M12 - Report 1-10-23 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) .&r . 1 T j (\"1.1 OFFICE USE ONLY
Name FILED
(2) r11 -3 1\-)L) mss\ c S--\ —i
Address (number and street) JAN 10 2023
t�l,i)y"i1 .) V t._ Th 3LI IS
CITY CLERK'S OFFICE
City,'Sate, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
• 6
[Q Candidate Office Sought: L.5-} c . C pr-. r1V t S 5 ; on Q-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 J / ) 1 �� To ) '`� / =j \ / Report Type: TA )
[Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ / Q 9 7
Loans $ , Transfers to
Office Account $ , , •
Total Monetary $ IIIW /
Total Monetary $ 9. ca
In Kind $ •
(8) Other Distributions
$ .
(9) TOTAL Monetary Contribut' ns To Date (10) TOTAL Monetary Expenditures To Date
$ f (,O 0 $ / ,x.14), . Lp
i
(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:
(Type name) f G t ; rt 0 (Type name)/r- ZA___)" :
❑ yki-
Individual(only for IE rI !eputy T•-a• rer EICandidate ElChairperson(only for PCSPTY)
or electioneering com,• �/
X A7niti '" /V1----j..7LAV%-f
Signature d Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name T\6„,f c) k---NZ t.` "t rs{ (2) I.D. Number
(3) Cover Period) .D.../ 1 / cD. thrrough / / Sit / ,_ (4) Page / of ;.)-N
(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
�a/a/aa\ cwt c-f\N
\iv.v.N__. -VI &, F\..1\k k,a- S • ).S
11, / s/ ,A , .:41-%\i
4- --e___Y
JaP CV 4-)Nv \ . • S In`IN. IL.41z,t,._
c R.,Q
/ /
/ /
/ /
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DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES