HomeMy WebLinkAbout2014 - M3- Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Michelle J GomezFLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
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all APR,CY
Name '
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RECEW
Address (number ands street)
CITY OFT C
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ITS' (�Iw RK
City, State, Zip Code
❑ CHECK IF ADDRESS HAS CHANGED
(3) ID Number:
(4) Check appropriate box(es): .
[Candidate (office sought): 4�e &t4ri e--t
❑ Political Committee
❑ CHECK IF PC HAS DISBANDED_
❑ Committee of Continuous Existence
❑ CHECK IF CCE HAS DISBANDED
❑ Party Executive Committee
❑ Electioneering Communication
❑ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 1 [ 114 To
t? 3 1 1 14 Report Type 114
[Original ❑ Amendment E] Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Monetary
Cash &Checks $ _ ,
Expenditures $
Loans $
Transfers to Office
Account $
Total Monetary $ 40c),
Total
Monetary $ .40
in -Kind $
(8) Other Distributions
$
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$t
$ Ord
(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,
I certify that I have examined this report and it is true,
correct, and complete.
correct, and complete.
hype name) Rt�w<,z Pa Asir'w dt't z
(r rne) i d is
[Individual (only for Treasurer [:]Deputy Treasurer
Candidate ❑ chairperson (only for PC. PTY &
electionee ' commun.)
electioneering commun. organization)
Signature
Sig ure
Em
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name M
t,��eate-
Ss,
* mez-
(2)
i.D. Number
(31 Cover Period
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14
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(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City. State. Zi Code
(8)
Contributor
JyRe OccuWfion
(9)
Contribution
Type
(10)
to -kind
Description
(11)
amender
(12)
Amount
(6)
Sequence
Number
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DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name ti.eliet(e C'm
ez (2) I.D. Number
(3) Cover Period C13 through VS 14 (4) Page of
(5)
Date
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
eel(
DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) NameM.i e- nAje -� . Gcoqez (2) I.D. Number
(3) Cover Period C��l 01 1 /4 through 13 j / Ito (4) Paae of
(5)
Date
(7)
Full Name
(Last, Suffix,. First, Middle)
Street Address S
city. State, Zip Code
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9}
Related
Expenditures
(lo)
Amendment
(41)
Amount
(6)
Sequence
Number
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of �,,Pt�) �'%�y �+�..
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CAMPAIGN TREASURER'S REPORT —FUND TRANSFERS
(1) Name d, (2) I.D. Number
(3) Cover Period. C3 C"t /-Athrough—C.S/ V / iLl (4) Page 5- of S_
(6)
Date
(7)
Name of Financial
Institution
Street Address &
City,. Stale, Zip Code
(8)
Transfer
Type
(9)
Nature of
Account
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
DS-DE 94 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES