HomeMy WebLinkAboutBolton - 2019M6 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
(1) Ma,( l0 C� '6 ,�
OFFICE USE ONLY
Name P^
Address (number and street)
`QLM mac Ci (:_.. `E(_,. 9
RECEIVED
I
City, State, Zip Code%
C,(T'1 OP WNWAC
is.
❑ Check here If address has changed
(3) ID Number:
(4) Check appropriate box(es):
')�$Candidate Office Sought:��,�CLC-C-_C Co
❑ 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 [),o To
C)ko J l 1Report Type:("
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ - %
1
Monetary
Expenditures $ ,
Loans $
Transfers to
Office Account ,
Total Monetary $ � �� ���
Total Monetary $ f j
In -Kind $ • Do
(8) Other Distributions
$ , 0
(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 ord (as. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complet
{Type name `tom q\04
(Type n e)
❑ Individual (only for IE ❑ Treasurer Deputy Treasurer
or electioneering c/otmm.) (�{
andld to hairperson (only for PC and PTY)
X C�� �'
X
Signature
Signature
DS-DE 12 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name �((� �� b , 1 �'� }� (2) I.D. Number
(3) Cover Period CA / 0 ! through �,jiC / / a (4) Page Of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
(8)
Contributor
(9)
Contribution
(10)
In -kind
(11)
(12)
(6)
Sequence
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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Us-Ut 14 (KeV. 97114) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
IA M--fo (l �t; j (2) I.D. Number
(3) Cover Period I ( /9 through QI / / (4) Page 2 of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
(8)
Contributor
(9)
Contribution
(10)
In -kind
(11)
(12)
(6)
Sequence
Number
-City, State, Zip Code
T e Occupation
Type
Description
Amendment
Amount
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va-uc -10 Inev. -I-u-ls) 3M REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name &Yy 3,Y1 "'b, 130 t+" (2) I.D. Number
(3) Cover Period through i / L (4) Page 3 Of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
(8)
Contributor
(9)
Contribution
(10)
In -kind
(11)
(12)
(6)
Sequence
Number
City, State, Zip Coe
Type Occupation
Type
Description
Amendment
Amount
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12
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DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name / ` la( ('�)f) & I+rj
(3) Cover Period through o_ /
(2) I.D. Number
/ l 1 (4) Page of sS*,
(6)
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
0(0
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19
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tF%aY. I It 1,01 s= FttvtRSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name Ma 6l�i �J :'� (2) I.D. Number
(3) Cover Period I l 0 through / '� I (4) Page of
(6)
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
(j
SDI,,
a
4 A.
Pf
/
DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN RE UR R'S REPORT - ITEMIZED EXPENDITURES
(1) Name
(3) Cover Period I through 0o /3!
(2) I.D. Number
(4) Page of
(8)
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
> 4.
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DS-DE 14 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES