G2 Waiver of Report 03-06-2020WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Name
151k R (4Z Z o �rl�
Address
+� 5 rOMM �JJ ILOA/ Pry
Office Sought /
13oz,4 A,
City State Zip Code
Candidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (not a
waiver) that no reportable contributions or expenditures were made during the reporting period (s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
NTHLY REPORT ❑ PRIMARY ELECTION GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report # Indicate report # Indicate report # Indicate report type and #
M P G I` as applicable:
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
L� THROUGH "
Signature Date
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman (s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account (no funds expended or
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS -DE 87 (Rev. 06115)
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY ,
Name
(2) �P2,00 C-1 fl—
-=
e ,_
Add ress (numbe,and street)
74inlrTpYl% ���L
❑ �N
—
City, State, Zip Code'
��—
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
"Tow
2<andidate 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 �� / 2 i / �'6 To
0 I ref' I e,7a Report Type:
Original ❑ Amendment ❑ Special
Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ 0
Monetary
Expenditures $
Loans $
Transfers to
Office Account $ ,
Total Monetary $
Total Monetary $ ,
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To DateY
(10) TOTAL Monetary Expenditures To DateSa
(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 hhav��e- examined this report and it is true, correct, and complete:
(Type name) `f2UJ5y J pl "04gA514
(Type name) Vo,) Mfed" `
❑ Individual (only for IE [?Ifreasurer ❑ Deputy Treasurer
;OC-5ndidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X _
X
Signature
Signature
DS -DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(2) I.D. Number
(3) Cover Period O Z /-2,1 / r% through 0 > l 05—1 2z (4) Page of
(5) 1
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 1
--
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name .65/1% 17kkfP,_.
(3) Cover Period O �-- / Z 1 / P
(2) I.D. Number
through Q l / 0f / 06 (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8) (9)
Contributor Contribution
Type Occu ation Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
I !
1 !
DS -DE 13 (Rev. 11!13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES