Waiver of ReportRECEIVED
WAIVER OF REPORT
(Section 106.07(7), F.S.)
(PLEASE TYPE)
Candidate s Name (Last, Surex, First, Middle)
OR Political Committee, CCE or Party Name
Addr~ss'(Numb~r and Street)
~Candidate [---] Committee of Continuous
Existence
Political Committee [~ Party Executive Committee
Identification Number (Assigned by Division
of Elections)
Office Sought (include DistriCt, Circuit or
Group Number)
Check box if address has changed since last
report.
Check here if PC or CCE has DISBANDED
and will no longer file reports.
qUARTERLY REPORTS
TYPE OF REPORT
(Check Appropriate Box)
PRIMARY ELECTION
GENERAL ELECTION
[] January I-] 32nd day prior []~ 46th day prior
[] Apdl [] 18th Cay prior [] 32nd day prior
[] July [] 4th day prior [] 18th day prior
[] October [] 4th dayprior
[] TERMINATION REPORT
[] SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
-/ -1 /
Signature
SIGNATURES REQUIRED 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
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. 12/01)