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DS-DE 87 2014 M1 WAIVER OF REPORT (Section 106.07(7), F.S.) (PLEASE TYPE) 10 09 J OFFICE USE ONLY Name Office Sought �s� n 0�� -# //0 1441 G� 795Z 33/ 3f Address City State Zip Code ❑ Candidate ❑ Committee of Continuous Electioneering Communication Organization Existence ❑ Political Committee ❑ Party Executive Committee ❑ Check box if address has changed since last report. ❑ Check here if PC, CCE, or ECO has DISBANDED and will no longer file reports. TYPE OF REPORT(Check Appropriate Box) QUARTERLY REPORTS PRIMARY ELECTION GENERAL ELECTION ❑ January ❑ 32nd day prior ❑ 46th day prior A� p ❑ April ❑ 18th day prior ❑ 32nd day prior ❑ July ❑ 4th day prior ❑ 18th day prior ❑TERMINATION REPORT ❑ October ❑ 4th day prior ❑SPECIAL ELECTION NOTIFICATION 7JN, AA TIVIT IN CAMPAIGN ACCOUNT FO TH REPORTING PERIOD OF ✓ - T HROUGH Signature Date SIGNATURES IRED 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 and Electioneering Communication Organizations 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.07/10)