Loading...
HomeMy WebLinkAbout2017 - M9- 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 ZOITFMfgW"W20 Name (2) 4910 Woodlands Blvd RECEIVED Address (number and street) CITY OF TAMARAC Tamarac, FI 33319 CITY CLERK City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑✓ Candidate Office Sought: Commissioner for Tamarac District 2 ❑ 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 09 / 01 / 2017 To 09 / 30 / 2017 Report Type: 2017109 ❑ Original ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 500. 00 Expenditures $ 0 .00 Loans $ 0. 00 Transfers to Office Account $ 0 00 Total Monetary $ , 500. 00 Total Monetary $ 0 00 In -Kind $ 0. 00 (8) Other Distributions . $ 0 00 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 6 , 972 77 $ 514 . 62 (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) Thomas TOffoli (Type name) Michelle J Gomez ❑r Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer i] Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X/! 4Signat 4 Sign re 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 09 01 2017 09 30 2017 (3) Cover Period / / through / / (4) Page 1 1 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 09 01 2017 © Brenner 2.0 LLC 28 Via Poinciana Lane Boca Raton, F1 33487 B Property Mgff CHE $500.000 1 DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Michelle J Gomez (2) I.D. Number (3) Cover Period 09 / 01 / 2� through 09 / 30 / 2017 (4) Page 1 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) Ame ment (11) Amount (6) Sequence Number DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES