HomeMy WebLinkAbout2018 - G7 Amendment - Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Michelle J GomezCAMPAIGN TREASURER'S REPORT SUMMARY
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(1) G
OFFICE USE ONLY
Name
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(2)
Ass (number a d street)
�Ol'I'14fg� 333
RECEIVED
CITY
OF TAMARAC
City, State, Zip Code
CITE/ CLERK
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
[Candidate g
Office Sought:'"14✓'4q—
r
❑ Political Committee (PC)
❑ Electioneering 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)
(5) Report
Identifiers
Cover Period: From /D 1 To
l/ / Q/ / /,�' Report Type: Za:e--6
❑ Original 07Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ , OSv D (]
Monetary
Expenditures $
Loans
Transfers to
Office Account $
Total Monetary $ ,
Total Monetary $
In -Kind $
(8) Other Distributions
$ ,
(9) TOTAL Monet a Contributions To Date
;
(10) TOTAL Monetary Expenditures To Date
$ , ZS . 0
$ 4 4 , 13.3 . r L-
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name) �
(Type name) 9 lC'i�_(L J �d
❑ Individual (only for IE El<reasurer ❑ Deputy Treasurer
or electioneering c )
❑ Candidate ❑ Chairperson (only for PC and PTY)
X
X
Signaturea I
Signature
DS-DE 12 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
UAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
RIBUTIONS
(1) Name 1
�—
\ 4�. j
C-jV4 z
(2) I.D. Number
(3) Cover Period
f If
!� through I
f f` (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
($)
(9)
(1)
(11)
(12)
(6)
Sequence
Number
Street Address &
City, Zip Code
Contributor
Type Occupation
Contribution
Type
In -kind
Description
Amendment
Amount
J D/
(State,
.-
r a-ry
0 f G /
C x-5
(rj %Z 12 F-
1600
10
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U2�'-Ut_ 14 (KBV. I IIIJ) SEE REVERSE FOR INSTRUCTIONS AND CODE, VALUES
CAMPAIGN TREASURER'S REPORT ITEMIZED CONTRIBUTIONS
(1) Name `" �C.;� (caG. (2) I.D. Number
(3) Cover Period Lo f Zof M through / _ f ( (4) page 'Z_ of 'Z_
(s)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Andress &
Ci States, Code
(8)
Contributor
T Occu ation
(9)
Contribution
T
(10)
In -kind
Desert tion
AmendmentAmount
(12)
(6)
Sequence
Number
1
-7j
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J�4
:5 t<
"� tZ
I t
t
US-ue w (ttev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
qAA#PAIGN REASURER'S REPORT — ITEMIZED EXPENDITURES
I —
(1) Name (A'R fv-e-) (2) I.D. Number
(3) Cover Period 2Z/ through (4) Page Of
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
Purpose
(add office sought if
contribution to a
Expenditure
(6)
Sequence
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
Lzaz 1
BTY �
'T` '; 7m
V
Lt
LILA
/11/44/1
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0
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1
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AN T+►SU, S REPORT — ITEMIZED EXPENDITURES
kA
(9) Name 1 -'
(2) I.D. Number
(3) Cover Period t i ' t tS""through 1. l ! (4) Page ti-- of _
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(10)
Amendment
(11)
Amount
(}
Sequence
-7 2- 1
1` 1c-,6r,1 r-z - � 33U.
K i `L
,G
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l
t 1
DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES