HomeMy WebLinkAboutTreasurer Report_TR_Harrison Vaughn_6/7/2021(6y V c, `��t OFFICE USE ONLY
Name RECEIVED
Addss (number and street) JUN % 2021
� VILLAGE CLERKS OFFICE
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es): C�
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 3 / eo,� / ( To / ? / Z ( Report Type:
Original ❑ Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ Expenditures $ 13
Loans $ Transfers to
—.�— Office Account $ ,
Total Monetary $ ,
Total Monetary $ ,
In -Kind $ >
(8) Other Distributions
$ 1 ,
(9) TOTA 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 hav ej*amined this repo rX and it is true, correct, and complete:
(Type name) ,
L� ✓ ✓'a`— (Type name)
❑ Individual (only for IE ET —Treasurer ❑ Deputy Treasurer Candidate ❑ Chairperson (only for PC and PTY)
or electioneering mm.)
X X
Signature Signature
DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS
(1) Name
CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS
(�--- (1-rv--, VCR-3 ` (2) I.D. Number
(3) Cover Period through / / Z l (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
J
ECEIV
N-7221
ED
VILUGE
CLERKS
OFFICE
1 /
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
RECEIVED
JUN - 7 2021
AMPAIGN TREASURER'S REPORT — ITEMIZED EXPENDITUMAGE CLERKS OFMCE
(1) Name 0, ()6:� \' (2) I.D. Number
(3) Cover Period _�/ S/ through / `� (4) Page of
(5)
(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
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DS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
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