DS-DE 12 Michael A. Stern Group VI
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FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS EO
CAMPAIGN TREASURER'S REPORT SUMM.a6C E I V
(1 )
Om'I~E.eNIPf1 I: 09
Skn
Name
(2) \,lot" Ml~Lt'"'0 ~
Address (numbnr and street) '2 Cj
M\~ v~~ ~l(\-- sz., IlL
City, State, Zip Code
o CHECK IF ADDRESS HAS CHANGED (3) ID Number:
Ctteck appropriate box(es): /' r---:::-
rS Candidate (office sought): ( C\UA<;.s.\~ (D~ ~
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
CITY CLERK~ O~CE""",
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o CHECK IF NO OTHER ELECTIONEERING
COMMUNICATION REPORTS WILL BE FILED
(5) REPORT IDENTIFIERS
Cover Period: From 0 ( / -.21 / {0? To tJ 3 / '-g I /! 00 7 Report Type Q k 0 7
G"Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
Cash & Checks $ 0
$ 0
Loans
$ 0
Total Monetary
In-Kind $ (:)
(7) EXPENDITURES THIS REPORT
Monetary
Expenditures
$
co
Transfers to Office 0
Account $
Total
Monetary
$
CD
(8) Other Distributions c::>
$
(9) TOTAL Monetary Contributions To Date
$ (J
(10)
~OTAL Monetary ~enditures To Date
(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.
D Deputy Treasurer
Signature
OS-DE 12 (Rev. 08/04)
Signature