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HomeMy WebLinkAbout2019 - M11- Campaign Treasurer Report – DS-DE 12, DS-DE 13, DS-DE 13A, DS-DE 14, DS-DE 14A & DS-DE 94 - Mike GelinCAMPAIGN TREASURER'S REPORT SUMMARY wile- C ax) OFFICE USE ONLY Name Mq P7 {n R1 W: '6 (2) V _ Address (number and street tF�p'" D CIT J' (j 1- City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) k appropriate box(es): Che7ndidate Office Sought: ❑ 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 Co�eeriod: From / / l� To (� / % / I Report Type: Original ❑ Amendment ❑ Special Election Report 9 P P (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ C) 0Expenditures Monetary $ V Loans $ , , Transfers to Office Account $ Total Monetary $ 2, S • 00 Total Monetary $ 30 In -Kind , . (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ �,�, O.00 $�,�,Ci (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 report and it is true, correct, and complete: this (Type name) 6�Y.J((� Mt 1h e_ 6 A (Type name) ❑ Individual (only for IE ❑ Treasurer ❑ Deputy Treasurer ❑ Candidate ❑ Chairperson (only for PC and PTY) or electioneering comm.) X X Signa ure Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name M Ant C_�") (2) I.D. Number � r (3) Cover Period ` \ / / 1 through / / j (4) Page of 0 (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 60(11A wee( es 1522e u 52Nd sr C f -NA 7" NrA fA DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES PAMPA TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name,4 o (2) I.D. Number M >! 5 (3) Cover Period �/ f / through __L1 / �q/ (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 (11) Amount (6) Sequence Number Awcb+ c',,+�- LA -70�5 I S C' fir► AJ 1 , -7oo I N( ('ummeaA 'aid I CIMom, r2 3331 I CAf� oo �-- DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES