M4 05-07-2021 CAMPAIGN TREASURER'S REPORT SUIVEW
(1) 13 e-ri•tet r ci 1-%q .tr OFFICE 5E ONLY
Name — MAY 02021
(2) '? ! 3 )c • t^-' • AA ST- CITY of BOYNTON BEACH
Address (number and street)
o%i‘c i ON (j c Lt t t . 3 9-.3 _.5- CITY CLERK'S O/F-FICQaE O
City, State Zip Code I V Q---C
Check here if address has changed (3) ID Number. ` L__.S
(4) ChecKappropriate box(es):
and date Office Sought: 'I Y\ A-1 '0 h-
❑Politica! Committee (PC)
❑Electioneering Communications Oro. (ECO) ❑ Check here if PC or ECO has disbanded
❑ Pa-ty Executive Committee(PTY) E Check here If PTY has disbanded
❑ Independent Expenditure(IE) (also covers an ❑Check here if no other IE or EC reports will be filed
individuai making electioneering communications)
(5) Report Identifiers
Cover Period: From " ' • / / 2. ( To 44 / 30 / 2 1 Report Type: -+-t,Li
u Original E Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ IO god Q
, Expenditures $ 3 Sl —
Loans $ Transfers to
Office Account $ , ,
Total Monetary $ ,
-otal Monetary S .
•
- -
In-Kind $ , -
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ / x--a, . o n $ 36 ,
(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 havelexamined this report and it is true. correct and complete:
(Type name) k e td rl[ A n-:.., et (Type name) ` e..Fr.1Cts- L i ( t
❑IrdtvidLJ (oily`J'!E P 0 Ceputy-reasu rercndidate (only for PC and P7' )
or electioreeri omm; Com' _ ' — - /I Zrairperson
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name ae,r4,AGtt-d LL,rcd'o4jC (2) I.D. Number
(3) Cover Period / 1 / 1 through Z / 36/ At (4) Page j of
(5) (7) (8) (9) (10) (i1) (12)
Date Full Name
(6) (Last, Suffix, First,Middle)
Sequence Street Address& Contributor Contribution In-kind
Number �_ City State, Zip Code Type j Occupation Type Description Amendment Amount
A2 t LiAk 4 M,t- s :ti 1 AS L I D f� • b t
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L!/ 28 / ;21 ai,t {So d S c.9c.v,,..t �' Lt$o.daj
st' rz'V S `"`-14,6-`'A"
I 02 /a l A,t Vi'2fit+Gv -•SA t tS S 0 U. 0 0
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1
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DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name � tnd ek I-6 L5 r:CC T (2) I.D. Number
(3) Cover Period 't / / / .21 through / 3 0 / =2 1 (4) Page / of I
(5) (7) (8) (9) (10)
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
`t/iV/ 7.! 1 c �t S E / S ; )
t-1:. /
th- 'TL t y am,-
9/3c/2A tf 3 eeIS r�v-iiF-e,c.-- /6.00
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