HomeMy WebLinkAboutElections 021021 - Recall Exploratory Committee Campaing Treasurer Report Summary (49) 2021 M1CAMPAIGN TREASURER'S REPORT SUMMARY
(1) PEC,I� ���(���� y tJDM OFFICE USE ONLY
Name
(2) 16 Z. oF_OWF 02-10-21 P03 : 12 RC 0
Address (number and sheet)
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 N 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 I l 4L To I 3� I � I Report Type:
0 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(T) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ (j .
Loans $
Transfers to
Office Account $ o .
Total Monetary $
Total Monetary $ 0.
In -Kind $ fl -
(8) Other Distributions
$ ,_Q.
(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 (es. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
aye ) u f .• em ftuic Rype mme) S ! /�
❑ M&wMual (ordy for IE U Tresuuer ❑ Deputy Treasurer ❑ cwwkpjo O'ChOpwsono* for PC and PTY)
or electloneer Comm.)
X �� X
i9nature Signature
us-ut -1z tom- 11113) SEE REVERSE FOR INSTRUCTIONS
02-10-21 P03-; 12 RCVD
CAMPAIGN TREASURER'S REPORT -- ITEMIZED CONTRIBUTIONS
(1) Name - CA IL C- 9 PLO R- A-M (2) I.D. Number
(3) Cover Period through 1. ! (4) Page of
(5)
Date
M
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
TyDe Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Pj'ner&nen
(12)
Amount
(6)
Sequence
Number
I I
I I
DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
02-1)-21P03:13 RCVD
CAMPAIGN TREASURER'S OR 0(2)
EMIZED EXPENDITURES
(I)Name I.D. Number /
(3) Cover Period /_F_-9 t through /�/o� (4) Page �" of ! _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought it
contribution to a
candidate)
(9)
Expenditure
type
(10)
Amendment
01•)
Amount
(6)
Sequence
Number
DS-DE 14 (Rev. 08103)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES