HomeMy WebLinkAbout2017 - M6- 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
:f
OFFICE USE O Y
PH 12: ��i
Name
2017 JUL 10
(2) iJ
RECEIVED
Address (number and street)
CITY OF TAl�tARMC
f
�-Le -,� J 3 l
CITY CLERK
City, State, Zip Cod
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: _ �M M `j f o use r t" f CteA b i�—
❑ 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)
(6) Report Identifiers
Cover Period: From 7 t, 1,7 To
� / j a / E7-C f % Report Type: Z 1'1 A
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ ® L
Expenditures $ �►
Loans $ U 6 Q)
Transfers to
Office Account $ (� d
Total Monetary $ 0' • C) 0
Total Monetary $ 0 . oo
In -Kind $ 6 c� C)
(8) Other Distributions
$ , L oo
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 3,Q -72 77
$ ,5-1 �, Z
(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) T ko ;M� I
(Type name) t AV
❑ Individual (only for IE reasurer ❑ Deputy Treasurer
Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X
Signature
Signature
IDS -DE 12 (Rev. 11/13) r SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name r � �� _ �P".7--e- (2) I.D. Number
(3) Cover Period f1through / / Z� i'� (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
(1 0)
In -kind
Description
0 1)
Amendment
(12)
Amount
(6)
Sequence
Number
e
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
n �CAMPAI N TSURER'S REPORT - ITEMIZED EXPENDITURES
" (1) Name I - �J • C c. /-k � (2) I.D. Number
(3) Cover Period L_/ I / Z(�, I%through � / 2 C!, / c� I � (4) Page �_ of
(6)
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
'I
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES