Treasurer Report_M11_Steve Okun_12/8/2017 CAMPAIGN TREASURER'S REPORT SUMMARY
(1) J� y OV OFFICE USE ONLY
Na ` RECEIVED
(2) DEC - 82017
ridrp s-Inuxb ran s � ����
�,J VILLAGE CLERKS OFFICE
City, State, 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 Id tifiers
Cover Period: From , 1 / Ol 1 To / / Report Type:
riginal ❑Amendment ❑ Special Election Report
(6) Contributions This Report Q (7) Expenditures This Report
Monetary
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
$ $ ,
(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 itiss true, correct,and complete:
(Type name) c)W V (Type name ��E� O
❑Individual(oi for IE AFLTreasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or ctio rin omm.)
Z (:FX X
Signature Signa e
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name !t11E =_ (2) I.D. Number
(3) Cover Period ` I / jPA / through 4 17 / � (4) Page of 1
(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 T e Description Amendment Amount
RE EIV D
DE
VILLAGE 3LERKS 0=FICE
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
( ) CAmPAIG(V jREA _ �WT
ORT - ITEMIZED EXPENDITURES
1 Name ''�� {{rr���y ��__ (2) I.D. Number
(3) Cover Period /-1)—t/through-�—/3-0/-17i— (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& contribution to a Expenditure
Number City, State,Zip Code candidate) Type Amendment Amount
DEC - 8 2017 t
VILLAGE C ERKS OFFICE
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES