Hall- Treasurer Report- P1- 6-29-17WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
MIL-TO/V is It
Name
C0eG 4MBF7z- KK a
Address
Candidate ❑ Political Committee
JUN 2 9 2017
Office of City Clerk
OFFICE USE ONLY
Office Sought
"W6 POCP FL 32233
City State Zip Code
❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization (ECO). An ECO must file a report (not a
waiver) that no reportable contributions or expenditures were made during the reporting period is 106 0703(6), F. S.).
❑ Check here if address has changed since last report.
❑ Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check propriate Box and Complete Applicable Line beneath Box)
❑ MONTHLY REPORT PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report# Indicate report Indicate report# Indicate report type and#
M P G
as applicable:
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE
REPORTING PERIOD OF
1-7 THROUGH
X - 21{ 1
Signature Date
x---,OE37-�`Q�J 4/z-f/r -7
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer (s. 106 07(5) F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer is 106.07(5). F.S.)
Party Executive Committees:
Treasurer and Chairman Is. 106 29(2) F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account (no funds expended or
received) the filing of the required report is waived. However, the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed
DS -DE 87 (Rev. 06115)