HomeMy WebLinkAboutElections 101221 - Woods - Campaign Treasurers Report Summary 2 (2021 M9)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Car 1 w
OFFICE USE ONLY
Name
(2) Ljq0b GraSSkea �briUP_
Address (number and street)
City, State, Zip Code
❑ Check here H address has changed
(3) ID Number-
(4) Check appropriate box(es):
ER-C-andidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Check here if PC or EGO 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 fled
individual making electioneering communications)
(6) Report Identifiers
riod: From Q / �, / -2
Corrirair
To !____ / 30 / 2_ Report Type: 9
l ❑ Amendment ❑ Special Election Report
(8) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ j� , ebb •
Expenditures $ 0 pj3
Loans $
Transfers to
Office Account $ ,
Total Monetary $
Total Monetary $ , _ 0
In -Kind ,
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ , 3.( , QUO QQ
01) 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) mauan
(Type name) Coy 1
❑ Individual (only for E reaaurer ❑ Deputy Treasurer
or electioneering cornet.)
Candidate ..., LI Chairperson (only for PC and PTY)
/
X
r,
)( c4C C/��, ice/
Si ure
Signature
DS-DE 12 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS
1n-12-21P03:38 RCVD
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name C"I goads (2) I.D. Number
(3) Cover Period q / 1 / Z 1 through "1 / / 21 (4) Page �_ of
(5}
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
_Type Occu anon
(9)
Contribution
T e
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name CArk wory4s (2) I.D. Number
(3) Cover Period C( / l
/ Z�_ through "V / s / 7� (4) Page 2 of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
Ci State, zie Code
(8)
Contributor
-Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name Car i wac] (s (2) I.D. Number
(3) Cover Period q / 1 / 21 through j / s� / "Z (4) Page of 3
Date
(7)
Full Name
(Last, Suffix, First, Middle)
(8)
(s)
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c11)
(12)
(6)
Sequence
Number
Street Address &
City, State, Zip Code
Contributor
Type Occupation
Contribution
T
In -kind
Descri tion
Amendment
Amount
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