DS-DE 12 G4-13 1 M.R. Islam I
d4
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT 5,UMMARYT r
(1) i-q 0 RjkM M ED PLA F k Q 0 1, �sL,6+1 OFFICEUSE OONLY
Name
2013 NOS' - 5 AN !0. 07
(2) C�O�-, h-,► 1z1'?-1 T X21\/IF__f*-3
Address (number and street)
MA,VA+A) VEAC 331 $
City, State, Zip Code NOV 5 203
❑ CHECK IF ADDRESS HAS CHANGED (3) ID Number:
(4) Che appropriate box(es):
Candidate (office sought): GOM M, S1ON�IZ I�U1�_ �-
❑ Political Committee ❑ CHECK IF PC HAS DISBANDED
❑ Committee of Continuous Existence ❑ CHECK IF CCE HAS DISBANDED
❑ Party Executive Committee
❑ Electioneering Communication ❑ CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cove Period: From I0 / Z / 2b 13 To I f� l ,3,1 / 2-01, Report Type C*— 13
Original ❑ Amendment ❑ Special Election Report ❑ Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ Zoo o v-Z Expenditures $ 4004 . 4o
Loans $ 0 0 , rzb Transfers to Office
Account $
Total Monetary $ 9 O 0 ' r7b Total
Monetary $
In-Kind $
(8) Other Distributions$
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. correct, and co ete.
(Type name) (Type n VOPWMIMC-4b LLA-0
Individual(only for ❑Treasurer EXeputy Treasurer 5yandidate ❑Chairperson(only for PC,PTY&
electioneering commun.) electioneering commun.organization)
X x -- -�
Signature Signature
DS-DE 12(Rev.08/04) /
SCAN�
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name M 6 i4AM 4� RPriP j Q V L_- (2) I.D. Number
(3)Cover Period 12, / 261 through - ( (4) Page 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 Tvpe Description Amendment Amount
-T& `I I ti VEST C-'n ILOCE. 2
3 b
DS-DE 13(Rev.08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TR SURER'S REPORT— ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3)Cover Period LO / l'�/ 2drough� / 3�/�3 (4) Page 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
10 2�1 u►��o� P)24r,tTIE(ZS '�(a t-1
L 1�1i P^m t3izo1!c d Zo b L4
->I
®� Se 6)N
GA-M PAI6)tJ mom
Meer o MLx-
V5"c1tt —33 I
EL— 3 3 02-0r
2-.3 90tro
5-6 -L-7w 66.® ��" ®�G4,M6=dJ °r
3® V
DS-DE 14(Rev.08/03)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN LOANS REPORT ITEMIZED
Page I of
tAl (PLEASE TYPE)
FULL NAME AND AD R S OF LENDER: FULL NAME AND ADDRESS OF LENDER:
16®
0'aaf 9 41, a VA_
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: - 00t V_z) AMOUNT OF LOAN:
DATE RECEIVED: �(�,.�� Pie DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
FULL NAME AND ADDRESS OF LENDER: FULL NAME AND ADDRESS OF LENDER:
OCCUPATION: OCCUPATION:
AMOUNT OF LOAN: AMOUNT OF LOAN:
DATE RECEIVED: DATE RECEIVED:
DS-DE 73A(Rev.08/03)