach MC-3 ❑ 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 07 / 01 Q018 To 07 / 31 Q018 Report Type: M7 2018 ❑✓ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 00 Expenditures $ 17.00 Loans $ 0.00 Transfers to Office Account $ 0. 00 Total Monetary $ a 00 Total Monetary $ 17.00 In-Kind $ 0. 00 (8) Other Distributions $ , , 0. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240 00 $ 57. 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, correct, and complete: Stephanie S. H yden (Type name) Stephanie S. Hayd n (Type na ) ❑ Indivi I n r IE rea r r ❑ e uty Treasurer 0 Candidate i n y for PC and PTY) or electi in mm.) i X gignatu'rd SjcfnandreT DS -DE 12 (Rev. 11/13) 1 SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS Stephanie S. Hayden Stephanie S. Hayden (1) Name (2) I.D. Number 0701 18 07 31 18 1 1 (3) Cover Period / / through / / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number No contributions for this 2018 M7 period 07/10/18-07/31/18 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. NumberStephanie S. Hayden (3) Cover Period 07 /01 / 18 through 07 / 31 / 18 (4) Page 1 of 1 (g) Date (7) Full Name (Last, Suffix, First, Middle) Street Address $ City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 7 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 July's monthly maintenance fee MON 17.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ('IT Y I -IP PrIV N-11 Cia-1 017 A r-1.1 REPO RT-C§d (1) Stephanie S. Hayden 1.S�..SqFFk:Eb4E26Nr_L2Y Name (2) 2181 SW 15th Ave. #N102 Address (number and street) Boynton Beach, FL 33426 City, State, Zip Code F-1 Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Mayor of the city of Boynton Beach ❑ Candidate Office Sought: ❑ Political Committee (PC) F-1 Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded 0 Party Executive Committee (PTY) ❑ Check here if PTY has disbanded 0 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 08 /01 /18 To 08 31 /2018 Report Type: 2018 M8 Z Original El Amendment El Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 00 Expenditures $ 17. .00 - Loans $ 0 00 Transfers to — — Office Account $ 0. 00 Total Monetary $ 0. 00 Total Monetary $ 17 . 00 In -Kind $ 0. 00 (8) Other Distributions $ 00. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240. 00 $ 74 13 (11) Certification ,_,any,pqr4on to falS ify,a,pyb#q,reqq :^ „xv It s,a first degreeYr�tsdemea or for I certify that I have examined this report and it is true, correct, and complete: (Type name) Stephanie S. Hayden (Type name) Stephanie S. J. Hayden El Individual my r 1E Trea er Deputy Treasurer tP Candidatj ❑ Ch 'r erson (only for PC and PTY) or electione ,ting X -69 n atu' re V Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS ',; SCA PAS 17 SURER'S REPORT — ITEMIZED CONTRIBUTIONS CITY CLERK'S OFFICE Stephanie S. Hayden Stephanie S. Hayden (1) Name, (2) I.D. Number f —6 PIN 08 01 18 08 31 2018 1 1 (3) Cover Period through (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occu ation (9) Contribution T pe (1 0) In-kind Description (1 1) Amendment (1 2) Amount (6) Sequence Number No contributions for this 2018 M8 Period 08/01/18-08/31/18 M -DS- DE 13 (Rev. 11/13) $EE REVERSE FOR INSTRUCTIONS AND CODE VALUES ' CH�f= 0t`1�fOrw BEACH I Y CC.M;TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Nam&,t to ie S. Hayden (2) I.D. Number Stephanie S. Hayden t_ —b (3) Cover Period 08 /is01 018 through 08 / 31 / 2018 (4) Page 1 of 1 (5) Date (7) Ful,( -.Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose... (add office sought if contribution to a candidate) (9) Expenditure Type (1 0) Amendment (11) Amount (6) Sequence Number 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 August's monthly maintenance fee MON 17.00 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) Stephanie S. Hayden OFFICE USE ONLY Name (2) 2181 SW 15TH Ave. #N 102 Address (number and street) CO Boynton Beach, FL 33426 C 3 J. City, State, Zip Code F-1 Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Mayor of the city of Boynton Beach -n. M F-11 Candidate Office Sought: =M F-1 Political Committee (PC) F] Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded Fj Party Executive Committee (PTY) F1 Check here if PTY has disbanded 0 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 09 /01 18 To 09 /30 X018 Report Type: 2018 M9 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ 0.00 Monetary Expenditures 17 .00 Loans $ 0 . 00 Transfers to Office Account $ 0 00 Total Monetary $ 0. 00 Total Monetary $ 17. 00 In -Kind $ 1 0 .00 (8) Other Distributions $ 10 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240.00 $ 1 91 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, correct, and complete: (Type name) Stephanie n (Type name) Stephanie -Q Hay en El Indivi ual (o y 1E reasurer Deputy Treasurer El Candidatq El e o (only for PC and PTY) or elec ion M.) 4ax X X ' IF Sigkature Signature DS -DE 12 (Rev/1 1/13) SEE RE(JERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES ,..�- (1) Name Stephanie S. Hayden (2) I.D. NumberStep_dh eHay ' S. den (3) Cover Period 09 / °1 / 1e through 09 / 30 / 18 (4) Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 09 1 2018 Bank of America, NA 222 Broadway New York, NY 10038 1 DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 111>`,,- - X„ CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Stephanie S. Hayden (2) I.D. Number Stephanie S. Hayde 09 01 18 09 30 18 1 1 (3) Cover Period through / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number No contributions for this M9 2018 09/1/18-09/30/18 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) -Stephanie S. Hayden OFFICE USE ONLY (2) 2181 SW 15TH Ave. #N102 Address (number and street) Boynton Beach, FL 33426 co City, State, Zip Code ❑ Check here if address has changed (3) ID Number: C) Q: (4) Check appropriate box(es): Mayor of the city of Boynton Beach MM.�> Q Candidate Office Sought: El Political Committee (PC) F Electioneering Communications Org. (ECO) F-1 Check here if PC or ECO has disbanded F1 Party Executive Committee (PTY) F-1 Check here if PTY has disbanded F-1 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 10 01 A 8 To 10 /31 X018 Report Type: 2018M10 RfOriginal F-1 Amendment E] Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 00 Expenditures $ 17 00 Loans $ 0 00 Transfers to Office Account $ 0 00 Total Monetary $ 0.00 1 Total Monetary $ 17. 00 In -Kind $ 0. 00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 240 00 $ 91 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, correct, and complete: (Type name) Stephanie S. Hayden (Type name) Stephanie S. Hayden El Individual (on for IE El Tr surer D t Treasurer El Candidate E:1 Chairperson (only for PC and PTY) or electioneers X X V Signature S4hature DS -DE 12 (Rev. 11113) V SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) NameStephanie S. Hayden (2) I.D. Number Stephanie S. Hayde 10 1 18 10 31 2018 1 1 (3) Cover Period through / / (4) Page of (5) Date (7) Full Name _ . (Last, Suffix;`First;"iViitltlle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount Sequence Number No contributions for this 2018 M10 10/1/2018-10/31/2018 1. V_I DS-I�E:7 SEE REVERSE FOR INSTRUCTIONS, AND CODE:.VALUES-- . rr.,- . . ,_-,mss . w.-,:.—,- ,. CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name Stephanie S. Hayden (2) I.D. Numbers tephanie S. Hayden I (3) Cover Period 1 0 / I / 2018 through 1 0 / 31 / 2018 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (1 Amount (6) Sequence Number Bank of America, N.A. 222 Broadway New York, NY 10038 October'.s monthly maintenance fee MON 17.00 —t-PEJ --,.�-,SEEI REVERSE FOR INSTRUCTIONS AND CODE VALUES -,PS� - CAMPAIGN TREASURER'S REPORT SUMMARY AdeA (1)OFFICE USE ONLY �4 plc 0 1 ' (2) oil 3 J AV-e /11b7.' .�c� -: ddress (number and streeCD Citl' State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): McAlAur ' +kip, t"I Candidate Office Sought: 0- CI ectc'h_ ❑ Political Committee (PC) ❑ Electioneering Communications Org. (CO) ❑ 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 / b / % To / i3 6 / Report Type: / ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ 0 () Monetary �� Expenditures $ , Loans $ , , 0 ® 00 Transfers to � Office Account $ t) () Total Monetary $ , , 65 00 Total Monetary $ In-Kind $ , , Q0• � C> (8) Other Distributions $ 00 (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 this report d it is true, correct, and complete: /examined (Type name) ij q I%r �. (Type nam) I /14411e/I ❑ InX(only Treasurer ❑ Dep ty Treasurer Candidate ❑ Chairpers n (only foror el)X Signature ignatur DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name nt-e #ca/� (2) I.D. Number h�tn,. S-Me J I (3) Cover Period �C l l'Z�l� through ! / 30 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & Cit ,State, Zip Code (8) Contributor Type I Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number assn+ka I v` k i -7117 Grades rll Hca. AaiD n l FL. '33431 c*- duccr* 1 _ o O � deh/ P) eovig % Q G�v ove.✓10" V 1Atiil* 117=t F� 331162 As�s- -Z 6 G16 M Is � WkEiqry � � a, 0 0 3 r / DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) N (3) Cover Period AMPA N REASURER'S REPORT - ITEMIZED EXPENDITURE / ii/!l8 �j� (2) I.D. Numbe a Qnrc �' ceryl �l 0 1 /2-4through // 136 -/2—'6/T (4) Page _ � of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 1 V 360 nV.'A/�d' IV -Az., W Ood c i G� 94 ® CO ProCessin,j-{ee �/�� y/V �aJ� f`{ Qy1SGL C✓I �®AV r]cp 4 ® ! (Z �►'1 ice nf, fi >� %i )to&� �al �� i�t'�f�6 is hk MuIA44 MD-1111fV1WR Do DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (2) Na 0 1 _ 27, ddress umbe and stree ) Citi, State, Zip Code L ❑ Check here if address has changed (3) (4) Check appropriate box(es): d'Candidate Office Sought: 9AC� El Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Party Executive Committee (PTY) ❑ Independent Expenditure (IE) (also covers an individual making electioneering communications) OFFICE USE ONLY,- M IU Number: 0 r Do ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers zo/z M t z_ Cover Period: From / Z / 6 / ! To 12- / 2 / / / Report Type: ❑ Original ❑ Amendment ❑ Special ElectionReport (6) Contributions This Report 1(7) Expenditures This Report Monetary Cash & Checks $ 5 d U Expenditures $ Loans $ �� Transfers to Office Account $ , Total Monetary $ . Total Monetary $ 07 9!5 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: / (Type name)®��� C S, Q�, (Type name) Q e ❑ Individual (onl for E Treasurer Deputy TreasurerCandidate ElChairpe on only for C and PTY) or electio mm.)' X X Signature gnatu e ��-r+V- r,L tr%vv. ru rs) SEE REVERSE FOR INSTRUCTIONS M IU Number: 0 r Do ❑ Check here if PC or ECO has disbanded ❑ Check here if PTY has disbanded ❑ Check here if no other IE or EC reports will be filed (5) Report Identifiers zo/z M t z_ Cover Period: From / Z / 6 / ! To 12- / 2 / / / Report Type: ❑ Original ❑ Amendment ❑ Special ElectionReport (6) Contributions This Report 1(7) Expenditures This Report Monetary Cash & Checks $ 5 d U Expenditures $ Loans $ �� Transfers to Office Account $ , Total Monetary $ . Total Monetary $ 07 9!5 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: / (Type name)®��� C S, Q�, (Type name) Q e ❑ Individual (onl for E Treasurer Deputy TreasurerCandidate ElChairpe on only for C and PTY) or electio mm.)' X X Signature gnatu e ��-r+V- r,L tr%vv. ru rs) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name��ephavll c t q 1 (( a c�eh (2) I.D. Numbers kc,n: e g cYen (3) Cover Period / d % / / 'S through / 3/ / /1 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) — Amount (6) Sequence Number 5v 2 nJ,re. gyr*r7 8c h 3 3�3S CSS ,►=ed V ►'an uQ-ur_ 11s tKev. 1111s) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TR&1IR111 REPORT -ITEMIZED EXPENDITURE_(1) Namee� (2) I.D. Numbers ghee cf t (3) Cover Period 2 / 01_/j':�_ through ( Z (4) Page I _ of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & (8) Purpose (add office sought if contribution to a . (9) Expenditure (10) (11) (g) Sequence Number City, State, Zip Code candidate) Type Amendment Amount j 2 3 Zc �u n jG o-�' i� r►�rcc'q � ^ZZ -z j�raa d w a m0 ni (� moo (� I-. o J I v6w b iC Ner to Y0 (c- r" at n (wan cs -�'ee )2/5/2-(( Sy -3 M(a n t -t4 S -«f S4. �v��sPa,�la1ion 2, 65 Sly SA}N %2-j9NCI SCo M o n4 5 •`� (PC gKly� S e 6 S C( 5P(N 1'-(LAINc�S '� M o n1 G-2 ZG CNil NA Pt4z)-To 533 5 N, M (14jgrI Tra, t I ��P�IG� AD N(S x`10 of 3�6�d 2/10/zo-K SU3 AAK-K--,E7 S" P-,�Lc7. 6,3s 1 Y ST -)-N r-a�i ,s� T0 fl1 IbC/ 12-110�� rk sq f` I' C 1 S l 5T 4. 35,E <-r � `2 51 q Sf� P9'q-NC(x 'Al -7 a 0 CA C(q L,-�r---T Z' ° o f Sq-� �� 85/ y SA>" r�, �s�� ��n M 5S ,yy $ 9(((ac{ YJnYC IMS 1RdV. UO/YJ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Nam C MPAIGN TREAS RER' REPORT — ITEMIZED EXPENDITURES - ///h 7 r (2) I.D. Number,S �►'1�ic (3) Cover Period 1� /�/ through �� / 3� (4) Page_ of (5) (7) Date Full Name (8) (Last, Suffix, First, Middle) Sequence Street Address & Number City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 1• q.2ojq CG�,PuS-,,,lr2as� -��-�S4rG�af�� 11� � nd�V a4A,_AOm�,.� e'41W CA-�Y ed t CA- 7Azo*t. -/� firer wa Y'1AJPrcGt. evt ��e� ham,- 7� 20/ � q �2S�LC�iA-/,/I� CAMPAIGN TREASURERS REPORT SUM (1) A0 A& 3 9 OFFICE Ugl;Ok ff n v l r �eA (2) (Q dress (numb nd st pet) Cit tate, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ' �q � �® andidate Office Sought: �-Y � � ❑ 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 Q' 1 q To PL/ 31 l I Report Type: 2,01 y Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ Monetary Q Expenditures $ ,� 7 Loans $ , , Transfers to Office Account $ 0 CDO Total Monetary $ Total Monetary $ �D In-Kind $ , , 0.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date $ q3 / (10) TOTAL Monetary Expenditures To Date $ , , / , , !1 (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 thissreport and it is true, correct, and complete: (Type name) �7 �' I�1) 9, (Type nam 'C's. JUct H E ❑ Individual (only f Treasurer ❑ D puty Treasurer Candidate Chairperson (only for/C and PTY) or electioneering X X Sig ature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS / C MPAIGN TREAS ER'SREPORT -ITEMIZED EXPENDITU l (1) Name i� (2) I.D. Number f'��19/C% � (3) Cover Period 4�2I / ®/ / through 0//3 / 11q (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 3 j� ' L OF ale&i 2 Z IVR - J qw 's -.Fee / ! �l� �% O 0 1 �.'e �� fled6002 06 s� G 0p/cc MR I �o ��� �ac�, `� 3 �y� ��l�fa cop ('e p�a� s Ay N •� &W'rt Df v 4 it 66 cow 0 Irve G�uR rel 33y N 11 Ma.bV G 00 5 I SPew �q Ism Y rIeC4mf NasrM Beq uv� S �{1a� srel,.q%- DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name d /1�` /� �� (2) I.D. Numbers �h�� s G0 (3) Cover Period / 0 / through 0/ / 3/ 1H (4) Page of j (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (S) Contributor Type I Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 1 3 —76% 14piIA71i'Qve1-n �' n3o 2- ETT CH, �a L. �ll Au f/ lcf/1- Val /Ocko PL' AC -r 614C DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORiTi.S,UM"��Yiq f3�a1CH OFFICE USE ONLY Name i J FEB 14 PH :3= q 7 (2) Address (numbe and street) 501r4� bea a-) rat Ci , State, Zip Code El Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Pe44 andidate Office Sought: z) -y- O C� j ❑ Political Committee (PC) 0 1 I. ❑ 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 1%2,/0/ l To 62-1 6 S 1,14) Report Type 20e 6-:L riginaI ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) .Expenditures This Report Cash & Checks $ .0 Monetary Expenditures $ , / 7 Loans $ 00 • a 0 Transfers to Office Account $ . 0 Total Monetary $ 0 Total Monetary $ J7.00 r In -Kind $ 00 (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 re ort and it is true, correct, and complete: - e T e name C WC,(Type name) 17z� ! 41 (Y ) 4 4� ❑ Individual (only for IE WTIreaurer ❑ DeP4 Treasurer or electioneering comm.) Candidate ❑ Chairperson (only for P d PTY) 001, X X Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name �.#4V cYeo 2 I.D. Number s a-� (3) Cover Period 02' / � / p q through / / / % (4) Page of (5) (7) (8) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) I (6) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type . Description Amendment Amount /" V Y 1-f o o l / 6� r CDCD C MPAIGN TREAS RER'S REPORT - ITEMIZED EXPENDITI I , S (1) Name ��f i7�' s (2) I.D. Number.S /�/7le (3) Cover Period 0 % �?0/ hrough / / (4) Page of d (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (0) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (1 0) Amendment (11) Amount (6) Sequence Number 41.�s .1_ W.� C�! '1 .I� TT� T:n f ' l T^ y DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY (1) -ft✓ YL / F1Cg I> E �1� ICE Name f (2) / S0 /S� � � � FEB� � ����10; n n Address (number and street) Cit tate, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): [9-e�andidate Wau Office Sought: 6y el -4471 ❑ Political Committee (PC) ❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or E O 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 2 / 0 / % To 02 / � / Report Type: nA ❑ Original Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash &Checks $ Monetary Expenditures Loans $ ob • Transfers to Office Account $ 00 00 Total Monetary. $ ; , . , �,� • d Total Monetary $ • In -Kind (8) Other Distributions (9) TOTAL Monetary Contributions To Date $ (10) TOTAL Monetary Expenditures To Date $YAW VW IJ ,(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: (Type name) Et�9" r1�2�l `e �a..�2 ��,^ (Type name) ❑ Individual (only for IE V Treasurer ❑ Deputy reasurer : Candidate ❑ Chairperson (only for Pdjnd PTY) or electio eer' m.) AF XX Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS' RA,rPAIGN T EA R�iEWJSR�EPORT - ITEMIZED EXPENDITUR S ^/ (1) Name �� / �c (2) I.D. Number _ 1 (3) Cover Period ®� /�/?Vlf through /0 � / �©�y (4) Page I_.of 1 ` (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (3) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number �Z�� eW ALJ Na Db 3� iV� VIQ ee 00/il tV Q, , 00 cl, q () 6 3 A C¢S va, 6-9-� o,g-o 1yG(11LSr'tdt mod S� zr)V(f1n156q c ap O, o e"r'tyCAv1S"1 ® 2- lj (� �/I vevi.� S- f -e Pt -2o0 w cod JCS 6 16 c b "�%�tvlS b�1 Y `L° q [z'q-U-k,3c) l� DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name ham e S'a e_ (2) I.D. Numbe"49e G (3) Cover Period OL / L _ /tt through ()2_ A (4) Page of 1— (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (S) Contributor Type I Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number 2 , ;�(1��s� P«u /10 Dwerd Aren -/0ci2,FL /00100 /%4 02-,0 S_ ADO 4nci MIA pq 9 Se ass n S v1/ay ) �anhaM �+D a��e C&E /-mm 6,01®0 2 DZ106 /201 Jetts �l�s b vql , A( 'Z_w'4'0h1 12 1Iaa 3 '&q&nfMq4" 107/ fed' Cov 64m& 14- t 21 `+r I �s DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES BEACH cil y cl URK'S OFFICE 1-9 FEB 15 PiN 12: 17 -Y)-5 lq�l) -711 L P -4y) -all SO LAa LIV CAMPAIGN TREASURER'S REPORT SUMMARY e OFFICE USE ONLY r. a e (2) lel I pl'► °O r, • i umber and stre t) ddre%Y-1Rpcj cfi C._ nal Cit tate, Zip CodeCO --CO ❑ Check here if address has changed (3) ID Number: (4) Chec ppropriate box(es): 7andidate Office Sought: 0-'t ® C ❑ 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) 0/L— (5) Report Identifiers 6 Cover Period: From/ / To � / D l 2Q/� Report Type: ` �E�� ❑ Originalmendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ , Ito • ®0 Monetary Expenditures $ , a 9 Loans $ , , • 0 0 Transfers to Office Account $ , b 0 . Q 0 Total Monetary $ � , � �jQ • ®ci Total Monetary $ In-Kind $ '00-00 (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 exalnined this report and ' is true, correct, and complete: j 9 47 name d" C ave e 1 �. (Type ) (Type name �2 ❑ Individual (only for IE Treasurer ❑ Depu reasurer Candidate ❑ Chairperson (only for P a d PTY) or electioneering comm.) X X Signature Si natu e DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REP OR,. SUMMARY 1 lrL� i,Vl L () C.Oc" !JI 14 OF R 'I "« c 1, E y 6 � F, b gifdAILY Name2 FEB 27 Pig 3:')R ()A�� Tddress (number and street) L �33 Z (P oa( City, State, Yip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): 1 1� [Candidate Office Sought:A6 V' O G(G ❑ 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 / / To / / Report Type: Original ❑ Amendment ❑ Special Election Report (6) Contributions Contributions This Report (7) Expenditures This Report Cash &Checks $ 2 . 00 Monetary Expenditures $ Loans $ , , 00 • 0 0 Transfers to Office Account $ Total Monetary $ , , ' t0 Total Monetary $ In-Kind $ , , oo • 00 (8) Other Distributions $ 0. 00 (9) TOTAL Monetary Contributions To Date $ (10) TOTAL Monetary Expenditures T Date, $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) certify that I have examined this report and it is true, correct, and complete: A,q (Type Tname),(Type name)! e�9 i2 t f?HCl �Q ❑ Individual (only for E Treasurer ❑ Deputy Treasurer I Candidate ❑ Chairperson (only for/C and PTY) ` or election ering co m.) /' Zo X - Signattrre Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT _ ITEMIZED CONTRIBUTIONS 1 Name� 4A dem (2)I.D. NumberAakam I - I e G J161 (3) Cover Period / / through / o(� / (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, Stat , Zip Code (8) Contributor Tvpe Occupation (9) Contribution Tvpe (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number vid ; 'eVosP_444 i7? 64esQ&eWE £d,uralur 2S u0t) swend 1957 F14A,n.c d4( �C T 5D,60 DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES C MPAIGNISURE 'S REPORT - ITEMIZED EXPENDIT ES f (1) Name ( , O P . (2) I.D. Nu devi (3) Cover Period 2— / 0 9 / 1 q through 1 1-2-/ 19 (4) Page of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number i 1 r4e/ V4 3 90 Con' 0M Via Lj I2-0 U Uw co'D C 1 CA, cq q C6 1 occ-Ssim& FEe A .q 9 io 4 � Pw `Iya' S ax -W', oU . 69 qq(-)GI QCX-SS iW G AMM 9oB -6 3a po� j DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT SUMMARY 01 POFFICE USE ONLY Name (2) a iL' dress (number and street) �i t r Ci4/, State, Zip Code: ❑ Check here if address has changed (3) ID Number: owl (4) Check appropriate box(es): �&rj r,M M. Candidate Office Sought: 1 0 7C h -IT) vi rh 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 11 �C To / p / Report Type V 44 ( 6-3 Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ Expenditures $ O Loans $ Transfers to Office Account $ d/ o . I) 0 Total Monetary $ Q00 Total Monetary $ O Q In -Kind 0 0 (8) Other Distributions $ , , 0-00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditure -s 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: ga (Type name) t (Type name)(r1Qei�- El Individual (on[ r IE reasurer ❑ De u Treasurer Candidate El Chairperson (only for PC nd PTY) or ele ti a in omm.) X X IV Si re r DS -DE 12 (Rev.if11/13) SEE REVERSE FOR INSTRUCTIONS (1) NameJ#L�G�J -C, I (3) Dover Period 'S REPORT — ITEMIZED EXPENDIT E -J through /// (2) I.D. Numb e J (4) Page _� of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (10) Amendment (11) Amount (6) Sequence Number 0-3// f �j�Q��l, ctt Aka) 7 0 o 3'2 d�d9f�i Pe ,� 0 /V DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES t CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (2) I.D. Numbe (3) Cover Period / ` / through / % / (4) P, age -7 of (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In-kind Description (11) Amendment (12) Amount (6) Sequence Number /IifJ Cdii,�jrtfloy� -oiqln DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES r CAMPAIGN REASURER'S REPORT SUMMAAT0F b'EE H (1) ,S It_ 1l e_ S. C Ci-e-Ls- ' OFFICE USE:OMpY (2) N(a/ 50 / 0 Ike 111N/0-4-- A V ,o-A ress (number and street n ib ii 84 , PC 3 E 24 Ci State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: 0-Y �� G{ 7 gorh,i4adi 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 El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 3 I 4 I /7 To (3 / 1Q /) Report Type: IR XOriginal ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ , , W. ®d Expenditures $ , ,oS a 5-: '7l 3 Loans $ , , 00.00 Transfers to Office Account $ , , 00. 0 0 Total Monetary $ , , 27 Total Monetary $ S, Y3 In-Kind $ , , di . �7 , f� (8) Other Distributions $ , , cv. 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ , , WS . 1 $ , _ , 9Y2 .g/ (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: / ` S17i1 �Q(Type nam 4f i e .G/ d (Type nameSK / ,7/0 `- e ❑ Individual(only for IE Treasurer 0 Depu Treasurer Candidate 0 Chairperson(only for PC nd PTY) or eiectioneerin, . m.) iy Signature Sig ature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS Instructions for Campaign Treasurer's Report Summary (1) Name: full name of the candidate, political committee, party executive committee, electioneering communications organization, or individual making an independent expenditure or electioneering communication. (2) Address: the full address or post office box, city, state, and zip code. Check the box if the address has changed since the last report filed. (3) ID Number: identification number assigned by the filing officer. (4) Check the appropriate box(es). (5) Report Identifiers Cover Period: the dates this report covers(i.e., From 1/1/15 To 1/31/55). Important: use the appropriate cover period dates as published by the filing officer. Report Type: refer to the filing officer's calendar of reporting dates for the correct codes to be used for each reporting period. If report is for a special election add "S" in front of the report code(i.e., SG3). Check one of the appropriate boxes: Original: first report filed for this reporting period. Amendment: must summarize only contributions/fund transfers and expenditures/distributions being reported as additions or deletions. Read instructions for sequence numbers and amendment types on the back of Forms DS-DE 13A and 14A. Special Election Report: Important: once a special election report is filed, the entity is required to file all remaining reports due for the special election. (6) Contributions This Report: Cash and Checks: total amount for this reporting period. Loans: total amount for this reporting period. Total Monetary: sum of Cash and Checks and Loans. In-Kind: the fair market value of the in-kind contribution at the time it is given for this reporting period. (7) Expenditures This Report: Monetary Expenditures: total amount of monetary expenditures for this reporting period. Transfers to Office Account: total amount transferred to an office account by elected candidates only. Total Monetary: sum of Monetary Expenditures and Transfers to Office Account. (8) Other Distributions: the total amount of goods and services contributed to a candidate or other committee by a PC, ECO, or PTY. (9) TOTAL Monetary Contributions To Date: the amount of total monetary contributions to date. Candidates keep cumulative totals from the time the campaign depository is opened through the termination report. (10) TOTAL Monetary Expenditures To Date: the amount of total monetary expenditures to date. 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 and candidate must sign. PC report: treasurer and chairperson must sign. PTY report: treasurer and chairperson must sign. ECO report: organization's treasurer must sign. IE or EC report: individual must sign (this applies when an individual acts alone to make these expenditures) 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. I MPAIG T ASU ER'S' EP - IT. EXPENDITU S (1) Nam a#,E. �- ! 2) I.D. Number S NI c.,-J -C'1 _ +r u (3) Cover Period 3 / O / � through 3'/1 Q LI'/�! /' ' I 4) Page / of I (5) (7) (8) (9) (10) (11) Date Full Name Purpose (Last,Suffix,First,Middle) (add office sought if (6) Street Address& contribution to a Expenditure Sequence Number City,State,Zip Code candidate) Type Amendment Amount ns OC., LZS • (43 / T1s ff/ G7iDAI .700 qso ---- 9 ? C) / _ DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ' r INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Candidate's full name or name of the political committee (PC), electioneering communications organization (ECO), or party executive committee(PTY). (2) Identification number assigned by the filing officer. (3) Cover period dates (01/01/15 through 01/31/15). (See filing officer's reporting dates calendar for appropriate cover periods.) (4) Page numbers(e.g., 1 of 3). (5) Date of expenditure(Month/Day/Year). (6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting requirements. For example, a M1 report having 40 expenditures would use sequence numbers 1 through 40. The next report (M2), comprised of 30 expenditures would use sequence numbers 1 through 30. Expenditures on amended M1 reports would begin with sequence number 41 and on amended M2 reports would begin with sequence number 31. See Amendment Type instructions below. (7) Full name and address of entity receiving payment(including city, state and zip code). (8) Purpose of expenditure(if expenditure is a contribution to a candidate, also type the office sought by the candidate). PLEASE NOTE: This column does not apply to candidate expenditures, as candidates cannot contribute to other candidates from campaign funds. However, PCs (supporting candidates) and party executive committees contributing to candidates must report office sought(Section 106.07, F.S.). (9) Enter Expenditure Type using one of the following codes: Code Description CAN Candidate Expense DIS Disposition of Funds DFC Disposition of Funds to Future Campaign (effective 11/1/13) DPP Disposition of Funds to Political Party(effective 11/1/13) DPV Disposition of Funds to Petition Verification(effective 11/1/13) ECC Electioneering Communication IEC Independent Expenditure Regarding a Candidate IEI Independent Expenditure Regarding an Issue MON Monetary(Not to a Candidate) PCW Petty Cash Withdrawn PCS Petty Cash Spent PPD Pre-paid Distribution REF Refund(Negative Amount Only) RMB Reimbursements TOA Transfer to Office Account(Disposition of Funds) (10) Amendment Type (required on amended reports) - To add a new (previously unreported) expenditure for the reporting period being amended, enter"ADD"in amendment type on a line with ALL of the required data. The sequence number for expenditures with amendment type "ADD" will start at one plus the number of expenditures in the original report. For example, amending an original M1 reports that had 75 expenditures, means the sequence number of the first expenditure having amendment type "ADD" will be 76; the second "ADD" expenditure would have sequence number 39. r CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS /4 11 'r OF BC: : r ;O; k) r�C f i Ua t 5 �� (1) Name ,� Ql1 e✓ S Q r(i)' b. Number P t' y (3) Cover Period 3 / U /( 7 through 3 / / 7 (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 /CCity,State,Zip Code Type Occupation Type Description Amendment Amount ---(6-is / / / / / / / / / / / / DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Candidate's full name or name of the political committee(PC), electioneering communications organizations (ECO)or party executive committee(PTY). (2) The identification number assigned by the filing officer. (3) Cover period dates(e.g., 1/1/15 through 1/31/15). (See filing officer's reporting dates calendar for appropriate year and cover periods.) (4) Page numbers(e.g., 1 of 3 ). (5) Date contribution was RECEIVED(Month/Day/Year). (6) Sequence Number—Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number will combine to uniquely identify a specific contribution, expenditure, distribution or fund transfer. This method of unique identification is required for responding to requests from the filing officer and for reporting amendments. For example, a M1 report having 75 contributions would use sequence numbers 1 through 75. The next report(M2), comprised of 40 contributions would use sequence numbers 1 through 40. Contributions on amended M1 reports would begin with sequence number 76 and on amended M2 reports would begin with sequence number 41. See the Amendment Type instructions below. (7) Type full name and address of contributor(including city, state and zip code). (8) Enter the type of contributor using one of the following codes: Occupation of contributor for contributions over$100 only. (If a business, please indicate nature of business.) Individual B Business (also includes corporations, organizations, groups, etc.) E Electioneering Communications Organizations F Political Committee (federal or state) P Political Parties (includes federal, state and county executive committees) O Other (e.g., candidate surplus funds to party, etc.) S Candidate to Self (9) Enter Contribution Type using one of the following codes: NOTE: Cash includes cash and cashier's checks. Code Description CAS Cash or Cashier's Check CHE Check COF Carryover Funds from Previous Campaign INK In-Kind INT Interest LOA Loan MO Money Order MUC Multiple Uniform Contributions RCT Other Receipts REF Refund (Negative Amount Only) frfftt4tii furl- ,a-01,w-(9' a olaway)._ 407- Y2__ Cates okc0A-107/70-43 60-741r1614.6611 .F17)41 Tv1.{ 4) ciovic C(A)C1'u, oi (v.A.60 ct-A v-tir )v-,:5-)kts <fr) k)cA "A''-k4. -\C'(GA/\3 -Ack-\wA \'1) bf \F-1- . A \:(\ -1- (eck r-ep6A (ecre4 / 011/7/./ --G N ••71'T c CO .7-< �- G T rn (10) Type the description of any in-kind ••ntribution rec=ved. Candidate's Only—If in-kind contr •ution is fr• a party executive committee and is allocable toward the contribution limits, type •n "A" i his box. If contribution is not allocable,type an "N". (11) Amendment Type(required on amend-d resorts)—To add a new(previously unreported)contribution for the reporting period being amended, ent-r'ADD" in amendment type on a line with ALL of the required data. The sequence number for contributions i h amendment type"ADD"will start at one plus the number of contributions in the original report. Fo exa ple, amending an original M1 report that had 75 contributions means the sequence number of the rst con ribution having amendment type"ADD"will be 76; the second "ADD"contribution would be 77, et'. When - ending an original M2 report that had 40 contributions, the sixth"ADD" contribution would h- e sequenc= number 46. To correct a previously submitt;• contribution se the following drop/add procedure. Enter"DEL" in amendment type on a line wit the sequence n ber of the contribution to be corrected. In combination with the report number bein• amended, this seq -nce number will identify the contribution to be dropped from your active records. •n the next line enter" DD"in amendment type and ALL of the required data with the necessary corre ons thus replacing the • opped data. Assign the sequence number as described above. (12) Type amount of contr'•ution received. Political Com ittees ONLY: Multiple uniform contributions from the same person, aggr=sating NMT$250 per calendar y_ar, collected by an organization that is the affiliated sponsor of a PC, ay be reported by the PC in an ag.'regate amount listing the number of contributors together with the -mount contributed by each and the total amount contributed during the reporting period. The identity of :ach person making such uniform contribution must be reported to the filing officer by July 1 of each Galen,ar year, or, in a general election year, NLT the 60th day immediately preceding the primary election.