Kelly - DSDE 12 - Treasurers Report - 2022-M8 - Amendment - 10-11-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) CON110 L L/) OFFICE USE ONLY
Name RECEIVED/
2) Ha.. duc'y' OCT , ion
Addres ( umber and street)
gogJh — A--
X33
City, State, Zip Code
Check here if address has changed 3) ID Number:
4) Check appropriate box(es):
Candidate Office Sought: 41i11 &QCh Lamml l%nom52(241-1"/
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 001 / a2 To 3 / Report Type: f.)O22
gi
l ci
S[ E IZ
1 C Special Election ReportOriginalAmemen ;,.
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash & Checks $ p Expenditures $ 070 . aj
Loans 2 p ' . 30 Transfers to
Office Account $ ., ,
Total Monetary 2 '425 • 30
Total Monetary $ 2 CC() S
In-Kind
8) Other Distributions
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
2 , a 2 ,oD . 5
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) Cpy1d4a, L Type name) C(jyLL L 160
Individual(only for IE Vyl Treasurer Deputy Treasurer Candidate El Chairperson(only for PC and PTY)
or electioneering comm.) C
X C1101.4) X CIL\gibSignatureSignature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS