HomeMy WebLinkAboutElections 091021 - Recall Exploratory Committee Campaing Treasurer Report Summary (63) 2021-M8CAMPAIGN TREASURER'S REPORT SUMMARY
TOE xi�U1
Name
(2)
Addles (number and sheet)
P66. FI 334 fY
City, State, Zip Code
❑ Check here ff address has changed (3) ID Number:
(64) Check appropriate box(es):
[7 Candidate Office Sought
IF Political Comma ttae (PC)
OFFICE USE ONLY
09-10-21 A10:42 R C V J
Q Eiecaoneeri% Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded
Q Party Executive Committee (PTY) ❑ Check here if PTY has disbanded
Q Independent Expenditure (IE) (also covers an [j Check here if no other IE or EC reports wilt be filed
individual making electioneering communications)
Cover Period:
Original
From I f
❑ Amendment
(5) Report Identifiers
I To 'y 1 3/ I
❑ Special Eldon Report
J Report Type:
(6) Contributions This Report
(T) Expenditures This Report
Monetary
Cash & Checks
$ ,
e --
Expenditures
$
Loans
$
0 -
.--
Trandem to
Office Account
Total Monetary
.
Total Monetary
$
�)
In -Kind
$ ,
(8) Other Distributions
$
, 0
..--
(9) TOTAL Monetary Contributions. Tq DOW (10) TOTAL Monetary Expenditures To Date
$ , L . CCX> $ , ,
(11) Certification
It is a first degree mlademeanorfor any person to falsify a pub}Ic record (ss. 839.13, F.5 )
I certify that I have examined this report and it is true, correct, and complete_
(Type nn&tTi4 /� t..116T � t= (Type
[] Individual (only for IE laTreawrar (3Deputy Treasurer D Candid VChairpmon (only for iC and PTY)
orelecUoncering camm.)
10-At X
Signature Signature
05-Ue 1z (Kev.11113) SEE REVERSE FOR INSTRUCTIONS
1)-21A10:42 RCVD
CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS
(1) Name &MH1#EE (2) I.D. Number
(3) Cover Period / I I through 9 / 3 r ! 4'�-1 (4) Page of
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State Zip Code
Contributor
Type Occupation
Contribution
Type
In -kind
Description
Amendment
Amount
(s)
Sequence
Number
/ 1
I /
l
ra n
�---�� %.I ... ...... 9ce nGvcn7C runt InJ I KUL I TUNS AND CODE VALUES
09-10-21 A10:42 RCVD
09-10-21A10:42 RCVD
CAMPAIGN TREASURE 'S aREP W I - ffMIMED �i ENDITURES
M Name 1= (+� te
(3) cover Pcmc l ! ! U thmugi� O OL-I d 4
(2) LD. Mine:
(4)?age I of
(6)
Rafe
(7)
FuE[ Weraa
(Lae, Suffix, First Middle)
Str�tAddrr--s $:
Cyr, Vie, Zip code
(8)
Purpose
(add GMce SOUght W
contiilmUon to a
caacUdata)
(9)
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00)
Amendment
(ill,
tAmouf_
(6)
sequenm
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1
DS-OE 14 (Rev. 091033) SEE MfERSE FOR INSiRUCTiONS AWD CODE VALUES