DS-DE 12 TR-13 Steve Berke f M 00?-0
CAMPAIGN TREASURER'S REPORT SUMMARY
(�) OFFICE USE ONLY
Name �`� ( ALX��S •-f-Q�1 l
Address (number.and street)
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City, State, Zip Code
F-1 Check here if address has chancied (3) 1D Number_
(4) Chec appropriate box(es):
s eet
7andidate Office Sought:
❑ Political Committee (PC)
❑ Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded
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❑ 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 r '
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= a� y
riginal ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Loans $ Transfers to
Office Account $ C�
Total Monetary $
- - Total Monetary $ �(�
In-Kind $
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Moneta^- =-,no^.ritiwpc To Date
(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:
4
(Type name) / �� (Type name) (`�
❑Individual(only for IE reasurer ❑Deputy Treasurer andidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
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Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOF�INSTRUCT
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CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
1 Name (2) I.®..Number
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(3) Cover Period. . / / / through / / (4) 0"a e of
Date - -
Full Name
(6) (Last,Suffix, First, Middle):..
Sequence Street Address&. Contributor Contribution_ In-kind
Number. City, State,Zip Code Type Occu ationa T e Description Amendment Amount
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DS-DE 13(Rev.08103) .SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
MPAI N TREASURER'S REPORT® ITEMIZED EXPENDITURES
(1) Name (2) I.D. Number
(3)Cover Period I/ L through / / (4) Page of
(5) (7) (8) (g) (1 0) (1 1)
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.08/03)
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CAMPAIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name (2)I.D. Number
(3)Cover Period /_ _/ hrough_2 / 3 / (4) Page )e-
(5) of
(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.08103) /
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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CAMPAIGN TREAMRER'S REPORT— ITEMIZED EXPENDITURES
(1) Name (2)I.D. Number
(3)Cover Period l 1 / ( / through / 3 / �'7 (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
Number City,State,Zip Code candidate) Type Amendment Amount
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