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M1 Report 02-04-2020
CAMPAIGN TREASURER'S REPORT SUMMARY OFFICE USE ONLY '� Name (2) ��i8 ��Li zZo C)�- v -r Address (numbe and street) City, State, Zip Code I F] Check here if address has changed r~ (3) ID Number: f =� (4) Check appropriate box(es): 2-16andidate Office Sought: ❑ 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 © j l O 1 I Z07-0 To p) 1 3) / '2420 Report Type: j riginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ ©/—� 77° Monetary Expenditures $ Loans $ Transfers to Office Account $ , Total Monetary $ Total Monetary $ C� In-Kind $ , (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Dater (10) TOTAL Monetary Expenditures To DateB -r $ , _ / , 7 $ 21 (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) ��1� ��Ni�l�s� Pte, (Type me) ❑ Individual (only for IE Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X_ Signature Signature DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name (?J!j 14 1 MO 4,,,41LffS/j (3) Cover Period O' / D1 / 2020 through 621 / �( (2f 4 I�[ . Wkn76e6 OFFICE Frage 2:1 it 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 0! 10S , '' VC f� 14 01 124 ,2 M PtfX(- "PYA-" '70�- �7�' w 20jo s ► 5YK"'v flcw 33'�3f� 2—� � Gtr CIO l 7i 1 r 1 r M 1 � 1 r r 1 DS -DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES