Ford - DSDE 12, 13 - Treasurers Report - 2022-M5 - 2nd Amendment - 7-7-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) ui4 f;cJ OFFICE USE ONLY
Name R.77C=1.771r7f D
92)73G 4d A-Ic JUL 0 7 2022
Addre s number and street)
3/4e13 rG32233 BY:
City,
State, Zip Code
Check here if address has changed 3) ID Number:tg/i
4) k appropriate box(es):Che
Candidate Office Sought: 44 dl1i-
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 a I 01 I 2122 To el) l j` I 2‘122._ Report Type: 2122—f
Original mendment Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash & Checks $Expenditures $
Loans Transfers to
Office Account $
Total Monetary a • 0
Total Monetary $ O . 0
In-Kind y'(1• &e)
8) Other Distributions
d . 0
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
r , 2410 . 00 3 , on . a,
if
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 fined this report and it is true, correct, and complete:
1/ yTypename) Por /3i ret Typ flame) d/•T15 / d(d
Individual(only for IE 0 Tr er eputy TreasurerCandidate 0 C. ' •-rson(only for PC and PTY)
or electioneerin m
X 14-4 /
if X C--0-‘ditt 0
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
1) Name L_I/ + Foil 2) I.D. Number 0-.
3) Cover Period 97 / O/ / 2.022.through eir / 31 / 202,4 (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
3 l9 / zL 441#41:,:t_ nwli
Ow et tit6S®1 Alla, 131, 41( Maike. . IW n59. ee
ifitote
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES