Kelly - DSDE 12, 13, 14 - Treasurers Report - 2022-M9 - 10-11-22CAMPAIGN TREASURER'S REPORT SUMMARY
1) C/,b L I L1 OFFICE USE ONLY
Name
RECEIVED/2) 1LO, S'jI Va cG'
Addres (number and street)OCT 1 1
City, State, Zip Code 4-4(
Check here if address has changed 3) ID Number:
4) Check appropriate box(es):L
andidate Office Sought: MUC tK l Car in)sSib low a
Political Committee(PC)
Electioneering Communications Org. (ECO)El 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
9CoverPeriod: From 01 / Da.. To 9 I 30 / Report Type: 9
14 Original Amendment Special Election Report
6) Contributions This Report 7) Expenditures This Report
Monetary
Cash & Checks $ — , Expenditures $ 141 . L
Loans 3-7 Transfers to
Office Account $
Total Monetary 3-7
Total Monetary $ 1 (37
In-Kind
8) Other Distributions
9 ,
9) TOTAL Monetary Contributions To Date 10) TOTAL Monetary Expenditures To Date
a] a-3(-/ . &,2
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 alnd it is true, correct, and complete:
la (12., r
Type name) and poL / / k,t Type name) CO )( (12., L 141
Individual(only for IE IjoTreasurer 0 Deputy Treasurer Candidate 0 Chairperson(only for Pd and PTY)
or electioneering comm.)
X x CL
Signature Signature
DS-DE 12(Rev. 11/13)SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
1) Name Can k(11 2) I.D. Number
3) Cover Period 1 / Q I /a2. through `7 / 33 / 4) Page I 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
SIO It (LQSAP,n14-
o
q`,20 1a2 L s S77. q7
0 ,d , Can - 014
14).S vain
S P14102Loi S(e(1 ,(40
stank ,gih 3w
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
AMPAIG, TREASURER'S REPORT - ITEMIZED EXPENDITURES
1) Name CL( (Q.. (' ly 2) I.D. Number
3)Cover Period 09 / 01 /32.
through 09 / 30 / p2 (4) Page r of /
5) 7) 8) 9) 10) 11)
Date Full Name Purpose
6) Last,Suffix, First, Middle) add office sought if
Sequence Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
e,l)/1 7 U yCR P C. AS
PIS 04 iA 1 L 57'7. 9`7
I a00 cit 3 Wlllho
T ha OM clviS Leader Po\riza I (A-8-0 p / PO6-0( SOLzq raLjbHiesCGS sug,y
q a l/ ks, ,'vll , c - rf-
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES