HomeMy WebLinkAbout2018 - G6- 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
(1) r l ,G '`- J Goy_
OFFICE USE ONLY
Name
7018 OCT 26 PK 3' 42
(2) "/b (,yoo � LArIJ'0S
Address (number and street)
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number: _
(4) k appropriate box(es):
Che7ndidate
Office Sought: �R►��k-f� p,C
,M f4'�u
❑ 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 �b / / 26 ffl- To
( 6 / / 2 0 I&- Report Type:
,(Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 3 , 1�00 • dy
Expenditures $
Loans ( 4,35
Transfers to
Office Account $ ,
Total Monetary $
Total Monetary $
In -Kind >
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
321 `Z,!;
$ 22,5 3.o-3
(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)`
❑ Individual (only for IE Treas rer ❑ Deputy Treasurer
andidate ❑ Chairperson (only for PC and PTY)
or electione mm-
x
x
Sign e
Signature
DS-DE 12 (Rev. 11/1t) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name boo (2) I.D. Number
(3) Cover Period � / % /2pjrthrough / C) / (9 / 2_01 �—(4) Page j of 2
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Namery,,Q (2) I.D. Number
(3) Cover Period through w / / / S- (4) Page of f
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
Amendment
(12)
Amount
(6)
Sequence
Number
�j
R0 jA_j-"j&
D5-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
GA P IGESURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name i,c,7 S3- (2) I.D. Number
(3) Cover Period /U /_�l _ throughy N' (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)
TYPO
Amendment
Amount
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C M �ICTRE . S
IURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name i sv'Me -- (2) I.D. Number
(3) Cover Period / 0 /(_/� through /U l I t— (4) Page 1i of L
(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
(6)
Sequence
Number
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES