HomeMy WebLinkAbout2014 - G7- 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)
OFFICE USE ONLY
Name
20140,_`T31 P11-2:43
(2)
Address (number and street)
RECEIVED
Ty 0-': TAMARAC
City, State, Zip Code
rITY rl FRK
[] Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
101candidate Office Sought:
El Political Committee (PC)
F] Electioneering Communications Org. (ECO) El Check here if PC or ECO has disbanded
F1 Party Executive Committee (PTY) El Check here if PTY has disbanded
F-1 Independent Expenditure (11E) (also covers an El Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From I I Ll To
1Report Type:. ?0jq
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $
Loans
Transfers to
Office Account $
Total Monetary $
Total Monetary $
In -Kind
(8) Other Distributions,
$ - I - �q
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
(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) 4) e, u < 2
(Type name)
E] Individual (only for IE M-Treasurer [I Deputy Treasurer
Candidate El Chairperson (only for PC and PTY)
or electioneering comm,)
X
Signature
Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name (VA 1 1:_!AeA\t:1
SriA : -1
(2)
I.D. Number
(3) Cover Period i
1
through
/y,
(4) Page
of
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name (2) I.D. Number
(3) Cover Period _L G,
_�j / ( �� 1 1 -1 through I / ;, L,-, / / q, (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
ILI
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I
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Lj
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name tvI '� -L (2) I.D. Number
(3) Cover Period 1(:. / I -� / - -4 through / --Xl- / iq (4) Page 4 of
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought if
(6)
Sequence
Street Address &
contribution to a
Expenditure
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name fl-licke-BE -- -i z (2) I.D. Number
(3) Cover Period _ 10 / . IS'/ 14 through Jo / 3CI(4- (4) Page �- of
(5)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Purpose
(add office sought if
(6)
Sequence
Street Address &
contribution to a
Expenditure
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
t"": kk',:. ,� (2) I.D. Number
(3) Cover Period 1(� I` I through li- 1 (4) Page 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)
Amendment
Amount
(6)
Sequence
Number
(e-
t"xAU*:)
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name i,4-A(t L*—""'fz- (2) I.D. Number
(3) Cover Period j L: through Ic / / /4) Page ';---� 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)
Related
Expenditures
Amendment
Amount
(12)
Distribution
Type
(6)
Sequence
Number
4
t
DS-DE 14A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name L,
(3) Cover Period I C l I t f through JL-7 ILI
(2) I.D. Number
(4) Page of
(5)
Date
(7)
Name of Financial
Institution
Street Address &
City, State, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
Amount
(6)
Sequence
Number
DS-DE 94 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES