FLORIDA DEPARTMENT OF STATE _ DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. Gohe Femd OFFICE USE ONLY Name . 2) 1513 W.Desonshere Bins (Pe Gexeud| JAN 30 2009 ‘Address (number and street) Ei ogiec Beach Eu 32136 City, State, Zip Code (] CHECK IF ADDRESS HAS CHANGED (3) 1D Number: (4) Check appropriate box(es): [A Candidate (office sought): C \ = Beace CO Political Committee (C1 CHECK IF PC HAS DISBANDED C1 Committee of Continuous Existence (CO CHECK IF CCE HAS DISBANDED C Party Executive Committee (1 Electioneering Communication (J CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS CoverPeriod: From) / ,2/ ¢q To 1» 123 log RepotType G2 [Original [Amendment [1] Special Election Report i Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) _ EXPENDITURES THIS REPORT Monetary Cash & Checks Expenditures 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 $ _ 1 nea. Zo $_ se2, Sy (11) CERTIFICATION Itis a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) | certify that | have examined this report and itis true, | | certify that | have examined this report and itis true, correct, and complete. correct, and complete. (ypename) Catyecine Fed (ypename) Je ha Fed Taindividual ontyfor [I Treasurer []Deputy Treasurer | [ik] Candidate L_Ichairperson (niyo, PTY Signature Signature DS-DE 12 (Rev. 08/04)© (3) Cover Period /_*2 / 2q through CAMPAIGN TREASURER’S REPORT — ITEMIZED CONTRIBUTIONS (1) Name JJ ha Fesad (2) 1.D. Number 127/29 (4) Page / of / © o @ ® (10) 4) (12) Date Full Name @ (Cast, Sufi, First, Midale) Sequence Street Address & Contributor | Contrbution | In-kind Number City, State, Zio Code_| Type | Occupation | __Type | Description _| Avensmert | Amount ae Jeha Fewd s21o 2 1519 M Pewaortor 7 lost | LOA 1,000.°% / Flagtec Beach Fe D2s3b pee yt yt ys rot yo er Cc DS-DE 13 (Rev. 08/03) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUESCAMPAIGN TREASURER’S REPORT — ITEMIZED EXPENDITURES. (1)Name__Jona Feiad (2) LD. Number Cee a ae en ane ee, ® wm @ o Toy a Date Full Name Purpose a (Last, Suffix, First, Middle) (add office sought Sequence Street Address & ‘contribution toa | Expenditure ne City, State, Zip Code candidate) Type |amendmant] Amount City of Flagler Geach Bool Snag lx [1Li2/a} 1055. Second 54. r Mon 4aqe ee ) Flasiec Beach FE yy City oF Flegzies Beacn) oF. | 4 thileg| /05 3. Second SF. | Ereceo ACh Bt, 2 Flasiec Beach FL | Assessment ~ 32136 @ity ef FlagecBeact| 5 7 thiled| jos 5. Seccad st. | 55 - Mon oS. 0b posit 50. o« 3 Flasies Geach FL © Bri 3b DS-DE 14 (Rev. 08/03) ‘SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES