HomeMy WebLinkAboutBolton - 2019M4 AmendmentMO BOX 2GO53,Tamarac, H33319|(954)275-3Q50|xoxvvx'E|eotW1aMonBmhon.csmo
March5, 202
Madam Clerk,
Please see anamendment tothe attached M4-19campaign report. "CHE.now appears where "RCT"
appeared CHEisthe appropriate reporting code, not RCT. The change does not affect the rest ofthe
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Political advertisement paid for and approved *vMarlon Bolton, candidate for Tamarac City Commissioner, District 1,Nonpartisan
CAMPAIGN TREASURER'S REPORT SUMMARY
OFFICE I ErQN�,Y
Name
y dress (number and street) ®
City, State, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Check appropriate box(es):
_
Candidate Office Sought:
'ETI
❑ 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 -/ ,) t / To
Report Type: .. �
❑ Original ZAmendment ❑ Special Election Report
(6) Contributions This Report
(7) Expenditures This Report
Cash & Checks $ -
Monetary
Expenditures $ x.
Loans $_
Transfers to
Total Monetary $ )
Office Account $
(,�tg.�
Total Monetary
w
In -Kind $ >
(8) Other Distributions
(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 record (ss. 839.13, F.S.)
I certify that I have examined this report and it is true, correct, and complete:
(Type name)(,'_iv ( ' � �.,
(Type name) ;` `, w
❑ Individual (only for IE ❑ Treasurer „W,,,, eputy Treasurer
x,,,l� 6andidate ❑ Chairperson (only for P PTY)
or electioneering comm.)
x
Signature
Signature------�-- � �° W
DS-DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D.Number
(3) Cover Period through(4) Page of
(7) (9) (10) 0 1) (12)
Date Full Name
'I
(6) (Last, Suffix, First, Middle)
Sequence I Street Address & Contributor Contribution In -kind
Number City, State, Zip Code _Iype upqtion Ty _e Description Amendment Amount
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DS-DE 13 (Rev. 1,11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
,PAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
(3) Cover Period I through (4) Page of 3
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
(9)
(10)
(11)
(12)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
State, Zip Code
Iype Occupation
Ty.pe
Description
Amendment
Amount
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CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
(1) Name (2) I.D. Number
(3) Cover Period A,4through (4) Page of _S
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
(9)
(10)
(11)
(12)
(6)
Sequence
Street Address &
Contributor
Contribution
In -kind
Number
city, State, Zip Code
Type I Occupation
Type
Description
Amendment
Amount
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(1) Name
(3) Cover Period through
(2) I.D. Number
(4) Page 4- of
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Date
(7)
Full Name
(Last, Suffix, First, Middle)
(8)
(9)
(10)
(12)
(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. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C PAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name
- 2 I.D. Number
r ( }
(3) Cover Period �� / through / k `� , (4) Page
(5)
Date
(7)
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Amount
(6)
Sequence
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DS-DE 13 (Rev. 11/13)
SEE
REVERSE
FOR INSTRUCTIMS
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ice
t� CAM AIGN TASUR R'S REPORT - ITEMIZED EXPENDITURES
(1) Name 1 ��_Cs l� 1 �'�j
' t �s� 2 (2) I.D. Number
(3) Cover Period DLL- ` i_ through Jd / qi—ftflt (4) page iEof __ _ ____
(5)
Date
(7)
Full Name
(Last, Suffix, Finn, Middle )
Street Address b
CItY, State, Zlp Code
(8)
Purpose
{add office sought if
contribution to a
candidate)
(9)
Expenditure
TYPO
Amendment
Amount
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Sequence
Number
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