Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Kelly- Treasurer Report- P4- 8-4-17
CAMPAIGN TREASURER'S REPORT SUMMARY VA OFIMMANLY (1) (-NYIkg_ Name4 aQIUpAR(tQ AUG - 4 2017 (Z) Ila Ad rlQ�i,sIs ( umb(el1alnd streetl.. .3� Office Yrrn ''4 of city Clerk City, State, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): I� �1 /� 1 &.candidate m m a 1 office Sought: I�I�YAn i.�Ca Grl 1 , (o ❑ 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 •�1 Cover Period: From ( I ,1a / 1� To I l I \n Report Type: L_ riginal ❑ Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $_ �� • = Monetary Expenditures $ Loans $ Transfers to Office Account $ Total Monetary Total Monetary $ In -Kind $ ISO • 00 (8) Other Distributions -----r+=r�'v�' (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date Sci LI3 $ 00 $ 3 , I . It 1) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) examined this report and it is true, correct, and complete: I certify that I have examined Ca Al I\,. name) C4v) k4.ce. Ia I LI (Type name) n (Type ❑ Individual (only for IE ❑ TreasurerDeputy Treasurer IS�Candidate ❑ Chairperson (only for PC and PTY) or electioneering oanm.) X CL" X Girt,. L I uP,_ Signature Signature DS• 3E 12 (Rev.11113) SEE /�,, C lPAI REASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name CQh vC. g (2) I.D. Number (3) Cover Period// —1through -Z/01� /3 (4) Page I of (5) Date (T) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (S) Purpose (add office sought if contribution to a candidate) (9) Expenditure Type (1D) Amendment 111) Amount (S) Sequence Number h +y� IotS uPwrX (d lv d r LAJ �S b9 001 a 3��sts. q OCA DS -0E 14 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name ( n Ak I�V/ (2) I.D. Number (3) Cover Period -7/ U / through / / (4) Page of (6) Dale (7) Full Name (Last, Suffix, First, Middle) Street Address& ON, State, ZIP Code (6) Contributor Tvpe Occupation (9) Contribution Type (16) In-kind Description (11) Arne^erne^' (12) Amount (6) Sequence Number swh R ©ol0 171� r3 a 4 A�luni�r;g�h f a I1J K FDD a¢cNa%ans ISO CbZ I7) Na a- wm lAna P- 0 n YMn ad(� B "46iQ H" c( &q�br � � SOD � 0�1 Oc}5 (�J'lGn�aBnq�h C0. DS43E 13 (Rev. 11/13) SEER ERSEFOR INSTRUCTION* ANU CODE VALUES sap