HomeMy WebLinkAboutTreasurer Report_G2_Kristi Johnson_3/2/2018 CAMPAIIG�N, TREASURER'S REPORT SUMMARY
rT � OFFICE USE ONLY
MAR - 2 2018 Vv
VILLAGE CLERKS OFFICE
City, State, Zip Code
❑ Check here if address has changed (3) ID Number:
(4) Check appropriate box(es):
Candidate Office Sought: --['eUtX21A �AVLs4C�C7 C01J\CAL , SG-A-7
❑ 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
rer Period: From / (0 / � j To /Z / Report Type:
riginal ❑Amendment ❑ Special Election Report
(6) Contributions This Report (7) Expenditures This Report
Monetary
Cash & Checks $ X . Dv Expenditures $ ,QQ
00
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
$ . 00 $ , � , lD� . 4+
(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) \G2%S-Tt 3 pd*)5n_) (Type name)
❑Individual(only for IE OTreasurer ❑Deputy Treasurer ❑Candidate ❑Chairperson(only for PC and PTY)
or electioneering comm.)
X X
SI nature Signature
DS-DE 12(Rev.11/13) SEE REVERSE FOR INSTRUCTIONS
CAMPAIGN TREASURER'S REPORT— ITEMIZED CONTRIBUTIONS
(1) Name " �o �! (2) I.D. Number
(3) Cover Period / 10 / through 2 / ��/ (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 Type Description Amendment Amount
? i / � `��A
NV>"-Ao (7�
wP�, L 33 �
01
RECEI VED
VILLAGE CLEFjH S OFFICE
DS-DE 13(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
C M�AIGN TREASURER'S REPORT- ITEMIZED EXPENDITURES
(1) Name eJ f� (2) I.D. Number
(3)Cover Period _/ (0 / ` through 7i! / (4) Page_ —of
(6) (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
0jAp3 �1C�
2 � 10511CSCAMpac0N I .
S)UNS, CA05 &v4
� l
RECEI ED
MAR - 2 _ 018 ,.d,,,
LLAGE CL R OFFICE
DS-DE 14(Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES