M10 Report 11-05-2020 (� CAMPAIGN TREASURER'S REPORT SUMMARY
(1) f3e,r1`t arc LA) r'q' 1. oFtwatvONLY
Name
(2) '713 M . c.—cp • and 5-i- NOV 052020 \c:34Gsn
Address (number and street)
› NI 1U L X14 I- c-An E t • 33 4-3 5_ CITY OF BOYNTON BEACH
City, State, Zip Code CITY CLERK'S OFFICE
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): ��
Candidate Office Sought: I •r \ Ay pc-
❑ Political Committee(PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
El 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 / L / / / a ID To j D / 31 / D. D Report Type: M lb
0 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary `'
Cash & Checks $ Expenditures $ Ld •
Loans $ -�. Transfers to
Office Account $
Total Monetary $
Total Monetary $
In-Kind $ ,�'
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ /l, oas• b $ 7i . ,7K -
(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: ' q
(Type name) Kej &t Cil 1 etkr_,,'G- (Type name) Be7J&rc' W r6Q'N L
❑ Individual(only for IE treasurer ❑Deputy Treasurer Er6andidate 0 Chairperson(only for PC and PTY)
or electioneering comm.)
'. / ----/.-- 4,4
X 7\ -e.11-1 - .44------, x 9..A.4,---'6—...-0 Z}---i((--A---4/—r
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED EXPENDITURES
(1)Name Q - � r d t �k i (2) I.D. Number
(3)Cover Period /0 / / / ° through !d / - I / 2 G' (4) Page .2 of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix, First,Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
je
514044—
/ / 8 t- At.teue_s rot,..s c_"4, ��• L
C,It-sk For—
�y�cl D� 1�� I. wor- c -
/4/13/2-1) C�AyS mad For 3a.l u
�3 gam` wDr, s
L.4.5 r . 60N .
/ /
/
/ /
/ /
/
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES