HomeMy WebLinkAboutBolton - 2019M1 ReportCAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE USA ONLY
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(2) 2
Address (number and street) RECEIVED
CITY OF r r:IAi4C
CI T ;
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: \1s\9
❑ 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 N no other IE or EC reports will be filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From / / To / / Report Type: 1 1
❑ Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
• I'g
1
Monetary /ao
Expenditures $
Cash & Checks
,
O�
Loans $ _0,00 •
Transfers to
$ h�
Office Account $
Total Monetary ��
.-- cy ?_ _
Total Monetary $ .J C � 0
In -Kind $ >
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Moneta Ex ndituure To Date
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (as. 839.13, F.S.)
report and it is true, correct, and complete: 2
I certify tha h e exanz\,—
T e n (Type namO ( yp)
lndi4uj�lylb4is
`QMeasurer [ I Deputy Treasurer ndid a chairpe r PC
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X X
Signatur Signatur
DS-DE 12 (Rev. 11113) __11/ V SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(2) I.D. Number
(3) Cover Period / N � through �� (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
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CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name `` \��d /\ (2) I.D. Number
(3) Cover Period / Q\ /AS
through / J� / (4) Page of
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occu ation
{9)
Contribution
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(10)
In -kind
Descri tion
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
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(3) Cover Period 0 / �\ / through / / 115 (4) Page of
(5)
(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.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ��(2) I.D. Number
(3) Cover Period / `/ through 'D\/ i \\ (4) Page
(5)
(7)
(8)
(9)
(10)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
Contributor
Contribution
In -kind
(6)
Sequence
Number
City, State, Zip Code
Type Occupation
Type
Description
Amendment
Amount
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DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name�(2) I.D. Number
(3) Cover Period O� / 01 /V4_
through \ / / (4) Page of
(5)
(7)
(8)
(9)
(70)
(11)
(12)
Date
Full Name
(Last, Suffix, First, Middle)
(6)
Sequence
Number
Street Address &
City, State, Zip Code
Contributor
Type Occupation
Contribution
Type
in -kind
Description
Amendment
Amount
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DS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name ��3 `� (2) I.D. Number
(3) Cover Period / \ / through K V / /i--� (4) Page G of
(5)
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
/
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
rAJQN TR�,ASUc�RER'S REPORT -ITEMIZED EXPENDITURES
(1) Name I ktoo (2) I.D. Number
(3) Cover Period � /Q ! \ through 9- ! �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
TYP9
(10)
Amendment
(11)
Amount
(6)
Sequence
Number
0V � 6
DS•DE 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES