M12 Report 01-09-23 4 r
CA/; C
PAIL TREASURER'S REPORT SUMMARY++ .
(1) f OFFICE115Y
(2) a �` (� /,/, �
, („,..iJAN ..9 2023
Ilress (nu era reet)4 F,/ 3 V3 C� � YNTOFFEACH
, ate, Zip Code J Z
❑ Check here if address has changed (3) ID Number:
(4) Che,k appropriate box(es): >
rEiCandidate Office Sought: / - I/ /y , Ci
`r '
❑ 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 J9.- / 0 I Ak To /2/ 3 J / ,22_ Report Type: ki/?/
[Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ /, vi . 0 Expenditures $ , /ol773 . ov
Loans $ , • Transfers to T
M
Office Account $ , , •
Total Monetary $ ,/ • f
Total Monetary $ , LLQ l_L .
In-Kind $ , , •
(8) Other Distributions
$ , •
(9) TOTAL Monetary Contribution To Date (10) TOTAL Monetary Expenditures To gate
$ , i . '' $ 3 • �Y
(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 exa/J/''ned t is rep and it is true, correct, and complete: /
(Type name) ' C £ '/97 (Typ ame) Cl (❑Individual(only for IE Treasure ❑Dety Treasurer Candidate 0 Chair erson(only for PC an TY)
orelectione- '•• oma
X �// X �/�/ G%2�
Si• re / Signatu -
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREAS RER'S R PORT— ITEMIZED CONTRIBUTIONS
(1) Name ////
//Pad (2) I.D. Number !
(3) Cover Period ,c.: / Ql / p9? through /c? / 4/ I c?- (4) Page / 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,Zi Code Type Occupation Type Description Amendment Amount
0 AA
61 Q r iv rcr
)4 44, y 4 #
0 1 .4 1 a0 1,ki/e4
v4241
iiit b
-iii,
7 - - Itzpi -m307
1 1
1 1
, 1
1 1
1 1
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES