HomeMy WebLinkAboutTreasurer Report_M1_Harrison Vaughn_2/10/2021CA PAIGN TREASURER'S REPORT SUMMARY
OFFICE USE ONLY
Name
Address (number and street)
City, St e, Zip Code
❑ Check here if address has changed
(3) ID Number:
(4) Checkppropriate box(es):
0 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 / / To
I /�
/ 5 ( / �l Report Type: A
iginal ❑ Amendment ❑ Special Election Report
Contributions This Report
(7) Expenditures This Report
Cash & Checks $ , �j UU .
Monetary
Expenditures $ �50 �(a
Loans $
Transfers to
Office Account $ ,
Total Monetary $ •
Total Monetary $
In -Kind $
(8) Other Distributions
$ .
(9) TOTAL Monetary Contributions To Date
(10) TOTAL Monetary Expenditures Date
$ 2-
�T/o
$
(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 xamined this reportand it is true, correct, and complete:
�`
(Type name) �►�`� N �� `-�-
(Type name)
,�j Individual (only for IE reasurer ❑ Deputy Treasurer
P_�.arfdidate ❑ Chairperson (only for PC and PTY)
or electioneering comm.)
X
X
Signature
Signatbre
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
VISA V� (2) I.D. Number
(3) Cover Period 0 1 / `JI / ?,I through ( / � ( / G'( (4) Page ' of �--
(5)
Date
(7)
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
Contributor
Type Occupation
(9)
Contribution
Type
(10)
In -kind
Description
(11)
Amendment
(12)
Amount
(6)
Sequence
Number
of � r u
WL, ((� A44 -.-
3-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
MPAI T ASURER'S REPORT— ITEMIZED EXPENDITURES
'1) Name
(3) Cover Period / / through ' / / 3 ( / W
(2) I.D. Number
(4) Page -2i of -L'
(g)
(7)
(8)
(9)
(10)
(11)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
Purpose
(add office sought if
contribution to a
Expenditure
(6)
Sequence
Number
City, State, Zip Code
candidate)
Type
Amendment
Amount
01
/ 7,2-. J
CAS 5 wf(�.�b,•.
Vr -1(, -re 7 5 6
C 4)
Z-
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U j ,,�
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7 -Jot- 3-;5q
1 �� Art -
vt `
DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES