M3 2021 Campaign Treasurer's Report 04-01-2021 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) V Iu I. In (- OFFECE ONLY nor
Name R :-.)� V
(2) 55 —n a (itnd ,� APR 1 2021
Address (number an street
YsioN Bdt cid b 3-543 CITY OF BOYNTON BEACH
City, State, Zip Code CITY CLERKS OFFICE
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate 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 9
Cover Period: From 03 / p1 /A011.4 To 03 / 3 1 I 201.. Report Type:
❑ Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary n
Cash & Checks $ , , • Expenditures $ , , f) • 'l J
�1
Loans $ , r
,d�� • LJ_ Transfers to
Office Account $ , , •
Total Monetary $ , , •
Total Monetary $ , , 1,9
In-Kind $ , , • —ft—
(8) Other Distributions
$ , , •
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures)ooDate
P $ 1`5� • F'3 $ $ '7
(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
f
examined this report and it is true, correct, and complete:
(Type name)` ,VIC) 1 ` 11j (Type name) Di 1
o i ' ��'(,r
❑Individual(only for IE XTreasurer ❑Deputy Treasurer ndidate ❑Chairperson(only for PC and PTY)
or erc ioneering comm. ,---
A �� C Cl\tit
Sign. ure Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name K3 C1 j . Cfni14 (2) I.D. Number
(3) Cover Period / b( / 21 throughOZ)3 / 31 / 21 (4) Page 1 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
o3/eVa 1 T0 Qt ,
oy W ibN iD C, �iCa\C Co
!b1333 us
A
)93
d3/I a/�,� v4S Q� �h�',NZ as(clss cs-i 1-0 n 1
ipov)oc 61--
cam,
cuwiwtv d z--.2.t34 2432,
/ /
/ /
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name � 2
Pt1J n J - l �Cl-�i` c ) I.D. Number
(3) Cover Period (:)° I Q 1 / Q through O / 31 /$1,1 (4) Page J 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 pC
t E ing Ltd Q5o
/ /
/ /
/ /
/ /
/ /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES