HomeMy WebLinkAbout2017 - M5- Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Michelle J Gomez0 •
CAMPAIGN TREASURER'S REPORT SUMMARY
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Name
(2) 1 9 1
dress (number and street) RECEIVED
CITCITYY OF TAMARAC
/ etniCt fa(, nol,c. d 6� 3 33i� CLERK
City, State, Zip Code
❑ Check here if address has changed (3) ID Number: — _J
(4) Check appropriate box(es): /
OL o �I
B-Candidate Office Sought: v►MM(t.Y ema4aC 1c�.
❑ 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 / J ! o?0/ ? To 5� ! 3 f / _20/ 3 Report Type: oZ/ 114
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash &Cheeks • �
Monetary
Expenditures $ _ �� . q g
Loans $
Transfers to
Office Account $
Total Monetary $ � ( � � 2( cl �I
Total Monetary $ , Z4
In -Kind $_
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 3,4g4.q&
$ (o (oI
(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)-� i I ------ Type name) 1"l (C� J• loll -le
❑ Individual (,only for IE L?(reasurKJJ ❑ Deputy Treasurer andidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
GAL
X _ X
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name {r If �,. C10�z_ (2) I.D. Number
(3) Cover Period through S� / 3 / / Ob (4) Page
1 of I
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Contributor
Tvpe Occupation
Contribution
Type
in -kind
Description
Amendment
Amount
(6)
Sequence
Number
lo)�47
6ce eytpyllvo 6-
e-11-13
-C �Oc3
�-
33,rt
525
'(oma ruC, ram',- 33715
(—.e tue tt 1)
LOA
3
f 1
/ I
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CA PAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Names( (2) I.D. Number
(3) Cover Period 5 1�_/ Old through 5 / � I /4a (4) Page of _ I
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address 13
City, State, Zip Code
(8)
Purpose(6)
(add office sought ifSequence
contribution to a
candidate)
(9)
Expenditure
Tape
FA...d.l.t
Amount
Number
5-!v z�i�
Lt��a d Co±� ►
I ASS r;/: Q�' n �oad), #21w
%Ada leA? 6 ,20�
moo -(nl�l
U'-ethos 7 i�
1
�liG�
/l. qq
3 t Z-,
i-71 ��/t �
c�teic�t rt►�.,�� c�o3�(
mc�.,.✓�-(er>a-nc.e
A'
5 3i 2(i
Co t t44e [C
Cf(C-)f'C`l H I i-L' 13-7 080 -54
tl
DS-DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES