DS-DE 12 North Beach Neighbors Alliance 2015-R2 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) 62,00 604 s c0 GAc.%A. - d4 OFFICE USE ONLY
Name
(2) '1)3 gO c cicA4& 1�-►- � +�f�2�1
Address (number and street)
3 3 “i/
City, State, Zip Code
[' Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): - .—
CT, CZ-) •
❑ Candidate Office Sought:
- —
['Political Committee(PC)
❑ Electioneering Communications Org. (ECO) ❑ Check here if PC or ECO has disbanded-
--o
El Party Executive Committee (PTY) El Check here if PTY has disbanded
❑ Independent Expenditure(IE) (also covers an El Check here if no other IE or EC reports will belled •--°
individual making electioneering communications) - c.,g
(5) Report Identifiers
Cover Period: From >a / / / / c To if / / LE Report Type: —�
1 Original ❑Amendment - ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ . Q Expenditures $ , , 36
Loans $ , • Transfers to
Office Account $ , •
Total Monetary $
Total Monetary $ , 3C y • L-17
In-Kind $ •
(8) Other Distributions
$ , ,
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ , , oa $ , ,
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 Er Treasurer ❑Deputy Treasurer ❑Candidate Zbhairperson(only for PC and PTY)
or electioneering comm.)
i
X _ tl '/u X h/ll
Signature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
P �
.
CAMPAIGN TREASURER'S REPORT—ITEMIZED CONTRIBUTIONS
(1) Name 6 (Are)r-' .if ivelit-`i Kam" (2) I.D. Number
(3) Cover Period /0 / `"?/ / l through l / / tr- (4) Page I of
(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
\
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
1?n 7ed 3
CAMPAIGN TREASURER'S REPORT— ITEMIZ D EXPENDITURES
(1) Name It 4wUc Akre--AA - .1 c (2) I.D. Number
(3)Cover Period 10 / ; / I r through it / I1 / 1C� (4) Page 1 of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Street Address& contribution to a Expenditure
Sequence Type
Number City,State,Zip Code candidate) Amendment Amount
II/i3/)( 8 6d csb)
v O All (1
04 6 pf. 3 3i
l / _
/ /
/ /
/ /
/ /
/ /
/
/
DS-DE 14(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES