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HomeMy WebLinkAboutElections 071221 - Recall Exploratory Committee Campaing Treasurer Report Summary (61) 2021-M6CAMPAIGN TREASURER'S REPORT SUMMARY (1) r Name (2) ;5 c->F�R�E �1 Address (number and f b& _rl '33 City, State, ZJp Code OFFICE USE ONLY ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought ® Political Committee (PC) ❑ Efectioneering 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 r , f To 4 1201 Report Type: y(, = Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Mon ry Cash 8, Checks $ , Expenditures $ 0 Loans $ a Total Monetary $ , a. ' In -Kind $ , a.' (9) TOTAL Monetary Contributions To Date $ z , a2L . [re9 Transfers to Office Account $ , Total Monetary $ , (8) Other Distributions $ , , (10) TOTAL Monetary Expenditures To Date $ ____ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ssi. 839.13, F.S.) I certify that I have examined this report and it Is true, correct, and complete: (type nwneo N I( -A, �- . 0.9t�Bc*i r cryie na")SIZ> Ij C- 0 hx M*W (oriy for IE Iff Tmaww ❑ aaay T ❑ Cana El Ctiahpamn (ordy for Pc and >m) or eleclfoneer9ng oomm.) Signature Signature LJb1-Ut 1Z (KOW.11113) SEE REVERSE FOR INSTRUCTIONS ur IC i�: iruc -ur KLVU CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name CX � IC) ( p H i f{ E.. (2) I.D. Number (3) Cover Period i l through lv l �� l (4) Page of f (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City,State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number I I DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES 07-12-21 P02 :0'7 RCVD CAWAMN `i'MSURE 'S RWMT - iTAIZED EXPENDITURES (1) Name G-(-A f (r- x P fop n j ) ,P y GpigHl, (2) I.D. Number (3) CovGw Period 6 f Z_,C2 t woo& W/ ! 0 � � ! (4) Page i Of Date Full Nave ( Buffk, Fib, Widdte) 5Uvrt Address & MY, sue, aA code purpose (add office sought W c©rlM=on to a candidate) E�t¢tendiblta Type An, endment Amok (6) sequence Munsber f 1 DS-DE 94 (Ray. 08103) SEE REVERSE FOR INSTRUCTIONS A4tlS] CCi17E VALUES