HomeMy WebLinkAbout2014 - G6- 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) 1-11 1 e-la e.''e ot:i e -z- OFFICE USE ONLY
Name ��yy � ) JJ1'1 �i� Imo% ZQI� OCT 22 AM 9: 54
Address (number and street) RECEIVED
1TY OF TAMARAC
City, State, Zip Code riTy ri.FRK
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
1
/Candidate Office Sought:
❑ 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 l / C�Ct / To l r / / I C - Report Type: )p/q
FkfOriginal ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ ay
Expenditures $ l✓�i
Loans $
Transfers to
Office Account $ .
Total Monetary $
Total Monetary $
In -Kind $ >
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expendituress To Date
$ 00
$ 1 &C, 11
(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) LJ�-v�C�L- 2 (Type/name) l �(�h ! //�_ �
❑ Individual (only for IE reasurer ❑ Deputy Treasurer P16andidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
2,, x
Signature Signature
DS-DE 12 (Rev.11113) '-"SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name
j-4e.1�e
'*�, t`i�vti,z'F,
(2)
I.D. Number
(3) Cover Period
10
through _ /
l '-7 / j, Ll
(4) Page
.;� of
(6)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type I Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
10
�� � 2112 L! � irk K-r7c�ivj
Cc
/
`$/
FL 5'i4
ACQ V"' CCJcc(
tj.
tip- i-j,
ra 0.0. ivet
T
cti
r /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name M i e-1,<�1(-e -'�). 6- 01--,, (2) I.D. Number
(3) Cover Period —1/ 04 / I t - through �f> 11 ""Zl ILA (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
(11)
Amount
(6)
Sequence
Number
{� P%
1"7G ( L'y t �' V1 14d', Lei. �2 t
/ m
l te4c.4l Fl— 'S �
` ,�� f SJM
Ck c�Qt G6
` —Set"('ss".( t) Hctl
(�� Jq
VV
fir} /•. }y
f, 4�6C/r4�
C1rde
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name t-� i ckwa('e -�. 65 c,, -7 e z_ (2) I.D. Number
(3) Cover Period jo/ 04+ l I `A through )u l i "7 / JL( (4) Page q 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)
(g)
Related
Expenditures
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
/
r
I
DS-DE 14A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — FUND TRANSFERS
(1) Name d"l I (-0 v111 e z (2) I.D. Number
(3) Cover Period 0 / / i4 through �)/ i % / M (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
(11)
Amount
(6)
Sequence
Number
�0tv
DS-DE 94 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES