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DS-DE 12 North Beach Neighbors Alliance 2015-M11 CAMPAIGN TREASURER'S REPORT SUMMARY / (1) b t // • _ A it Zee,[ ' n,4i.r OFFICE USE ONLY Name 7.!015 DEC y.. PH 2: 14J (2) X33 o dC;J l/ L -.`' OFF I 1 Address (number and street) I,�' On f 3 W/ 7 City, Zip Code ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): ❑ Candidate Office Sought: []'Political Committee(PC) ❑ Electioneering Communications Org. (ECO) ❑Check here if PC or ECO has disbanded ❑ 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 i I / / /I To /1 / 30 / J( Report Type: 00/r nii) Original ❑Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 0 , • 0 Expenditures $ Q , - , • Loans $ Transfers to Office Account $ (' , Total Monetary $ 0 , , • Total Monetary $ O , In-Kind $ 0 , • (8) Other Distributions $ , (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date , , 00 , , . (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 cdTreasurer ❑Deputy Treasurer ❑Candidate Chairperson(only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS oc 3 CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS (1) Name &n -S1 ( /v4/29i4'aec, (2) I.D. Number (3) Cover Period if / / / fs- through I ( / 3i / / I (4) Page 1 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 / / (Ai / / / / / / / / / / DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES Fn7'<nfe Z of CAMPAIGN T. AS RER'S REPORT- ITEMIZED EXPENDITURES (1) Name OA-0e f ovie-5' r/ p /- (2) I.D. Number (3)Cover Period 1/ / t / fr.-through /( / 30 / /T (4) Page ,1 of (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last,Suffix,First,Middle) (add office sought if Sequence Street Address& contribution to a Expenditure Number City,State,Zip Code candidate) Type Amendment Amount / 1. I /� --/ / / / / / / / / / / • / / / / DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES ` -Fe_ 3 e)i 3