HomeMy WebLinkAbout2014 - M8- 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
(2) ggld wc,oca4s
- '
2QIq SAP I0 PH 3� I7
Address (number and street)
RECEIVED
Fl---
CITY OF TAMARAC
City, State, Zip Code
rJTY C;1._FRK
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
Vandidate Office Sought: e0Mwt)SSly4ie
-(L�r tAIp_j0►4c _S4riL+
❑ 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 tag / L-)l / 4 To
U zs / � / `t Report Type:�Z)/(� '
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $
Expenditures $
Loans $
Transfers to
Office Account $
Total Monetary $ Ste• ��
Total Monetary $ .
In -Kind $
(8) Other Distributions
$ , ,
(9) TOTAL Monetary
C]� ontributionsTo Date
(10) TOTAL Monetary Expenndii/tures To Date
%
/y00
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(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) b �j Inj�Q y t.�i�
(Type name)Aello�ldxr�
❑ Individual (only for IE 53/Treasurer ❑ Deputy Treasurer
Candidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
%
Signature
Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
M wAAJ- e
� .
� rye z
(2)
I.D. Number
(3) Cover Period
e.� l Jl /
/Ll
through
/Y
(4) Page
r of�
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
l CtV.,awax, FL 333j)
I
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name I e-ke-1 le J . (SACv Ie -z- (2) I.D. Number
(3) Cover Period JL through CK� / � I / (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
"a iM, 64 -3a 5 3
HwAly cell
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name _ M i e %e- t to —'� • 67o o i e z _ (2) I.D. Number
(3)
Cover Period 01 / L-;)i / / L4
through CGS / �E / ( q (4) Page Iq of S`a
(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
(10)
Amendment
(11)
Amount
(12)
Distribution
Type
(6)
Sequence
Number
nil fly
1pinie.k
q%Liq AIw '7Cr4e-4
rZei►���►�z�t
DS-DE 14A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name [Ake- 4C -'N C;C"i le-Z (2) I.D. Number
(3) Cover Period Ca/ t / 14- through 09/_3L/._ (_q (4) Page ,ys 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. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES