Waiver of Report WAIVER OF REPORT
(Sacrio. 106.07(7), F.S.)
(PLEASE TYPE)
Candidate's Name (L~,st, Suffix, First, Middle) Identification Number (Assigned by Division
OR Political Committee, CCE or Party Name of Elections)
Address (Number and Street) Office Sought (Incldde District, Circuit or
p1// Pu b c/7 FL rou Number>
City State Zip Code
't~ Check box if address has changed since last
Can.,date [] co~i...-o~ Conti..o.s l'1 rape..
Existence
D Political Committee [] Party Executive Committee F"l Check here if PC or CCE has DISBANDED
and will no longer file reports.
TYPE OF REPORT
(Check Appropriate Box)
QUARTERLY REPORTS RRST PRIMARY SECOND PRIMARY GENERAL ELECTION
[] January [] 32nd day prior [] 18th day prior [] 18th day prior
:~April [] 18th day prior [] 4th day prior [] 4th day prior
[] July [] 4th day pdor
[] October [] SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
z-z ol 1.ro... it-/ / zool
i Slgnittu,/~/ -
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 expanded or received) the firing of
the required report is waived. However, the filing officer must be notified in writing on the prescribed reporting data
that no report is being filed.
DS-DE 87 (Rev. 9/95)