HomeMy WebLinkAboutElections 121021 - Woods - Campaign Treasurers Report Summary 4 (2021 M11)CAMPAIGN TREASURER'S REPORT SUMMARY
(1) C.&CA �A �
OFFICE USE ONLY
Name
(2) L4%b Gya- 5,''S\1tC,& `71:)r`VP
12-1 J-2 1 P02 : 01 RC`;
Address (number and street)
ID
aIM-
City, State, Zip Code
❑ Check here N address has changed
(3) ID Number:
(4) Che. k appropriate box(es):
CIACIAQ car6t
`
Candidate Office Sought
1
❑ Political Committee (PC)
0 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
Cover Period: From 1 1 1 1 '2_
To \ * 1 2)0 / 2 , Report Type: '
—
a6riginal ❑ Amendment [] Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash 8r Checks $ 'Z fx
Expenditures $ , 321 • 00
Loans $
Transfers to
Office Account $ •
Total Monetary $ 'CUD • KZO
Total Monetary $ 1 0o
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
(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) ► " 1 Y'U cvfie,
(type name) CO r( \AJ Q
❑ irxrividuai (oniyfor iE Treasurer 0 Deputy Treasurer
or eiectioneering comm.)
Candi to ❑ Chairperson (onty for P and P n)
x
X
ature
Signature
DS-DE 12 (Rev. 11N3) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name C17)d \ \kj.0(XL5 (2) J.D. Number
(3) Cover Period .\ \, I 1 / 21 through _jX_ / 30 I _2j (4) Page I of _
(�}
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City,State, r Code
(8}
Contributor
Type Occupation
(9)
Contribution
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(5)
Sequence
Number
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DS-DE 13 (ReV.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name %Q,rN 1AICs?d� (2) I.D. Number
(3) Cover Period 1_/%_ /_7 1 through 1 j/�/2,1_ (4) Page I of I
(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
01)
Amount
(6)
Sequence
Number
l 1
C `4\.j ot= +' 1►� Faecah C- e�S
to5oo A. N1�tt�'�rQi1
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Qual i , n j
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DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES