HomeMy WebLinkAboutElections 041221 - Recall Exploratory Committee Campaing Treasurer Report Summary (56) 2021 M3CAMPAIGN TREASURER'S REPORT SUMMARY
(1) p t 4t �_.4F— OFFICE USE ONLY
Narn�
(2) js � QFQR6F P` 04-12-21 A09 42 RCVD
Address (number and street)
P F> & - # ( -3 s
City, State, 21p Code
❑ Check here N address has changed (3) ID Number.
(4) Check appropriate box(es):
❑ Candidate Office Sought:
® Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑ Check hers 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 report; will be filed
individual making ekKXoneering communications)
(6) Report Identifiers
Cover Period: From -3 To 3 / -3 / /off- I Report Type:dt / H3
15 Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ (� �—
Loans $ 1
Transfers to
Office Account $
Total Monetary $ O /
Total Monetary $ -
!n-Kind $ 0 -
(8) 00w 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 (es. 839.13, F.S.)
1 certify that II have examined report and it�Istrue, correct and complete:
-this
(Type ram 411 J A hL��&d ��F(yPe name) l I J C (Il.) C
❑ individual (o* for IE ig Tmwww ❑ Da{ w Troaswar ❑ ❑ (ariiy forPC and PTV)
or el ctloneering cartnn.)
77
- x
ignature Signature
DS-DE 12 (Rev.11H3) SEE REVERSE FOR INSTRUCTIONS
V4— 14—L I HVV -44 KLVU
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name L �(� �pqf-:,mF_(2) I.D. Number
(3) Cover Period 3 / / .V through / / �� (4) Page
I Of I
(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)
Pmendmwt
(12)
Amount
(6)
Sequence
Number
I /
DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
04-12-21 A09:42 RCVD
CARQPA)GM TREASURER'S 'EPOS-9 — )9EEMIZED EVENDITURES
(4) Name
(3) Cover Period •3 !�_/ I through ? I,_J/.l9Z:jj
(2) LD. Number
(4) Page _ _—- - of I
(g)
Date
(7)
Full Name
(Last Suffix, RfSt Middle)
Street Address &
COY, State, Zip Code
(8)
Purpose
(add office sought if
contribution W a
candidate)
�icpendTt�+re
TYPO
Amendment
Amount
(6)
Sequence
Number
f
l !
I
l
DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND COIF VALUES