M11 Report (Replaced by Waiver) 12-08-2020 CAMPAIGN TREASURER'S REPORT SUMMARY
•
(1) Le_ nr /Co' d `L;t) r'(, cl-1 j OFFICE USE ONLY
Name RECEIVED
(2) P2 / 3 ►v • L-0 •. Q d c�r DEC 8 2020 I . LI b
Address (number and street
13 0 kt )L4
ci. H ( 3 3 NTON BEACH
City, State, Zip Code CI�ITM CLER 1S OFFICE
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
[fandidate Office Sought: Ay 0 I-
P
❑ 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 1 / / 'j.., / `' .2 h To / r / 30 / a j Report Type: Yti-% 1 1
Original ❑ Amendmerit'.,, ❑ Special Election Report
(6) Contributions This Report ';1, (7) Expenditures This Report
...., q Monetary
Cash & Checks $ , , • Expenditures $ 'j, 3 / / .
Loans $ ,7:,) 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
$ / , Pe2, O U. $ / Lf7 • , q .
(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) (Type name)
❑ Individual(only for IE 0 Treas -r 0 Deputy Treasurer ar didate 0 Chairperson(only for PC and PTY)
or electioneering co .)
X , 3N-71 (2A-"-- -----e1J-A--714-
Signature / Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name 13 a_riLi CIA-G 1fit ci i..-r (2) I.D. Number
(3) Cover Period // / I / Q C through ii / 30 / ,7 0 (4) Page a of
(5) (7) (8) (9) (1 0) (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
A/4/'2,, b r-,;c - e'er- c A-. 6 -2.0
.f3ayti .4 T3` c.. t=- ( Co, e-ds
/.2/7/2.v C :1 1 F° d ct
y cam
,e'►‘.A-T �-r- g'a' to ro :- Lo 0 r-4
/ /
/ /
/ /
/ /
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES