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HomeMy WebLinkAboutElections 111021 - Recall Exploratory Committee Campaing Treasurer Report Summary (65) 2021-M10CAMPAIGN TREASURER'S REPORT Name (a) {�j ST' C f:iowRG E Address9-L and street) �4Ire .6_t'oc1�S City, State, Zip Code ❑ Check here If address has changed (3) ID (4) Check appropriate box(es): ❑ Candidate Office sought 45 Political Committee (PC) .'E USE ONLY 11-10-21PO4:44 RCID Electioneering Communications Org. (ECO) ❑ Check hens 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 ekKMoneering communications) (5) Report identifiers d Od Cover Period: From A-)! / �% To / ,3 /% Report Type: #/O :23.Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report Cash & Checks $ - Loans $ ,y Total Monetary $ In -Kind $ (7) Expendituresl This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ ; , d . (8) Other Distributions $ ,-4- (9) TOTAL Monetary ConMbuttona To Date (10) TOTAL Monarltary Expenditures To Date (11) Certification It Is a fist degree misdemeanor for any person to falsffy a public reword (as. 839.13, F.S.) i certffy that I have examined this report and It Is true, correct and complete: Tat E3kw#MuW(0nfy f or IE ilTmww 0 DgwV Ties xw ❑ Coon (a* for PC and PTY) rwmm.) t X Signature Signature DSDE 12 (Rev. W13) SEE REVERSE FOR INSTRUCTIONS 11-I[ I P01:44 RCVD CAMI ILIONsS T — MMIZED I (1) Nme r .:,F (2) (5) (7) (s} ©ate Pint Mme Purpose (a) (Last Stf, Fnt Odd€ej (acid office sought N Sequence Suvet Address & I contribudonto a "ureter cttY7 suit% zip cads candidate) DS-DE 14 {fiver. 08M3) SEE REVERSE FOR DISTRUMONS AND COOF Vi0.LU AMOUW- CAMPAIGN TREASURER'S REPORT — ITEMIZED i (1) Name RM( -- _ (2) I.b. Number i (3) Cover Period 10 / through L_ i i 1;, (4) Page of (5) Date m Full Name (fast, Suft, First, Middle) Street Address & City, State 23p Code (s) Contributor Two Occu ation {9} Contribution Tvpe 00) i j In -kind D4scriptlon (11) kwHWmem (12) Amount (6) Sequence Number / / 4 I 4 i 1 i i / 1 4. 1 1 1 / i i 1 DS-DE 13 (Rev.11Ma) 009 99MIDe FOR I1113TRt1CTOONS AND CODE VALUES