HomeMy WebLinkAbout7/2/2018 - Campaign Fundraising For Other Candidates Disclosure Form (3)BROWARD COUNTY ELECTED OFFICIAL CODE OF ETHICS
CAMPAIGN FUNDRAISING FOR OTHER CANDIDATES
DISCLOSURE FORM
Name of Elected Official:- — om e e , a
Title:
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Governmental Entity Served: t 02
Name of candidate for whom you are soliciting campaign contributions:
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Location and date of any and all associated campaign events (attach other sheets if necessary):
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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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Signature of,Elected Official: /7
Date:Of