HomeMy WebLinkAboutTreasurer Report_M12_Thomas Paterno_11/29/2018 �fe- S 7-�-T-� ^ E-v� #i:71—f-/L 44 ravr OAA"'L)
WAIVER OF REPORT RECEIVED
(Section 106.07(7), F.S.) JAN / 8 2019
(PLEASE TYPE)
VILLAGE CLERKS OFFICE
II OFFICE USE ONLY
t ti c �./L S �la 12/� a a c; n. S L S`c.'4� ►�
Name Office Sought
Address City State Zip Code
E�LCandidate ❑ Political Committee ❑ Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a
waiver)that no reportable contributions or expenditures were made during the reporting period(s. 106.0703(6), F.S.).
❑ Check here if address has changed since last report. ❑ Check here if PC has DISBANDED and will no longer file
reports.
TYPE OF REPORT (Check Appropriate Box and Complete Applicable Line beneath Box)
MONTHLY REPORT ❑ PRIMARY ELECTION ❑ GENERAL ELECTION ❑ OTHER REPORT TYPE
Indicate report# Indicate report# Indicate report# Indicate report type and#
M_ P G as applicable:
❑ TERMINATION REPORT ❑ SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT FOR THE REPORTING PERIOD OF
�f c.L.w/S 4/1 1 THROUGH
gnature Date
X
Signature Date
REQUIRED SIGNATURES FOR: Candidates:
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman(s. 106.29(2), F.S.)
Except as noted above for an ECO, in any reporting period when there has been no activity in the account(no funds expended or
received)the filing of the required report is waived. However,the filing officer must be notified in writing on the prescribed
reporting date that no report is being filed.
DS-DE 87(Rev.06/15)
CAMPAIGN TREASURER'S REPORT SUMMARY
(1) I �f...rh�: -- ti�� I�CVC�V CU
Name
(2) 3 a-) 2= 't�)/-jI JAN / 9 2019
Address (number and street) ` VILLAGE CLERKS OFFICE
fi�:c, v 3fs'/ 1-L �
City, State, Zip docle
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): u
andidate Office Sought: Cc t,Aic-t-L S�A--7 I
❑ 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 1 y / 3 I / }01 Cc" Report Type: r.,\ Y
fj�flriginal ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ b Expenditures $ �' CC)
Loans $ Transfers to
Office Account $
Total Monetary $ CU
Total Monetary $
In-Kind $ 6
(8) Other Distributions
(9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date
$ o . $ C(L
(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) I ff -)4"rf En.ti.o (Type name) ►TC�vt�� G ✓t l �v
❑ Individual(only for IE T1Zreasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.
X �.
Signature Signature
DS-DE 12(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREAS ,RER'S REPORT — ITEMIZED EXPENDITURES
(1) Name Tr+�-►.,�s r ��ttiro� (2) I.D. Number
(3) Cover Period (1- l l �l X 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& contribution to a Expenditure
Number City,State,Zip Code candidate) Type Amendment Amount
-7a
Av
f '2v f-L 3� l
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(1) Name V} "'h �A �^-Wco (2) I.D. Number
(3) Cover Period through 1- / 3 / �-� / (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 City, State,Zip Code Type Occupation T Amendment e Description Amount
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES