DS-DE 87 Waiver of Report BibasMonteroWAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Ep~tJNLY
2p09 JAN 12 PM 12~ 52
CITY C~.t`a`;'~ CAF°~ 1C;(~
andidate's Name (Last, Su Ix, First, Middle)
OR Political Committee, CCE or Party Name
~ ~. ~ ~~- ~rb~~J ~~~
Address (Number and Street ZZ p~
City St to Zip Code
Candidate ~ Committee of Continuous
Existence
Political Committee ~ Party Executive Committee
Identification Number (Assigned by Division
of Elections)
L~vt h~ .. ~~~~Y'Q S ~5~~ P I I L
Office Sotaght (include District, Circuit or
Group Number)
Check box if address has changed since last
report.
Check here if PC or CCE has DISBANDED
and will no longer file reports.
TYPE OF REPORT
(Check Appropriate Box)
QUARTERLY REPORTS
~ January
^ April
^ July
^ October
PRIMARY ELECTION
^ 32nd day prior
^ 18th day prior
^ 4th day prior
GENERAL ELECTION
^ 46th day prior
^ 32nd day prior
^ 18th day prior
^ 4th day prior
^ TERMINATION REPORT
^ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
~V~~ _ ~ , ~t ~ D 1S through ~C_ ~ l , ~ o ~( ~
-r-~--~-
X
+2 0
Signature Date
SIGNATURES REQUIRED FOR: Candidates
Candidate, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Political Committees
Chairman, Campaign Treasurer or Deputy Treasurer (s. 106.07(5), F.S.)
Committees of Continuous Existence
Treasurer (s. 106.04(4)(c), F.S.)
Party Executive Committees
Treasurer or Chairman (s. 106.29(2), F.S.)
In any reporting period when there has been no activity in the account (no funds expended or received) the filing of
the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting date
that no report is being filed.
DS-DE 87 (Rev. 08103)