Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
DS-DE 12 G4 Resnick
FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) ~ ~ OFFICE USE ONLY Name 1~, ~- ~' ,A n~_ .. ~, (2) 1 b ~Q ~Y1nc~ ~ IJ~ur ~ Address (number and reet) City, State, Zip Code ^ CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ^ Candidate (office sought): Political Committee ^ CHECK IF PC HAS DISBANDED ^ Committee of Continuous Existence ^ CHECK IF CCE HAS DISBANDED ^ Party Executive Committee ^ Electioneering Communication ^ CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS,WILL BE FILED (5) REPORT IDENTIFIERS T ' ype ~~- To ~ / ~ / ~ Report Cover Period: From ~ / ~ / [Original ^ Amendment ^ Special Election Report ^ Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary O Cash & Checks ~ Expenditures $ Loans ~ Transfers to Office Account $ Total Monetary ~ Total Monetary $ In-Kind ~ (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date ~ `3 o aS ~ da ~ 3~, SaS:o~ (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 true, I certify that I have examined this report and it is true, correct, and com lete. correct, and complete. (Type name) ~ ~ V~ ~ (Type name) Individual (only for reasurer ^ Deputy Treasurer ~ ^ Candidate Chairperson (only for PC, PTY ~ ~ electioneering commun.) g commun. organization) ctionee X X Signa Signature DS-DE 12 (Rev. 08104) n ~ro CAMPAI N TREA URER'S REPORT - IT MIZED EXPENDITURES C ~j (1) Name~~r~~A~ ~ ~ ~ (2) I•D. Number Z©'" ~ J ~ ~ U~~ (3)-Cover Period ~~____/~/~~through ~~/ ~ ~/ ~ ~ (4) Page ~ of (5) Date (7) Full Name ($) Purpose ht if o ffi dd l9) (10) (11) (s) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code ce s ug (a o contribution to a candidate) Expenditure Type Amendment Amount l~~ ~~ t6~~ ,~~,~~, ~-t. v y ~wr ~ C;c act., {-t. 33i ~`I ~ ~~~~1k~' ~. 1l a'k 5~~~ ~ ~osc~^ r LL's ra k ~ Ewa o1~ (,cCS~I ~cc Y1~w.n ~~b,Cb ~s`~~01 , -~, ~, ~f~- 2~.b~ ~ ~v DS-DE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES