HomeMy WebLinkAbout2018 - G6 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) ram'\t�V�y
OFFICE USE ONLY
Name (2) lf9 t b (.[%adlGwck .31yd
7019 FEB -4 FM 4: 0$
Address (number d street)
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RECEIVED
CITY OF TAMARAC
City, State, Zip Code
CITY
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
/R ✓'`r `-
[!�`Cand idate Office Sought: m 4
❑ 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 �� / (� / / r To d / / `� / S� Report Type: Z'
❑ Original Amendment ❑ Special Election Report
(6) Contributions This Report
(T) Expenditures This Report
Cash &Checks $ (20
Monetary
Expenditures $
Loans $ , , `�3S • ' l
Transfers to
Office Account $
Total Monetary $ ,
Total Monetary $ •
In -Kind $ , ,
(8) Other Distributions
$ ` 2- , ZS3 . 03
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
(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 thisreportand it is true, correct, and complete:,
(Type name) 7A om*5 SJ 07 1 f
,( -r f
(Ty name) f ` (C e ��C 6, o -e
❑ Individual (only for IE Treasurer ❑ Deputy Treasurer
Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X
Signature
Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIGc" "" ' — ' -
�- (2) I.D. Number
(1) Name t
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(3) Cover Period L — /
(1�) {11) (12)
(5) Full Name
Date Name
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Amendment
Sequence street Address & T e Descri lion
Number
City, State, Zi Code T e occu ation
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(3) Cover Period l i'' through f °C� { ! d'" (4) Page of
(0)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
to -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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DS-DE 13 (Rev, 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(I)Name Oc�=% I.D. Number
(3) Cover Period ff� l_ t �_� through �� / �� / N
()
(7)
(8)
()
(10)
(11)
Date
Full Name
(East, Suffix, First, Middle)
Address %
Purpose
(add office sought if
contribution to a
Expenditure
p
(6)
SequenceStreet
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
PPS
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DS-DE 14 (Rev.,11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AIG RE
REPORT
(3) Cover period JO/ _/ through iU / ( (4) Page L, of .1—
t5)
Date
(7)
Full Name
(Last, Suffix, First, Diddle)
Street Address &
City State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Expenditure
Type
(1 Q)
Amendment
(11)
Amount
()
Sequence
Number
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DS-DE 14 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES