HomeMy WebLinkAbout7/2/2018 - Campaign Fundraising For Other Candidates Disclosure Form (2)BROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS
CAMPAIGN FUNDRAISING FOR OTHER CANDIDATES
DISCLOSURE FORM
Name of Elected Official: j . ACM,
Title:
V�a ��(Juor
Governmental Entity Served: I amdaac
Name of candidate for whom you are soliciting campaign contributions:
Location and date of any and all associated campaign events (attach other sheets if necessary):
Name and contribution amount of any and all individuals who provided contributions to you, either
directly or indirectly, for delivery to the candidate (attach other sheets if necessary):
Name of Contributor
Amount Contributed
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01
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Signature • Elected Official:
Date: