HomeMy WebLinkAbout2017 - M5 Amendment- 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
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Name
(2) 4 9 � Lo UbcL4tao6s '_&Ljkya,cj
RECEIVED
ress (number and street) CITY OF TAMARAC
zc j 6� 3310 CITY CLERK
City, State, Zip Code -
F] Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
06a'ndidate Office Sought: LMMLy_S1W' ez- C 11'r/ y LC I
E] Political Committee (PC)
F1 Electioneering Communications Org. (ECO) [j Check here if PC or ECO has disbanded
[:1 Party Executive Committee (PTY) F1 Check here if PTY has disbanded
0 Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Reporl Identifiers
Cover Period: From t5 / / >901 T l 3 020l Report Type: c)0[ 3 k1
F-I Original Q,7mendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ 00
Monetary
Expenditures $ qq
Loans $
Transfers to
... . .............
Office Account $
Total Monetary $
Total Monetary $ zf_
In -Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$
$
. .. . ..... . ...
(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) A_ / (Type name) P(ax/te-u 6omeZ-
(4o i-
0 individual (only for 1E _67C�,,didt, El Chairpers.. (only for PC and PTY) PGasuratfl El Deputy Treasurer
or electioneering cornni.)
X X
Signare Signature
DS-DE 12 (Rev. fl/13) SEE REVERSE FOR INSTRUCTIONS
(1) Nam(2) I.D. Number
(3) Cover Period 51 through b / 3 abr� (4) Page
-
1 of I
(6)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Occuption
(9)
Contribution
Type
In -kind
Description
Amendment
(12)
Amount
(6)
Sequence
Number
_Type
'13
Law F, 94-
ON
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LOA
. . .......
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------------
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CAMP I ►N TREASURER'S REPORT — ITEMIZED EXPENDITURES
e-t1---Z[ A (2) I.D. Number
(3) Cover Period 5 / I / c�00 through -..5- / 3) / cZ11: (4) Page . . . . . . ........ t . . ...... — of I . . ...... .......... -
(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
0 1)
Amount
(6)
Sequence
Number
5- / � 12014
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