Carper- DSDE 12, 13 -Treasurer Report- 2019-M11-12-9-19C Pk i' y 0 G N TR
(1) Ricky L. Carper
1-[',ASUR
1
Name
(2) 1810 Selva Grande Drive
Address (number and street)
Atlantic Beach, FL 32233
City, State, Zip Code
Check here if address has changed
(4) Check appropriate box(es):
Candidate Office Sought:
Mayor Seat One
1:ff,1,D)0 T SUMMARY
DECre
9 2019
1
IP)
(3) ID Number:
U Political Committee (PC)
❑ Electioneering Communications Org. (ECO)
❑ Party Executive Committee (PTY)
❑ Independent Expenditure (IE) (also covers an
individual making electioneering communications)
Check here if PC or ECO has disbanded
Check here if PTY has disbanded
Check here if no other IE or EC reports will be filed
(5) Report Identifiers
Cover Period: From 11 / )61, To 11 /
1
Original
20 / (201
Amendment U Special Election Report
Report Type:
(6) Contributions This Report
Cash & Checks $
Loans �
Total Monetary �
In -Kind �
•
. 0
06
(9) TOTAL Monetary Contributions To Date
00
(7) Expenditures This Report
Monetary
Expenditures
Transfers to
Office Account $
Total Monetary $
r
ocf/
uCO
(8) Other Distributions
$ ,
(10) TOTAL Monetary Expenditures To Date
S
(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) Ricky L. Carper
Type name) Ricky L. Carper
U Individual (only for IE / Treasurer [_] Deputy Treasurer
or election ft g comm.)
Candidate
Chairperson (only for PC and PTY)
X
Signa
(7 -
DS -DE 12 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Ricky L. Carper
11/22/2019
(3) Cover Period /
11/30/2019
through /
(2) I.D. Number
/ (4) Page 1 of
(5)
Date
(7)
Full Name
Middle)
&
Code
Type
Contributor
(8)
Occupation
(9)
Contribution
Type
(10)
In-kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
(Last, Suffix, First,
Street Address
City, State, Zip
11/22/2019
/ /
Carper, Ricky
1810 Selva Grande
Atlantic Beach.
L
Dr.
F1.
S
Candidate
CAS
50.00
01
32233
/ /
/ /
/ /
/ /
/ /
/ /
DS -DE 13 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES