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Treasurer Report_G3_Kristi Johnson_5/22/2018 CAMPAIGN TREASURER'S REPORT SUMMARY (1) C o�slj OFFICE USE ONLY VILLAGE ❑ Check here if address has changed (3) ID Number: (4) Check appropriate box(es): Candidate Office Sought: VIA 4Gr_ CoyNe i L- 3fAl ❑ 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 To "-j / S / CS� Report Type: ❑ Original Amendment ❑ Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ (� Expenditures $ , 16 cy) p� Loans $ Transfers to , Total Monetary $ Office Account $ Total Monetary $ , In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures T�,o�Date $ , �. OOC) OCR $ / _� , � (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 tand )it is true, correct, and complete: (Type name) Cv''` O S v' — (Type name) 1 c'6y\) ❑ Individual(only for IE "Wreasurer ❑Deputy Treasurer ndidate ❑Chairperson(only for PC and PTY) or electioneering comm.) X Signature Signature DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S F EPORT - ITEMIZED EXPENDITURES (1) Name (2) I.D. Number 1 (3) Cover Period . through / p / b (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 r-,&Va s 41;p�,A-,,ac PVC DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES