Treasurer Report M10_Steve Okun_11/13/2017 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) !E )� -- n RCIrGrNLY
Name
(2) �2. � V� 2��-�-» NOV 13 2017
Adam an s(number d street)
1 _�1 VILLAGE CLERKS OFFICE„�jjc
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
tCandidate 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 V / 1D / To / l / Report Type: 1 O
Original ❑Amendment ❑Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash &Checks $ Expenditures $ O
Loans $ , Q D Transfers to
Office Account $
Total Monetary $
Total Monetary $ 6
In-Kind $ ,
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ ,'3 OQ • 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 itis true,correct, and complete: ��(�' �/,�`
(Type name{ '—V 1._. 0 �1�yV (Type name)��V� pq)tV
❑Individual(only for IE X'Treasurer ❑Deputy Treasurer ,Candidate ❑Chairperson(only for PC and PTY)
ring comm.)
X
Sighgua, Signature
DS-DE 12(Rev.11113) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT- ITEMIZED CONTRIBUTIONS
(1) Name S-��.��. Ovy!iz-A (2) I.D. Number KA
(3) Cover Period D through D / 3j / (4) Page of
(5) (7) (8) (9) (10) (11) (12)
Date Full Name
(6) (Last, Suffix, First, Middle)
Sequence Street Address& Contributor Contribution In-kind
Number t ' Code Type Occupation T Descri lion Amendment Amount
I-Z-
RE EIV D
NO 13 201
DS-DE 13(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMP IGN TREASURER'S EPORT- ITEMIZED EXPENDITURES
(1) Name - ���� (2) I.D. Number
(3)Cover Period_�/CA / through / / (4) Page�_of
(5) (7) (8) (9) (10) (11)
Date Full Name Purpose
(6) (Last,Suffix,First,Middle) (add office sought if
Sequence
Street Address A contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
RECEI ED
OV 13 017 v
VILUGECLERHS OFFICE
DS-DE 14(Rev.11M3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES