DS-DE 12 North Beach Neighbors Alliance 2015-R1 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) eci49 AtAe55.1 C A11 &G.-Let 4e/f140-i-ct(a,Y i) OFFICE USE ONLY
Name
(2) 133 ocAivt �--
Address (number and street)
vl1i A—wti Pc 32/c//
City, State, Zip Code
[' Check here if address has changed (3) ID Number: ' Tri
(4) Check appropriate box(es): E5 Re
❑ Candidate Office Sought: 7 u
[E Political Committee(PC)
❑ Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded c,
❑ Party Executive Committee (PTY) ❑Check here if PTY has disbanded
❑ Independent Expenditure(IE) (also covers an ❑Check here if no other IE or EC reports will be°filed
individual making electioneering communications)
(5) Report Identifiers
Cover Period: From to / 30 / i< To /0 / 30 / l- Report Type:
;Original ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ � 0 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
, , c5-0 . 0 r, .
(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, correct, and complete:
(Type name) (Type name)
❑Individual(only for IE Off Treasurer ❑Deputy Treasurer ❑Candidate ( Chairperson(only for PC and PTY)
or electioneering comm.)
X 4/4211A-2-4 X e/t/144/14/1/1,--\
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
t
r
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name P tfrl, 3c J C1Vc . di a • /Wi`rsJJ (2) I.D. Number
(3) Cover Period l0 / 3 ti / L 1 through to / 30 / ( S (4) Page 1 of l
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last,Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number City,State,Zip Code Type Occupation Type Description Amendment Amount
oNsE_.
/ /
/ /
/ /
/ /
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
0 ( 3
C! 7
• ■e
CAMPAIGN TREASURER'S REPORT- ITEM ED EXPENDITURES
(1) Name 6L (2mc,55) ( (,r1f'' ' N i,Gsj`!fWfci (2) I.D. Number
(3)Cover Period to / / r through /b / ,(J / (4) Page I of (
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(s) (Last,Suffix,First,Middle) (add office sought if
Sequence
Street Address& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
I I
I I
I I
1
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES