Q-1
(4) Check appropriate box(es):
m Candidate (office sought):
o Political Committee
o Committee of Continuous Existence
o Party Executiye Committee
FLORIDA DEPARTMENT OF STATE, DIVISION OF ELECTIONS
CAMPAIGN TREASURER'S REPORT SUMMARY
".A I ':.~ ' ':;;, .-...
(1) S :h./lA l~. ."1. /( SA 11' f" fZ Cl (2), "~ _ r:,~ 1,0' I u
Candidate, Committee or Party Name ~ l;ilJ Nu.'m..b.ef-..., -c;, ,::L? ~
(3) 7 S- 7 Vl/ e." T II- t./ C' :Ff 7'/ .2 / II v---... f3~9 ~ 'frJ.{ \yy L/ (
Address (number and street) City State Zip Code
o Check box if address has changed since last report
C " /: . o:r:rr..
o f7 /'-1 I S' 5 I 0'Y1 -c: /<.. (f"'~<1 V\~
o Check if PC has DISBANDED ',: '~C'''1
o Check if CCE has DISBANDED ~~~~ ':s
-"I ." III
Si'\ -f?o 0
Cover Period: From
JI
(5) REPORT IDENTIFIERS
2j I 0 I To 3 I 3/ I 0 J
(=-) 0)
rn
Report Type
6-/
~ Original 0 Amendment 0 Special Election Report 0 Independent Expenditure Report
(6) CONTRIBUTIONS THIS REPORT
(7) EXPENDITURES THIS REPORT
Cash & Checks
$-,
Monetary ;J/on'f.:
Expenditures $-,
100000 Transfers to
, . Office Account $-,
Total Monetary $
Loans
$
Total Monetary
$
---'
In-kind
$-,
(8) Other Distributions $_
(9) TOTAL Monetary Contributions to Date
$ /, 0 QO. ClO
(10) TOTAL Monetary Expenditures to Date
$ 77 0 n.--e..
(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
tnue, correct and complete
I certify that I have examined this report and it is
tnue, correct and complete
Name of
Q?I Treasurer 0 Deputy Treasurer
Name 9f .eg Candidate 0 Chairman (PC/PTY
Only)
x
x
os. DE 12 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT SUMMARY
(1) Type candidate's full name or name of the political committee (PC), committee of continuous
existence (CCE) or party executive committee (PTY).
(2) Type the identification number assigned by the Division of Elections.
(3) Type the address. including city, state and zip code (may use post office box). If the address has
changed since the last report filed, please check the box.
(4) Check appropriate box(es): Candidate (type office sought including district, circuit or group numbers),
PC, CCE, or PTY. If PC or CCE has disbanded and will no longer file repons, please check the
respective box.
(5) Report Identifiers: Type cover period dates (e.g., From 4/1197 To 6130/97 ). (8ee Calendar and
Election Dates for appropriate year and cover periods.) Enter the Report Type using one of the
folloWing abbreviations:
IF A SPECIAL ELECTION REPORT ADD "S" IN FRONT OF THE REPORT CODE (I.e., ~SG3").
QUARTERLY REPORTS SECOND PRIMARY REPORTS
January quarterly ...................................04 18th day prior ...............................82
April quarterly ........................................01 4th day prior .................................83
July quarterly .........................................02 GENERAL ELECTION REPORTS
October quarterly ...................................03 18th day prior ...............................G2
FIRST PRIMARY REPORTS 4th day prior .................................G3
32nd day prior........................................F1 90-DAY REPORTS (Candidates Only)
18th day prior.........................................F2 Termination report........................ TR
4th day prior...........................................F3
Indicate whether this is the Original (first) report for this period or if this is an Amendment. Also check
the appropriate box to indicate if this is a Special Election Report or an Independent Expenditure Report
(8ection 106.071, F.8.).
(6) Type the amounts of all Cash & Checks, Loans, Total Monetary and In-kind contributions identified on
this recort on the appropriate line. (Total Monetary is the sum of Cash & Checks and Loans.)
(7) Type the amounts of all Monetary Expenditures, Transfers to Office Account and Total Monetary
Expenditures identified on this recort on the appropriate line. (Total Monetary Is the sum of
Monetary Expenditures and Transfers to Office Account.)
(8) Type the amount of Other Distributions identified on this recort on the appropriate line. (Other
Distributions are goods or services contributed to a candidate or other committee by a political
committee, committee of continuous existence or a party executive committee.)
(9) Type the amount of TOTAL Monetary Contributions to Date on the appropriate line.
(10) Type the amount of TOTAL Monetary Expenditures to Date on the appropriate line.
NOTE: For (9) and (10) above - Committees and party executive committees will keep cumulative
totals for 2 year periods at a time (example: January 1,1997 through December 31,1998).
Candidates will keep cumulative totals from the time the campaign depository Is opened
through the termination report.
(11) Type or print required name and have them sign:
. Candidate Report (treasurer and candidate must sign)
. PC Repon (treasurer and chairman must sign)
. CCE Report (treasurer must sign)
. PTY Report (treasurer and chairman must sign)
AMENDMENT REPORTS: An amendment report summary is to summarize only the contributions. expenditures,
distributions and fund transfers being reported as additions or deletions. Please read the instructions for the sequence
number fieid and the amendment type field on the back of forms OS-DE 13, 14, 14A and 94. The Division will
summarize all reports submitted for each reporting period and for the filer to date.
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CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(l)Name 5ra?7/-e;t ): SA",~,'t<... c..l (2) 1.0. Number
(3) Cover Period -----.-l-----.-l_ through ~ 31 I 0/ (4) Page / of
/
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle) Contributor
Sequence Street Address & Contribution In-kind
Number City, State, Zip Code Type Occupation Type DescriDlion Amendment Amount
J /~Ol 5T,,-,>\I-e 'J 0,""-10\
0(.44.* lo'iyt.- /00
K
Sl-.. '7P lAd .
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3 ;((/d/ 5/@....v\ I e.. ~ Cctl1 Zoco, 9'00
K 5~"'/' r<CJ cf,do.'k
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OS-DE 13 (7/9B)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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INSTRUCTIONS FOR CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS
(1) Type candidate's full name or name of the political committee (PC), committee of continuous existence (CCE) or party
executive committee (PTY).
(2) Type the identification number assigned by the Division of Eiections.
(3) Type cover period dates (e.g., 4/1/97 through 6/30/97 ). (See Calendar and Election Dates for appropriate year
and cover periods.)
(4) Type page numbers (e.g., -L- of ~.
(5) Type date contribution was RECEIVED (Month/DaylYear).
(6) Sequence Number - Each detail line shall have a sequence number assigned to it. Sequence numbers are to be assigned
within each reporting period and for each type of detail line. Thus the report type, detail line type, and sequence number
will combine to uniquely identify a specific contribution. expenditure. distrtbution or fund transfer. This method of unique
identiticatlon is required for responding to requests from the Division and for reporting amendments.
For example, a Ql report having 75 contributions would use sequence numbers 1 thru 75. The next report (Q2). comprised
of 40 contributions would use sequence numbers 1 through 40. Contributions on amended Q1 reports wouid begin with
sequence number 76 and on amended Q2 reports would begin with sequence number 41. See the Amendment Type
instructions below.
(7) Type full name and address of contributor (inciuding city, state and zip code).
(8) Enter lhe type of contributor using one of the following codes:
Individual = I
Business = B (also Includes corporations, organizations, groups, etc.)
Committees = C (Includes PC's, CCE's and federal committees)
Political Parties = P (Includes federal, state and county executive committees)
Other = 0 (e.g., candidate surplus funds to party, etc.)
Type occupation of conlrtbutor for contributions over $100 only. (If a business, piease indicate nature of business.)
(9) Enter Contribution Type using one of the following codes:
NOTE: Cash includes cash and cashier's checks.
(10) Type fhe description of any in-kind contribution received.
Candidate's Only - If In-kind contribution Is from a party executive committee and Is allocable toward the
contribution limits, type an "A" In this box. If contribution is not allocable, type an "N".
(11) Amendment Type (required on amended reports) - To add a new (previousiy unreported) contribution for the reporting
period being amended, enter "ADD" in amendment type on a line with ALL of the required data.
The sequence number for contributions with amendment type "ADD" will start at one plus the number of contributions in
the original report. For example, amending an origlnai Ql report that had 75 contributions, means the sequence
number of the first contribution having amendment type "ADD" will be 76; the second "ADD" contribution would be 77,
etc. When amending an original Q2 report that had 40 contributions, the sixth "ADD" contribution wouid have sequence
number 46.
To correct a previously submitted contribution use the following dropladd procedure. Enter "DEL" in amendment type
on a line with the sequence number of the contribution to be corrected. In combination with the report number being
amended, this sequence number will identify the contribution to be dropped from your active records. On the next line
enter "ADD" in amendment type and ALL of the required data with the necessary corrections thus replacing the
dropped dala. Assign the sequence number as described above.
(12) Type amount of contribution received. Committees of continuous existence ONLY: Any contribution which
represents the payment of dues by a member in a fixed amount pursuant 10 the schedule on file with the Division of
Elections need oniy list the aggregate amounl of such contribution, together with the number of members paying such
dues and the amount of membership dues.
DESCRIPTION CODE
Cash CAS
Check CHE
In-kind INK
Interest INT
Loan LOA
Membership dues DUE
Refund REF
I
1.
,
,
,
1
l
i
I
t
1
,
A
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CAMPAIGN TR~~SURER'S REPORT - ITEMIZED EXPENDITURES
(1) Name S T <V-J." I ~ K Sic 9 /:h R. u (2) 1.0. Number
(3) Cover Period ~ 2j I~ through '3 I 3/ I~ (4) Page ) of
/
(
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last, Suffix, First, Middle) (add office sought I' Expenditure
Sequence Street Address & contribution to a
Number City, State, Zip Code candidate) Type Amendment Amount
/ / 7; )
o 7t --e
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--
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/ /
OS-DE 14 (7/98)
SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES