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M11 Report 12-09-2019CMTREASURER'S REPgff,SI �VIMAI��(EaC - 911". ., (1) OFFICE USE ONLY Name 9) DEC -9 Ptl 1= 2 (2)ter% ���YC� /_ (number an treet) ' _ tress `� tT�k ( I-) L"�! f I - City, State, Zip Code ❑ Check here if address has changed (3) ID Number: A. (4) Check appropriate box(es): n -TY ❑ Candidate Office Sought: je�JNTIAM I Cy�CA miss (CNff ❑ 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 11 / / Report Type: ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report nn Cash & Checks Monetary Expenditures $ Loans $ / © Transfers to Total Monetary $ � ( � Office Account _ � � Total Monetary $ . In -Kind $ (8) Other Distributions $ , rib,8 (9) TOTAL Monetary Conttions To ate $ � (10) TOTAL Monetary Exp e ditures To D $ , (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) tj ) (Type name) f [A-�L ❑ Individual (only for IE reasurer ❑ Deputy Treasurer Ktandidate ❑ Chai person (only for PC and PTY) or electioneering com f X X Signature Signature DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name �� i4�'i _ (2) I.D. Number (3) Cover Period / / through (4) Page of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) Sequence (Last, Suffix, First, Middle) Street Address & Contributor Contribution In-kind Number CRy, State, Zip Code Type Occupation Type Description Amendment Amount 3w I aS-hub Gaay hycir A1 -772b SOW Z avy, ftY,1OvYa , l gb RAY, po" ao 0 10 6e) 3 , 86y FLY/97 / 30 n,1 i9w FL _))aa 3� ti+ T7 f c, rT?-, DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES z CAMPAIGN ,TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name . _Ino o7 (+M-, (2) I.D. Number (3) Cover Period I/ l I / I q through / ) l 3-0 l ! ! (4) Page I of i (5) (7) - — (8) - - (9) (10) (11) Date Full Name Purpose (Last, Suffix, First, Middle) (add office sought if (6) Sequence Street Address & contribution to a Expenditure p Type Number City, State, Zip Code candidate) Amendment Amount OVK Po' �aX ��GS" Cil � %3 I a 2-rwft 62• G`/zl .. -T" `f C-,; r*n r rr. i DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES