HomeMy WebLinkAbout2014 - M2- 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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OFFICE USE ONLY'-�
Name
(2)
Address (number and street)
r"n wn
City, State, Zip Code
7_7 >
❑ CHECK IF ADDRESS HAS CHANGED
(3) ID Number:
(4) Check appropriate box(es):
Candidate (office sought): it,_i L
❑ Political Committee ❑ CHECK IF PC HAS DISBANDED
F] Committee of Continuous Existence ❑ CHECK IF GCE HAS DISBANDED
[:1 Party Executive Committee
Ej Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From I 14 To
r, d / -> / I �- ( Report Type
ffOriginal ❑ Amendment ❑ Special Election Report [:1 independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ cc- c c
Expenditures $
Loans $
Transfers to Office
Account $
Total Monetary $
Total
Monetary $
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,
I certify that I have examined this report and it is true,
correct, and complete.
correct, and complete.
(Type name) k:,'( e
(Typp name)
F-1individual (only for 121treasurer DDeputy Treasurer
O'Candidate F-1 Chairperson (only for PC, PTY &
clectioneeriLig commun.)
electioneering commun. organization)
X
Signature
Signature
DS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name IV � I, —I L� e[it �' 6"tco-'ot z- (2) I.D. Number
(3) Cover Period C' ) / (,- I / iL4 through (—, :) / ':) -,c" / I Ll IAI Pnna f) "f ("
(5)
(7)
(9)
(10) V
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number_
State, Zip Code
jype Occupation
Type
Description
Amendment
Amount
vqn.
C 4
440. C L'
0
ILI
C c
2 1 C tt4
Liq
'-OL-
lot cc
2
C-21
7-C
4-0,
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US -DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name �� �� i� �t�.���
� �
�w� ��,,• Z
(2)
I.D. Number
(3) Cover Period Gam',1 / C" I
/ '4
throucih
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8} _
Contributor
Type Qccupation
(9)
Contribution
Type
(10) v
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
ii
\\
UVI
+
I
1 1
1 1
1 1
i 1
l
1 1
1 t
Us-M 13 (Kev, ua103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES
(1) Name_ f` 1 I (k- � C�' "'t z (2) I.D. Number
(3) Cover Period C'-) / C: I / /'�j through e.-) / :'�S / 1,,4 (4) Page q_.....__ of __ ("
(3}
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)
Arnondment
(11)
Amount
(8)
Sequence
Number
' ;-3 14
...
f(('.
i`(' I tZ.L. �! T -� _
f #.
lrx C �' a vrrr2 k
fu
1 t
L
I y:I
k('Obv
tr
DS-DE 14 {Rev. 08/03}
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1) Name P-`Ii-ct,E(� Y 67_0i-,(f,z (2) I.D. Number
(3) Cover Period CA_L I -L_ through (7-� / ;,4S- J Iq (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
State, Zip Code—
(8)
Purpose
(add office sought if
contribution to a
candidate)
(9)
Related
Expenditures
(10)
Amendment
(i —I)
(6)
Sequence
Number —City,
I k�
L
c I Ll
—Amount
DS-DE 14A (Rev. 12/07) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS
(1) Name Lkdll:i:A�e- -- (2) I.D. Number_
(3) Cover Period /—C L—f—I I-L through 67 DS / 1 (4) Page of (I-
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
OS -DE 94 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES