HomeMy WebLinkAboutElections 031021 - Recall Exploratory Committee Campaing Treasurer Report Summary (55) 2021 M2CAMPAIGN TREASURER'S REPORT SUMMARY
(1)OFFICE USE ONLY
Name 03-10-21P01:48 R C V D
(2) 15 51- 6r-0r2.r.0
Address (number and street)
P8n - V(b 35411
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought:
IN 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 N no other IE or EC reports will be filed
individual making electioneering communk*dions)
(5) Report Identifiers
Cover Period: From / / / To c,2- / , X F1 , i Report Typ%. / //�
® Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ () .
Loans $ , [7
Transfers to
Office Account $ 0.
Total Monetary $ , . � -
Totai Monetary $ 0
In -Kind $ G
(8) Other Distributions
pU/
$ , o
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$
$y
(11) Certification
It Is a first degree misdemeanor for any person to falsify a public record (as. 839-13, F.S.)
I certify that II have examined thisreport and it is true, correct, and complete:
(Type name)A I TAI y r ,
(Type) Sl1)N�� 1)IA/ERSTFf r1
'�cnaiperson
❑ hgvldkral (only for IE S Treemw Q oea,ey Treasurer 0 (o* for PC and PM
or Wecbww tng comm.)
X1
Signature Signature
05-0E 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
-i) 1PUi:48 RCVD
CAMPAIGN TREASUni-T REPORT—1TENMED EXPEMDITURES
(1) Name T kk ll''..o� Mt (2) LD. Nurnber
(3) Cover Period / / through / / (4) Page-L----- of
Date
Full Meme
(Last Su Wm Fkst Wriddie)
Street Address &
City, State, Zip Corse
Purpose
(add office soughs: if
contribution to a
candidate)
Expenditure
Type
(10)
Amendment
(��)
Amount
(6)
Sequence
Number
i
DS-DE 14 (Rev. 08/03)
SEE REVERSE FOR INSTRUC i lONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT -- ITEMIZED CONTRIBUTIONS
03-10-21 Po :48 RCVD
(1) Name Rp-r-41( LePIOR9770-4 � (� _ qMi #' _ (2) I.D. Number
(3) Cover Period / / through / I (4) Page 1 of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State Zip Code
(8)
Contributor
Type Occupation_
(9)
Contribution
Type
(10)
In4dnd
Description
(11)
Anwxnent
(12)
Amount
(6)
Sequence
Number
/ I
I /
I /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
i