DS-DE 12 Diffenderfer 2015-M06-1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Sc orr Di-ierit OFFICE USE ONLY
Name -
(2) ao /6-/ance 11)-e --ivi(0 __ r-3-1 ,--
Add ess(number and street) °
644AA, ,6)ecteA, r 1, s 3/39 _,_,
...,...
City, State, Zip Code = -
� --
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): C,f'jkitandidate Office Sought: /"N CO&fi/SS/O A) a 0 f V
❑ Political Committee(PC)
El Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded
❑ 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 filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From (L.i I/ l /3f To (Q- / 30 / l5— Report Type:0/5-p/y-,
❑Original [Amendment El Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ .j , 30. 00 Expenditures $ , l , f9/. Cf<i
Loans $ , Transfers to
Office Account $ , , .
Total Monetary $ , , 360. 0 O
Total Monetary $ , / , '19/ . (1
In-Kind $ ,
(8) Other Distributions
$ , .
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , yl l, . 00 $ , 8 , ®7P . SYR_
(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:
(Type name) N j 0 h n Le,e (Type name) S CO r 004/4r
❑Individual(only for IE Treasurer ❑Deputy Treasurer Candidate ❑Chairperson(only for PC and PTY)
or electi Bring comm. /
.fr,,vU
OP
X X
ature Sig" e
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
i 61
CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS
(1) Name CO dPr4r-
( ) � C � D/1-7:4/ (2) I.D. Number
(3) Cover Period 6_ / r / /5 through & / 30 / /5-- (4) Page / of 1
(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
62 l l /S 7Toh,, C?/Caro
80 6.4ai _T � � i�� /oo.oo
l
Akut, n-Pr 11/y, NY/ooh 3
—n
-
/ /
DS-DE 13(Rev.11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
0.2