M5 Report 06-07-2021CAMPAIGN TREASURER'S RERdRT SUMMAR_
(1) res mss- ®EG10 E ONLY
Name - �`� T_
(2) `7�.� Al " _ _A4 <5 :..• JUN 0 7 2021
Address (number and stre
et)
CITY OF BOYNTo BEACH
City, State, Zip Code
Check here if address has changed (3) ID Number: Bt{ NTCN BEACH
CLERK
(4) Check appropriate box(es): -3iatt 21 11.11FIfq
R-Cra'ndidate Office Sou ht: (�'1
Political Committee',PC)
❑ EI
ectJoneering 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)
Cover Period: From S-/
Original ❑ Amendment
(6) Contributions This Report
Cash & Checks
Loans
Total Monetary
In -Kind
(5) Report Identifiers -
/ To I 3 % I ( Report Type: M
Special Election Report
$ 0
(9) TOTAL Monetary Contributions To Date
C
q.,
(7) Expenditures This Report
Monetary
Expenditures S 7, o fl
Transfers to
Off ce Account $
Total Monetary
(8) Other Distributions
(10) TOTAL Monetary Expenditures To Date
,76 a 1
(11) Certification
It is a first degree misdemeanor for any person to falsity a public record (ss. 839.13, F.S.)
1 certify that I have examined this re ort and it is true, correct; and complete:
r a
(Type name} .� (�;^`�t I (Type name}
❑ JrdMdual (oily for IE _ ire-a;i,rer re�s�i,�e[r Candid
oretectioneerin con ,� Chairpers ly rPd
CAMPAIGN TREe.ASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name j�e-r4s- t-r� r—� (2) I.D. Number
(3) Cover Period Sl 1 / -21 through S / 3E I C (4) Page of
(5)
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
(s)
Sequence
Number
1 i
i
1
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) �-eur at d f- c --- OFMFIVM ONLY � (�6
Name �(� •a.`C�
(2) 7 i 3 �T JUN 11 2021
Address (number and street
d 13 0 f�—i—� �4 f Q_�\ , '� I.3� ��� CITY OF BOYNTON BEACH
CITY CLERK'S OFFICE
City, State, Zip Code
❑ Check here if address has changed (3) ID Number -
(4) Check i ppropriate box(es):
`f 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
Cover Period: From / f 12,1 To 5-/,31 / Report Type: M
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Expenditures $
Cash & Checks $
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
$
$ 0 : d,l
(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:
1 � r
(Type name) �A F t' G vX f11,, (Type name)
t
❑ Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairpers only for PC and PTY)
or electioneenn comm.)
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name 7E� dj -L'i _ Gt =` (2) I.D. Number
(3) Cover Period/ / through (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)Amendment
(9)
Expenditure
Type
(10)
(11)
Amount
(6)
Sequence
Number
73.
s -
DS -DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES