HomeMy WebLinkAboutElections 060821 - Recall Exploratory Committee Campaing Treasurer Report Summary (58) 2021-TRCAMPAIGN TREASURER'S REPORT SUMMARY
(1) �F j r X f �j {Z(-}7�j� & NI ff 1a OFFICE USE ONLY
Name
(2) 15 � C,E-6P � 06-08-2 1 P02 03 RC
Addrm (mtunber and )
P66- ff 33w
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
❑ Candidate Office Sought
jg 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 if no other IE or EC reports will be filed
Individual making electioneering communications)
(5) Report Identifiers
�a�
Cover Period: From .3 I ! / To 61 % I� 1 Report Type:
IN Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ , I'
Monetary
Expenditures $ O
Loans $ , _� • "i
Transfers to
Office Account $
Total Monetary $ , .
Total Monetary $ ,
In4<Jnd $
(8) Other Distributions
,,--
$ , D.
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
.�--
(11) Certification
It Is a first degree mhWerneanor for any person to falsity a public record (ss_ 839.13, F.$.)
I certify that I have examined this report and it is true, correct and complete:
(Type name) 1(rA A " 0,&A -Eo Q C-- (Type name) !
❑ Individual (only for IE *Tmwumr Q Deputy Tremjw ❑ Ovddoorl ❑ bw pww (ordy for PC and PTY)
or el nearing Comm.)
. �- r,.L x
Signature Signature
DSDE 12 (Rev.11N3) SEE REVERSE FOR INSTRUCTIONS
06-08-2 1 P02 :03 RCVD
CAMPAIGN TREASURE '� REP® ITEMIZED EXPENDITURES
(1) dame lZ f� (2) LD. Number
(3) Cover Period F .� /�dwow, �i �z1 a' l (4) Page of —
(a)
Date
M
Full Name
(Last suffix, First, Widdie)
Street Address &
City, Sty Zip Gayle
(8)
Purpose
(add office sought it
contribution to a
canersdate)
Expenditure
TYPO
Amendment
Amount
(a)
Sequence
Number
[35-0E 14 (Rse, 08103j
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
06-08-21P02:03 RCVD
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name c A " f+=k (2) I.D. Number
(3) Cover Period _ 1 ✓ / 4P through / 71 f (4) Page of
(5)
Date
m
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State Zip Code
(8)
Contributor
Type_ Occupation
(9)
Contribution
Type
(10)
In4dnd
Description
(11)
Amndment
(12)
Amount
(6)
Sequence
Number
/ i
/ 1
1 /
1 /
DS-DE 13 JKGV. 111131 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES