HomeMy WebLinkAbout2018 - TR- 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
OFFICE USE ONLY
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(2) l)C9
Adress (number an street)
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City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
EU Candidate Office Sought:
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❑ 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 / / ?-.C, t To
'7 / 3 / / 2G S Y Report Type: ZC 1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $ ,
Loans $
Transfers to
Office Account $ ,
Total Monetary $ ,
Total Monetary $ ,
In -Kind $ >
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Moneta ExpendI ur/,es To Date
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(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is true, correct, and complete:
(Type name) fAll
(Type name)
❑ Individual (only for IE WIfreasurer ❑ Deputy Treasurer
❑ Candidate ❑ Chairperson (only for PC and PTY)
or electioneeri
x
X
Signatur
Signature
DS-DE 12 (Rev. 11713) SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
'_Ao' •
In "j s b C/w (2) I.D. Number
(3) Cover Period _7_ / ( / G'c iythrough % / f / )-,b ` (4) Page ( of
(5)
Date
(7)
Full game
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
/ r
—Type
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NY
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period
(2) I.D. Number
through / / (4) Page 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
(6)
Sequence
Number
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DS-DE 14 (Rev. 11i13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES