HomeMy WebLinkAboutBolton - 2019M3 ReportCAMPAIGN TREASURERS REPORT SUMMARY
(1) \",<A", "-\3 OFFICE USE ONLY
Name 7019 APR 10 N 4: 44
9-(�, PV,(YN QR-A, CCXr\�
(2)
Address (number and street RECEWO
CITY OF TAMARAC
C 17 Y C L E 11, K
City, State, Zip Code
F] Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
41randidate Office Sought:. VS,1&0,00, /A -
El Political Committee (PC)
[I Electioneering Communications Org. (ECO) n Check here If PC or ECO has disbanded
❑ Party Executive Committee (PTY) 0 Check here if PTY has disbanded
❑ Independent Expenditure (IE) (also covers an F! Check here if no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From �evr�t TO , I :21/ E Lor�/ 1 C2 Report Type:
�JOriginal El Amendment El Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks
Expenditures $
Loans
Transfers to
�o
Office Account $
Total Monetary
(0 Z
Total Monetary $
-----------------
In -Kind
(8) Other Distributions
(9) TOTAL Monetary r-nntrIbutiyn?,Ta, 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, correct, and complete:
(Type nanlq) (Type name)
[:1 Individu my for IE usurer El Deputy Treasurer ;AEB93-:ft@and1 to [I Chairpe only for PC and PTY)
or el 'one d g cornrrN
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XM Ix
I Signature AT77-7—,--- N\ I Sig na
DS-DE 12 (Rov.1 1/13) j \j SEE REVERSE FORIASTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
(3) Cover Period through S L (4) Page A_ of -2,
(6)
(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
Amendmwt
Amount
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DS-DE 13 (Rev. 1 lil 2) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name � (2) I.D. Number
(3) Cover Period 1�"� through / (4) Page
Of 2,
(5)
(7)
(6)
(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
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DS-DE 13 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
-- %' (1) Name \ i —&� , --\ (2) I.D. Number
(3) Cover Period `� /�' t _ through W-4--W4k 1 (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
(i1)
Amount
(6)
Sequence
Number
DS-DE 14 (Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES