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(1)

CAMPAIGN TREASURER'S REPORT SUMMARY


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Nam3o{J--
(2)
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City, Code
(4)
D Check here if address has changed (3)
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appropriate box(es):
Office Sought:
0 Political Committee (PC)
ID Number:
D Electioneering Communications Org. (ECO)
0 Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers an
individual making electioneering communications)
Cover Period:
D Original
(6) Contributions This Report
Cash & Checks $ ' '
- - - - - - - -
Loans $----+-- ' _j_ ' IJD b. w
Total Monetary $
In-Kind
$ ' '
-- -- -- --
(9) TOTAL To Date
$ --' , 006
0 Check here if PC or ECO has disbanded
D Check here if PTY has disbanded
D Check here if no other IE or EC reports will be filed
Report Type: f1 /
(7) Expenditures This Report
Monetary
Expenditures
Total Monetary $
(8) Other Distributions
$ __ , __
(10)
(11) Certification
It is a first degree misdemeanor for any person to falsify a publi
0 Deputy Treasurer
X X
Signature Signatur
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Name
R
(2) I.D. Number
1l1 1.!1:_ (4) Page (3) Cover Period ---+- I ---+- I 4 through
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
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OS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(4) Page ____ of ____ _
(5)
(7) (8) (9) (10) (11)
Date
Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought if
Street Address & contribution to a
Expenditure
Sequence
City, State, Zip Code candidate)
Type
Amendment Amount
Number
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DS-DE 14 (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1)
(2)
(4)
City yState, ip Code
[(check here if address has changed
Check appropriate box(es):
Office Sought:
t.tJ Political Committee (PC)
0 Electioneering Communications Org. (ECO)
D Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers an
individual making electioneering communications)
(3) ID Number:
------------------
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0 Check here if PC or ECO has disbanded
0 Check here if PTY has disbanded
0 Check here if no other IE or EC reports will be filed
Cover Period:
0 Original
From Cf I J'
/ <J
I -4- To J--1 d- _/ I _l___j_
Report Type: r11 6-
[g" Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $
Loans
Total Monetary
$ ' '
-- --- --- ---
(9) TOTAL Monetary c ontributions To Date
$ _ , , Ch90 .
(7) Expenditures This Report
Monetary
Expenditures $ , _, Sf_? . _!J:'
Transfers to
Office Account $
Total Monetary
$ __ .. _5d3 . oo
(8)
(10)
Other Distributions
$
' ' ---- ---- ----
TOTAL Monetary To Date
Mj ov
$ ---- ' ---- ' . ____ 0
(11) Certification
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
(Type name)
D Individual (only for IE
or
X
OS-DE 12 (Rev. 11113)
D Deputy Treasurer D Chairperson (only for PC and PTY)
SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name
Jkcle ~ e J
I.D. Number
(3) Cover Period J I !__ I J.j__ through (4) Page d of 3_
(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
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DSDE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
/ TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name f1 LL_ (2) I.D. Number
------
(3) J.-j ,__!i (4) Page 5 of _____:: J =----
(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
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DS-DE 14 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1)
(2)
/} CAMPAIGN TREASURER'S REPORT SUMMARY
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Check here if address has changed

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CITY CL
(3) ID Number:
------------------
(4) .chJCk appropriate box(es):
k2f' C_gmdidate Office Sought:
D Political Committee (PC)
D Electioneering Communications Org. (ECO)
D Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers an
individual making electioneering communications)
D Check here if PC or ECO has disbanded
D Check here if PTY has disbanded
D Check here if no other IE or EC reports will be filed
(5) Report Identifiers
From rf I d-d- I Ji_ To _3_ I L_ I ltj Cover Period: Report Type:
D Original D Special Election Report
{6) Contributions This Report {7) Expenditures This Report
Cash & Checks
$ '
--- ---
$
-'
Loans
$
Transfers to
Office Account $
Total Monetary
Total Monetary $ __ , __ , Jif . 10
In-Kind
' ' -- -- -- --
(8) Other Distributions
$ ---- ' --- ' --
(9) TOTAL Monetary Contributions To Date
$ _ , {bO . t6
(10) TOTAL Monetary Expenditures To. Date
$ . _. laqf. oY
( 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)'1leu -t/\1 (Type name)
reasurer 0 Deputy Treasurer Geandidate Chairperson (only for PC and PTY)
X
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1J Name flchfd4} lucre:J
(3) Cover Period ~ d ~ /Y through
(2) I.D. Number
_3 I ____ I Ji (4) Page
_jot _
(5) (7) (8) (9) (1 0) (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
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DS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(4) Page - ----1(>------- of __ / __ _
(5)
(7) (8) (9) (10) (11)
Date
Name of Financial
(6)
Institution
Sequence
Street Address & Transfer Nature of
Number
-City, State, Zip Code Type Account Amendment Amount
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OS-DE 13A (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
SURER'S REPORT- ITEMIZED EXPENDITUR s
(1) Name J!t e-C:J (2) I.D. Number-f-----+--
(3)CoverPeriod JJ- ,Jf--through____J_;_.f!!__;L (4)Page of _ -+---
(5)
(7) (8) (9) (10) (11)
Date
Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought if
Expenditure
Sequence
Street Address & cont ribution to a
Number
City, State, Zip Code candidate)
Type
Amendment Amount
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OS-DE 14 (Rev. 11/13)
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ASURER'S REPORT - ITEMIZED DISTRIBUTIONS
(1) Name (2) I.D. Number
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~
Jl (3) Cover Period through b l IV (4) Page
_/_of /
(5) (7) (8) (9) (10) (11) (12)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought if
Sequence Street Address & contribution t o a Related Di stribution
Number City, State, Zip Code candidate) Expenditures Amendment Amount Type
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OS-DE 14A (Rev. 11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(1)
(2)
(4)
City, State, p Code
here i f address has changed
Check appropriate box(es):
Office Sought:
D Political Committee (PC)
D Electioneering Communications Org. (EGO)
D Party Executive Committee (PTY)
D Independent Expenditure (IE) (also covers an
individual making electioneering communications)
(3) ID Number:
------------------
D Check here if PC or ECO has disbanded
D Check here if PTY has disbanded
D Check here if no other IE or EC reports will be filed
Cover Period:
D Original
"? (s) F!.eport ldeZitiers c; Jf
From _0_ I ]_ I To I -/-- I
0 Amendment Jij 0 Special Election Report
Report Type:
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks
Expenditures $
Loans Transfers to
Office Account $
Total Monetary
Total Monetary $ __ , _ _ , 3fo_ . q;z_
In-Kind I I
--- --- --- ---
(8) Other Distributions
$ ____ I ---- I ----
(9) TOTAL Monetary Contributions To Date
$ D<.)
(10) TOTAL Monetary ExpE)Ilditures To Date
$ 1 1 b</1 ot
-- -- --, -
(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 e mined this report and it is true, correct, and complete:
(Type name)
' andidate
X
Signature
OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name ( (2) I.D. Number _ _ _ _
(3) Cover Period __3_ I I J- through __ (e 3 I 4!- (4) Page 2- of j_
(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
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OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
(5)
(7) (8) (9) (10) (11)
Date
Full Name Purpose
(6)
(Last, Suffix, First, Middle) (add office sought if
Expenditure
Sequence
Street Address & contribution to a
Number
City, State, Zip Code candidate)
Type
Amendment Amount
s
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DS-DE 14 (Rev.11/13)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES