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HomeMy WebLinkAbout2014 - M1- 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 (1) 2WVFfYBE�NL(i: v Name (2) 44gtc) RECEIVED Address (number and street) (CITY OF TAMARAC, I r a w,a r 4,, EL -S� 19 CITY CI _FRK City, State, Zip Code ❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): nn �( - [►Candidate i `9 la ,�%Sl D Lp"'I (office sought): 1 SS oke'( r hlacdC ric`} ❑ 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 C)( / Cj / /tq To 01 / S( / ReportType Wit; l44 OL11 [v"Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $�'f S. (s� Expenditures $� Loans $ 0 Transfers to Office Account $ Total Monetary $ �, `?�� C)O Total T Monetary $ In -Kind $%� (8) Other Distributions $ IAq (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) ! ���.G? 1obi e �>_ i6r t.1444c e Z- 7 (Type name) N16667d le ❑Individual (only for Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC, PTY & electioneer in commun.) �/ electioneering commun. organization) X iz X Signature Signature DS-DE 12 (Rev. 08104) 1`'/ CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name iVA 1, e-. ,-e l(@ --,*--) - G'-o m e- z (2) I.D. Number (3) Cover Period V I / r—i I / Iq throuah 01 / _�:k1 / 14 (4) Paae _-) of 9 (5) (7) ($) (9) (10) (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number , State, ZipCode Type Occupation Type Description Amendment Amount �;Cit ! Hcv,++45 0 Fad �n5uTQ�ce f-6(,5 N(,v qS 6 r I Prod Leer /� C � � e� (��o �✓� C'c,ra ( S Ipr4„Ss, FL I fl�haY,Wj,sk�l, © l l ILI 66cknant e_-:I446-er P 6 Law �r•f� SL:t✓, Ufa �3SS laws �e�fe✓ �r� ►3vc� 2al,�,,�L 33�I�S6 -�ClrgtS �rgvi�p CI 4sliq �1a IDO'``Terr4 r 333eZ I Sieve.." Pc, lva, bD inn is,LAHe F L -- -1— %_ 3s51�] w,1, 4e- (� l aoZ l 4SI3 (Sany qr, Z4kje Set(e5 , �—' T �►� rArde( FL 33319 (.;4 jj-"f 6 s612 A) q,� -7E,,(,x:e .l 5 l q wlrevrcw 0 6a t, seas 'VW 93 w'-w4a,_L _ N � D cv 1-7 Ta,�,�rac, �G 333.2 i Oer6eei Wey � s N, 541=1 Pal.., ,S hld., T-a .-,grAc, F-L _ J- 8 DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name e C2 (2) I.D. Number (3) Cover Period iiA / t:� I / l LI throuah .-%f / --- 1 / I LJ W ameio of S�- (5) (7) (8) (9) `(10) V (11) (12) Date Full Name (Last, Suffix, First, Middle) (6) Sequence Street Address & Contributor Contribution In -kind Number City, State, Zip Code JyRe Occupation Type Description Amendment Amount PC,1 i 4-1 «Ily N(C'i g " 71 �,`7 LJi 5 I e nc tthiy a.,,ai-ac r& ls`11.b 1�. DD (A l .?D 119 R0 Mac fa ,�?75I 5. vCeap&, fu SO A), kol(4awog4i L 33v19 (viar k till swcw4 P l I'7'7 3cd4ve. Lkw� rn� $(? 0c) 1 i F+. L�1vcRer�'�ie, �L 3�a1(o l a l 1 doe rassr�av► 1(oa q G ro.41.4,, 6r; j L) toe II in6'-'11 FL 3zf114 ►-like Wei55�f� dzv —trrart"Y Cw1.,�- [' sky FL GEC hD, CD 1 3:3t72/o SOL-ail,e C-Ad >6er 0 l cif / I :5�t W&y 114 Terra fq�tigrnc,FL 33351 51). co Iy C9l l �� l ICI �°�" ( �vi� Svc► �f(c�^� Nor�'v(klsland _ I PL 333iq G1`1.�p14 ���irnGv� 3aS V/ 4 I" [i lam, Ter. Ci[ p4Vi�r rt z33)5 5(3.©D US-UE 113 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Ile __I �. �'�ow'te� (2) LD.Number (3)Cover Period / -� I / /'N i / i Li thrni inh --I ! ;e : i i i l i w \ i L _. G (S) (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 t_kec>ArS CtS,4:I e4 rt'e �,rlra !,,). tbin.wreev( l Aivd., T-et,4vae, FL VCar+y. 333�1 CG I ILI Ca rvl GoN+ez_ gpt - /?elc': ve- 1 ]`r�vd �x�rvrcp � Irvr., Ctied A- 1 & 17, teem" Ack, _ lq&i' iev Cnf k/LIC �� ►v Y v7q ► 1 iakelle.J Gc tjez Nea4erR& s .� .I_. HK &WN !4/I Ater Fbr Tar,arac, FL3331� �Veks jLk 1n�r�Y t Mielte.l(e3• C av4ez 14Q10 wr}c�lo_kj_ , d _ ��f�rh�Y 5L'pphes'k"r o C / �?p lvocxxl4K4sC�lt .. �flcl��Y ��K eo Ih 4.1 lef 5 : f �H,arac,F� 3336 po!�'�5e 5�-a nr }c15 0 r 122 / iq T ra A a4e-k 'IN K Supplives epr kick L Q 0 h0"'ne, FL OC(' porgy 33 3 1� I 22 / Y /4"'ohy,'110116 (, ti , l�/ SQL -!a/aim s ggqq 5w , ve r"lic�ryl`/ �L331SS ��l �4e Hcddi lip CC I E "?S'r�FUr7 �y va-ur- -ia tKev. ualus) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TrtcASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name f'-," ;,' 61, o m e- (2) I.D. Number (3) Cover Period c" I i /U fhrnunh /I I , -e (5) (7) Full Name (Last, Suffix, First, Middle)ce Street Address � Ci , State, Zi Code E (8)(9)(10)(11) Contributor T e Occu ation '�I i Contribution T e t-j rays In-kindr Desmi tion - Amendment VI I' (12) Amount E ¢4cldhktgs I&C 84's t3r►ek�.11 ve, P,H 1, M ic, 01 i 47-4 33131 6 Fsf'qfle 4kv�lik C:46 %.�.; ' •ry�sol 6ra,Nhre C4. - r l� ra I+t jo i% Y/- ( C�-L 1/2 0 SO ��►� 5� 1 4ve, -.+� 1� iRCV. VO/V31 SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITURES (1) Name I" I"l (LIn �Al e '--:, C-iy",e z (2) I.D. Number (3) Cover Period 0 ( /Of/ q through 0_/ / 3 / 14 (4) Page 6 of 15 (�) 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 D I G ► r�� T'r � 3 l to r 1 © %3OK 44j a .,44, 9,4 -10-3s 3 iL'(Cvr(lA1 Cell {�jilcht - "-)cw ,fit 1 � �y cl O(o ( Pao pa I iv�,40 E,641-4e4Jeru Rql, 4h6, C64 CIYW_S -ire LID Cif .9? l� t" "Id'a is 60"041 calle `7g I . Cvr��a; Zip 1 fua('. IGt r,A �d+C'i F ,c,J 4>; trek ref'.' MCA) DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - FUND TRANSFERS (1) Name V1 ie'1'tt Il J. L�rc:*-tez (2) I.D. Number (3) Cover Period 0j l Of l /q through 0. 1 (4) Page :S 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 DS-DE 94 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES February 7, 2014 Re: Anonymous Contribution 7014 FE8 10 03 RECEIVED -1 1 Y OF TAk4ARAC "ITY CVFRF< For the January 2014 reporting period, an anonymous $20.00 cash contribution was made at my campaign kickoff party at Cheddar's Casual Cafe on January 22, 2014. At the end of the party, the contribution was found sealed in a donation envelope that was placed in a secure multi -purpose dropbox on the registration table. There were no markings, name or information written on the envelope, only the twenty dollar bill inside. These envelopes were only provided at this event. Per the handbook, this anonymous contribution was listed on the monthly report and this letter is being included to explain the circumstances surrounding the receipt of the funds. Sincerel , Michelle J me 4910 Woodlands Boulevard • Tamarac, Florida 33319