DS-DE 12 Rosen Gonzalez 2015-R2-2f
A MPAIGN TREASURER'S REPORT SUMMAkf. A, 7 ' n
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(1) is iftA. (» et. OFIii C6 U'SE(5N,)-Yri 10: 0 r'
Na
(2) r214eA( All, ei( CITY CL:_ki S OFF11
Addr ss (number and street)
City, State, Zip Code c
❑ Check here if address has changed (3) ID Number:
(.---) �, , . '
(4) Check appropriate box(es): ° --CIEandidate Office Sought: 11t3 V1fl,1(S,S
1=1 Political Committee (PC) .- '
❑ Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbandedcD - '
El Party Executive Committee(PTY) ❑Check here if PTY has disbanded
El Independent Expenditure (IE) (also covers an ❑ Check here if no other IE or EC reports will be fled
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From D / 3 1 / )5 To )( / 1 2 / r 5- Report Type: 1<-2..._
❑ Original ► _.a mendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
aot 4 3 lo t OO Monetary &3 7 3L / 5J7
Cash &Checks $ , , Expenditures $ , ,
Loans $ , Transfers to
Office Account $ , ,
I PI)nets
Total Monetary $ � � 0,o 1 415 Total Monetary $ ,Z 73(4 . 0
In-Kind $
(8) Other Distributions
$ , •
(9) TOTAL Monetary Contributions To Date. (10) TOTAL Monetary Expendit res To Date
$ , ,q�50Q 1 , ®® $ le 3 3K.
1
(11)Certification
It is a f r t d:• ee misdemeanor for any person to falsify a pu,; ,, reco d(ss. 839.13, F.S.)
I certify that I h2 L • report and it is true, correct, and complete
(Type name) • (Typ- name) 'L. .._..AIIIIIIg
rfito, dividual(only tor IE nITreasurer ❑Deputy Treasurer ,M Candidate Chairperson(only for PC and PTY)
r
./•', tioneering com )
\t.90
X i ) ' X
Signature Signature V
DS-DE 12(Rev.11/13) SEE REVERS FOR INSTRUCTIONS
• CAMPAI TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
1 r
(1) Name L ■ 1.4u1LS . ' (2) I.D. Number
(3) Cover Period 1 O / 31 /t through l t / \ 2 / f SP` (4) Page 1 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
1( / 6i / 1.5 • /l)L It 2 N YetL \ AL boo
--*-19-1_bc
1
rvv4avi4∎ 11L 'cm
li. Ii9 115 giri4 it)(0 J85 A- 1 P NA) iôo
5-k _ 1° °
-Ak -t-L 1S4j
/ lam/ s
�W.D46° 1)1, 1 t-QA-V-4/ Ok 61 iv6 Ill .3-9-yi
■ s7 s--6
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1::::: e_ Z---c...4 3
CAMPM9.N THE URER'S(R,gPORT- ITEMIZED EXPENDITURES
(1) Name Lri44. � 160 cao (2)I.D. Number
(3)Cover Period f 0 / 3 / through II / (S (4) Page 1 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 Type
Number City,State,Zip Code candidate) Amendment Amount
10 /11/ --P0)A Pat va/v>"
. (;0\( oci capt,vol- 1(\a60 )5(ozb
I
Omaha , 5)/b--n o
/ /
/
/
/
/ /
/ /
/
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
3