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DIVISION OF ELECTIONS
Name
(2)
PO Box 126
(4)
ID Number:
From
Amendment
/ 2015
To
28
/ 2015
8,500.00
Loans
0.00
Total Monetary
(7)
Report Type
3,247.00
Transfers to Office
Account
$
0.00
Total
Monetary
3,247.00
0.00
(8)
Other Distributions
$
(9)
M2
Monetary
Expenditures
8,500.00
In-Kind
(10)
8,500.00
0.00
3,247.00
(11) CERTIFICATION
It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.)
(Type name)
(Type name)
Individual (only for
electioneering commun.)
Treasurer
Deputy Treasurer
Candidate
Signature
Signature
CFID: 6394
2
1
2015 through ______/______/______
2
28
2015
(3) Cover Period ______/______/______
1
1
(4) Page ____________
of _____________
(7)
(5)
Date
(6)
Sequence
Number
19
15
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
(8)
(9)
(10)
(11)
(12)
Contributor
In-kind
Contribution
Type
Description Amendment
Type
Occupation
abcd
12345
MIAMI, FL 33027
consultant
CHE
$7,000.00
abcd
12345
MIAMI, FL 33027
consultant
CHE
$1,500.00
Amount
25
15
DS-DE 13 (2/03)
2
1
2015 through ______/______/______
2
28
2015
(3) Cover Period ______/______/______
1
3
(4) Page ____________
of _____________
(5)
(7)
(8)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a
candidate)
(6)
Sequence
Number
23
(9)
(10)
Expenditure
Type
Amendment
(11)
Amount
WELLS FARGO
1710 S. ANDREWS AVE.
15 FORT LAUDERDALE, FL 33316
BANK FEE
MON
$9.00
WANDA JONES
12345
15 MIRAMAR, FL 30027
PAYROLL
MON
$285.00
JASMINE PROSPER
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$130.00
JUDY HARRIS
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$50.00
MURIEL SEWES-LEMOINE
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$105.00
NYKOLL HERNANDEZ
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$200.00
160.00
MON
$160.00
PAYROLL
MON
$370.00
23
2
23
3
23
4
23
5
23
6
23
STACEY BOGAN
12345
15 MIRAMAR, FL 33029
23
PHYLLIS NOLAN-PIERRE
12345
15 MIRMAR, FL 33027
8
DS-DE 14 (7/98)
2
1
2015 through ______/______/______
2
28
2015
(3) Cover Period ______/______/______
2
3
(4) Page ____________
of _____________
(5)
(7)
(8)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a
candidate)
(6)
Sequence
Number
23
(9)
(10)
Expenditure
Type
Amendment
(11)
Amount
SUMONDRE TILLMAN
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$235.00
ANGEL MAYSONET
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$310.00
BARBARA FLECTHER
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$110.00
EILEEN GARCIA
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$100.00
EVELYN BLAKE
12345
15 MIRAMAR, FL 330027
PAYROLL
MON
$270.00
JOSE HERNANDEZ
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$200.00
WELLS FARGO
1710 S. ANDREWS AVE.
15 FORT LAUDERDALE, FL 33316
BANK FEE
MON
$3.00
JOY SMITH
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$300.00
23
10
23
11
23
12
23
13
23
14
24
15
24
16
DS-DE 14 (7/98)
2
1
2015 through ______/______/______
2
28
2015
(3) Cover Period ______/______/______
3
3
(4) Page ____________
of _____________
(5)
(7)
(8)
Date
Full Name
(Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code
Purpose
(add office sought if
contribution to a
candidate)
(6)
Sequence
Number
24
(9)
(10)
Expenditure
Type
Amendment
(11)
Amount
VERONICA CRAWFORD
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$250.00
VIREEN MOORE
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$120.00
LETALA SMITH
12345
15 MIRAMAR, FL 33027
PAYROLL
MON
$40.00
17
24
18
27
19
DS-DE 14 (7/98)