Beckenbach- Treasurers Report M5- 6-10-15 61-4 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) GDillulkiD L`")L-zc Xt`I'� I oFfmehted ONLY
Name
(2) .2-/6 6 (-E6,/\VAc,. �� ki JUN 1 0 2015
Address (number and street)
City, State, Zip Code / Office of City Clerk
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
[�Candidate Office Sought: A'f L t.11- �— �/� �—I) l,� "'l✓�1 SS(�f J 5 3
❑ 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 5 / , / 15 To 5 / 3 i / /5 Report Type: 20/5 rq 6
Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ , , • Expenditures $ , , Q . Q O
Loans $ , ,500 , Q 0 Transfers to
Office Account $
Total Monetary $ , ,Soo • bo
Total Monetary $ •
In-Kind $ , , •
(8) Other Distributions
$ ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ,5 oc-`) $ , , a . 01a
(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)�il. I� . Tcuz i3A _l-i (Type name) ! I ARK (� . eCgCt—te tC i-
❑ Individual(.my for (u Treasurer ❑ Deputy Treasurer CY Candid e ❑Chairperson(only for PC and PTY)
or electioneer mm.) �y
cir
gnature ignature
DS-DE 12(Rev. 11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN LOANS REPORT ITEMIZED
Page / of
(PLEASE TYPE)
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
C• �� 4\1 R L-1-1
22,/' b ci Ntoli D/L, bui
OCCUPATION: 227jA6J OCCUPATION:
AMOUNT OF LOAN: .5 00 — AMOUNT OF LOAN:
DATE RECEIVED: ..5ANCV/ DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03)
1
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name isi1i' ‘e �/J 3 4(-I-` (2) I.D. Number
(3) Cover Period 5 / / / I5 through 3 / '3) / /5 (4) Page ' of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City, State,Zip Code Type Occupation Type Description Amendment Amount
1:L46 c . u< CJ � J R ,5C30�
v-.Loeb r
4-(1A1,1-1 L >3 1
/ /
/ I
I /
I /
/ /
I /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES
(1)Name I9iRi< L' , --Bec.Ke- i (\u11 (2)I.D. Number
(3)Cover Period / ( / through /�� / -� (4) Page of f
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First, Middle) (add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
5 /18/15 Ar y__ 0.I= Api,cR-1 c-A CA e.c.K
3c) i f 3r Ov\-1) I`'&IN Ii2ji.do___
1 Nj, .piuia a, FL.- rise:
.5/1%1/15 1.14 C>h Ame'RlL-4 ( ,
e>1 3+)a ST r �L I° q-cp
2- ij�T�) bwn-4 , 1-4- �E 14-D
/ /
/ /
/ /
/ /
/ /
/ /
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES