HomeMy WebLinkAbout2017 - M10- 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) Michelle J Gomez
ICE USE ONLY
Name
NOV 13 11--41
(2) 4910 Woodlands Blvd
Address (number and street)
RECEIVED
CITY Of TAMARAC
Tamarac, Fl 33319
0'1 T Y CL EIRK
City, State, Zip Code
F-1 Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
17,71 Candidate Office Sought: Commissioner for Tamarac District 2
M Political Committee (PC)
M Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
El Party Executive Committee (PTY) El Check here if PTY has disbanded
M independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(6) Report Identifiers
Cover Period: From 10 / 01 /2017 To
10 1 31 /2017 Report Type: 2017M10
7 Original 7 Amendment El Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 0.00
Expenditures $ 0 .00
Loans $ 0. 00
Transfers to
Office Account $ 0 . 00
Total Monetary $ 0. 00
Total Monetary $ 0 .00
In -Kind $ 0. 00
(8) Other Distributions
$ 1 5 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 6 , 972 77
$ 514 62
(111) 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) Thomas Toffol i
(Type name) Michelle J Gomez
El Individual (only for IE M Treasurer [I Deputy Treasurer
M Candidate 171 Chairperson (only for PC and PTY)
or electioneering comm.)
X �7 Zez/<`_
X
Signature Z tl I
Signature
DS-DE 12 (Rev. 11/13) " SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
Michelle J Gomez
(1) Name (2) I.D. Number
10 01 2017 10 31 2017 1
(3) Cover Period - / - / through - / (4) Page
of
(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
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
i(1) Name Michelle J Gomez (2) I.D. Number
(3) Cover Period to / 01 / z°lJ through 10 / 31 / 2017 (4) Page 1 of 1
(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
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES