M1 Report 02-09-2022CAMPAIGN TREASURER'S REPORT SUMMARY
OFIC_?JpS,E ONLY
Name
(2) 17%,3 AJ, C-0 T_
Address (number and street)
City, State, Zip Code
❑ 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)
(6) Report Identifiers
Cov Period: From / / To / 3 / / 22 Report Type:
Original El Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $
Monetary
Expenditures $ 5
Loans $ ,
Transfers to
Office Account $ .
Total Monetary $ �• �-0.
Total Monetary $ r �� o
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
/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:
A
��� l V -
(Type name) QJ�s( (Type name) (��C—�cQ �,
❑ Individual (only for IE [j' f easurer ❑ Deputy Treasurer �andidate ❑ Chairperson (only for PC and P
�--- -
orelectio comm.)q� I -A --e �j
X X
Signature Signature
DS -DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name er,Aj g r✓d Zj r!- J t (2) I.D. Number
(3) Cover Period // / .2 �] through / / .3 / - 1 (4) Page of
(5) (7)
(8)
(9)
(10)
(11)
Date I Full Name
Purpose
(6) f (Last, Suffix, First, Middle)
Sequence Street Address &
(add office sought if
contribution to a
Expenditure
Number City, State, Zip Code
candidate)
Type
Amendment
Amount
Ila
r.�C_4
C 7
A T k4-)
GJro r/cp s
42 2
�IAY a^e
G
A:9
-;4 7-k �
1271:Z-2
�.Y3s
CA -IV
7
'6 112-71-22 y
GJ e,1/ -s
DS -DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name'l-&!!t-►.a A r� (2) I.D. Number
(3) Cover Period through (4) Page
of /
(5)
Date
(6)
Sequence
Number
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
fy-\ DSS
eq 0,
DS -DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES