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CAMPAIFN TREASURER'S REPORT S MARY
(1) MICHELLE JONES
OFFICE USE ONLY
Name
'
(2) 5830 NW 64TH AVENUE APT #210
2019 Mt.p _y AM 9: ! 6
Address (number and street)
TAMARAC, FL 33319
RECEIVED
CITY OF
City, State, Zip Code
^ "�
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: TAMARAC CITY COMMISSIONER, DISTRICT 1
❑ 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 02 / 01 / 201 9 To
02 / 28 / 2019 Report Type: 2109-M2
ZI Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Monetary
Cash & Checks $ 1000 00
Expenditures $ 0. 00
Loans $ 0 00
Transfers to
Office Account $ 0. 00
Total Monetary $ 1000 • 00
Total Monetary $ 0 00
In -Kind $ 0 • 00
(8) Other Distributions
$ 0 00
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures To Date
$ 1000 • 00
$ 0 00
(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 name) SYLVIA TROYER
(Type name) MICHELLE JONES
❑ Individual (only for IE ® Treasurer ❑ Deputy Treasurer
IN C ndidate ❑ Chairperson (only for PC and PTY)
or elentinnew.rinn Comm
Sign u`re7
Signature
DS-DE 12 (Rev. 11/13) SEE -REVERSE FOR INSTRUCTIONS
(1) Name
I
CAMPAIGN TRSURER'S REPORT — ITEMIZED �NTRIBUTIONS
MICHELLE JONES (2) I.D. Number
(3) Cover Period 02 / 01 / 201 9 through 01 / 28 / 2019 (4) Page 1 of 1
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
2 / 15 / 19
PATSY FOOD PREP, LLC
1933 BANKS RD
MARGATE, FL 33063
_Type
g
RESTAURANT
CHE
$1000.00
1
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
. (1) Name
0 0
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
MICHELLE JONES (2) I.D. Number
(3) Cover Period 02 / 01 / 201 9 through 02 / 28 / 2019 (4) Page 1 of 1
(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
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES