Q4-06 Ivor Rose - Group V
(1 )
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT
~VCM.. R~E
Name
(~( 0 MIL ,^~lU~ A-ue
Address (number a street)
M ,'a.d 1Sea(.~ ~L-- ?31~
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED
(2)
..._f .......
OFFICE USE ONLY
2001 JAN -4 PM 2: 09
CITY CLERK'S OFF ICE
(3)
10 Number:
(4)
Check appropriate box(es): ~
[3'Candidate (office sought): LOM~/' SS'ioy\'e.tI' ~ C-.,uu-p ~
o Political Committee 0 CHECK IF PC HAS DISBANDED
o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED
o Party Executive Committee
o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
From (0 / _ /.!!..iL To ~ / 3..L / ~ Report Type Q~ - 'o~
o Amendment 0 Special Election Report 0 Independent Expenditure Report
Cover Period:
~original
(6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT
Monetary
Cash & Checks $ 0 Expenditures $ 0
Loans $ CJ Transfers to Office
Account $
Total Monetary $ () Total
Monetary $ 0
In-Kind $ 0
(8) Other Distributions
$ 0
(9) TOTAL Monetary Contributions To Date
$ '3 00
(10) TOTAL Monetary Expenditures To Date
$ 0
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.)
I certify that I have examined this report and it is true, I certify that I have examined this report and it is true,
correct, and complete. correct, and complete.
(Type name)
Candidate
'1:uo ~t
o Chairperson (only for PC. PTY &
electioneering commun. organization)
(Type name)
o Individual (only for Treasurer 0 Deputy Treasurer
electioneering commun.)
X V#~
Signature
OS-DE 12 (Rev. 08(04)
X
Signature