M12 Report 01-10-2020CAMPAIGN TREASURER'S REPORT SUMMARY
(1) ::! j
OFFICE USE ONLY
Name
(2) q3,5- KFy 1.Tnt4_
Address (number and street)
r�
FL 3 3
City, State, Zip Code
rr
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: 60run.•a`-5.�
v
`��u"' _ m 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 /Z, / o/ / To
!Z l Report Type: AMM
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 15-D
Expenditures $ I x.7-2 .43
Loans $
Transfers to
Office Account $
Total Monetary $ , -L-0
Total Monetary $
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 13 , 2ca o
$
(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) Y A7�5ae,*A
name) 4We-Sc.WNA
❑ Individual (only for IE [+Treasurer ❑ Deputy Treasurer
_(Type
[Candidate 0 Chairperson (only for PC and PTY)
or electioneering comm.)
X
X A..�-
Signature
Signature
DS -DE 12 (Rev. 11113) i SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name q P'?ntSFAaA- (2) I.D. Number
(3) Cover Period 1,2 / 0 t / through /Z, / 3/ / (4) Page l 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
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name_ (2) I.D. Number
(3) Cover Period /2 / b/ / 1 through /2 / 3 ! / /9 (4) Page .2. of ,Z
(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 I Occupation Type Description Amendment Amount
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DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name 1 _ l ��ivs� (2) I.D. Number
(3) Cover Period !2 / 8!/ !g through /Z (4) Page of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(s) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution to a Expenditure
Number City, State, Zip Code candidate) Type Amendment Amount
Gil $a Qi'C'4 %
LZ I ej I 3 a S 76-0-0 LUa
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DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES