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Carothers, Wayne C - Seat 4FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) RREIVEDLY Wayne C. Carothers Name (2) 1619 S. Missouri Ave. MAY 0 3 2010 Address (number and street) RECORDS A??? OFFICIAL Clearwater, FL 33756 LEGISLATIVE SRYCS ®ir' City, State, Zip Code ? CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): Council member Seat 4 ? Political Committee ? CHECK IF PC HAS DISBANDED ? Committee of Continuous Existence ? CHECK IF CCE HAS DISBANDED ? Party Executive Committee ? Electioneering Communication ? CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 03 / 05 / 10 To 04 / 12 / 10 Report Type TR 0 Original ? Amendment ? Special Election Report ? Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 0.00 Expenditures $ 0.00 Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ 0.00 Total Monetary $ 0.00 In-Kind $ 0.00 (8) Other Distributions $ 640.26 (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1,945.00 $ 1,304.81 (11) CERTIFICATION It is a first degree misdemeanor for any pers on to falsify a public record (ss. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Joyce B . Carothers (Type name) Wayne C. Carothers ?Individual (only for ??Treasurer ? Deputy Treasurer ?J Candidate ? Chairperson (only for PC, PTY & electioneering. mun.) electioneerin organization) X Signa r Signatur DS-DE 12ttev. 08104) CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Wayne C. Carothers (2) I.D. Number (3) Cover Period 03 05 10 through 04 / 12 / 10 (4) Page 1 of (5) Date (7) Full Name (8) Purpose (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount 04 12 10 Wayne C. Carothers 1619 S. Missouri Ave. Closing of account. DIS $640.26 1 Clwr. FL 33756 DS-0E 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY Clearwater, FL 33756 City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): Ii] Candidate (office sought): Council Member Seat 4 D Political Committee D CHECK IF PC HAS DISBANDED D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED D Party Executive Committee D Electioneering Communication (5) REPORT IDENTIFIERS Cover Period: From 02 I 13 I 10 To 03 I 04 I 10 Report Type G4 -- --- [21 Original D Amendment D Special Election Report D Independent Expenditure Report (7) EXPENDITURES THIS REPORT Monetary Expenditures (1) Wayne C. Carothers Name (2) 1619 S. Missouri Ave. Address (number and street) (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 220.00 Loans $ 0.00 Total Monetary $ 220.00 In-Kind $ 0.00 (9) TOTAL Monetary Contributions To Date $ 1,945.00 ~~t:~f(tED htAR 0.4, 2010 o l:FICIAL RECORDS AND LE ,~'SlATlVE SRVCS DEPT (3) 10 Number: D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED $ 177.66 Transfers to Office Account $ Total Monetary 0.00 $ 177.66 (8) Other Distributions $ 0.00 (1 0) TOTAL Monetary Expenditures To Date $ 1,304.81 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Dlndividual (only for electionee . commun. ) Joyce B. Carothers o Treasurer 0 Deputy Treasurer x Sig DS-OE 12 (Rev. 08104) (Type name) o Candidate CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Wayne C. Carothers (2) 1.0. Number 02 13 10 03 04 10 1 1 (3) Cover Period I I through I I (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 Citv, State Zio Code Type Occuoation Tvoe Descriotion Amendment Amount Brian Driscoll B Owner CHE $100.00 02 I 18 ,10 Brian's Fence 303 Marlborough St. 1 Oldsmar, FL 34677 02 I 19 fO Dr. John Kruegar B Dentist CHE $100.00 1651 Rainbow Dr. Clwr. FL 33755 2 Thomas Smith I Ret. CAS $20.00 03 I 03 1p 1004 San Remo Clwr. FL 33756 3 I I I I I I I I , I DS-OE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Wayne C. Carothers (2) 1.0. Number (3) Cover Period ~~~ through ~~/~ (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount 02 /23 /10 Publix Envelopes and CHE $21.44 LaBelle Plaza postage stamps 1555 S. Highland Ave. 1 Clearwater,FL 33756 jsGrafx Creative Services Flyers CHE $156.22 02 /24 /10 2016 Oakadia Dr. Clearwater,FL 33764 2 / / / / / / / / / / / / DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY oFR@eeM:D (1) Wayne C. Carothers Name (2) 1619 S. Missouri Ave. Address (number and street) Clearwater, FL 33756 City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED FE3 1 8 2010 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPl (3) 10 Number: (4) Check appropriate box(es): IZI Candidate (office sought): Council Member Seat 4 D Political Committee D CHECK IF PC HAS DISBANDED D Committee of Continuous Existence D CHECK IF CCE HAS DISBANDED D Party Executive Committee D Electioneering Communication D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 01 I 30 I 10 To 02 I 12 I 10 Report Type G3 -- --- [21 Original D Amendment D Special Election Report D Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 625.00 Loans $ 0.00 Total Monetary $ 625.00 In-Kind $ 0.00 (9) TOTAL Monetary Contributions To Date $ 1,725.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 522.02 Transfers to Office Account $ Total Monetary 0.00 $ 522.02 (8) Other Distributions $ 0.00 (10) TOTAL Monetary Expenditures To Date $ 1,127.15 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Dlndividual (only for electioneering commun.) Joyce B. Carothers [l]Treasurer D Deputy Treasurer x Sig DS-DE 12 (Rev. 08104) Wayne C. Carothers (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Wayne C. Carothers (2) I.D. Number (3) Cover Period ~/~/~ through ~~~ (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount 02 /01 /10 Supervisor of Elections Absentee CHE $25.00 315 Court St. Rm. 117 Election Clearwater, FL 33756 emails (rpts.) 1 Sign-Age Advertising CHE $497.02 02 /12 /10 16036 U.S.Hwy. 19 N. signs Clearwater, FL 33764 2 / / / / / / / / / / / / DS-OE 14 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Wayne C. Carothers (2) I.D. Number 01 30 02 12 10 1 (3) Cover Period I I 10 through I I (4) Page of 1 (5) (7) (8) (9) (10) (11 ) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zip Code Tvpe Occupation Tvpe Description Amendment Amount Alton Weston I Ret. CHE $100.00 02 / 01 /10 3031 Glen Oaks Ave. N. Clwr. , FL 33759 1 02 01 ;0 Shirley S. I Ret. CHE $25.00 / Carothers 21 N. Fredrica Ave.Clwr. FL 33755 2 Wayne C. Carothers .,- Self-em CHE $500.00 02 / 04 1p 1475 Excaliber Dr. .J- played Clwr. FL 33764 3 / / / / / / / / / / DS-OE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) Wane Carother s Name (2) 1619 S Missouri Ave F LE-9 0 8 2010 Address (number and street) Clearwater, FL 33756 OFFICIAL RECORDS ANT) City, State, Zip Code ? CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): ® Candidate (office sought): council member Seat 4 ? Political Committee ? CHECK IF PC HAS DISBANDED ? Committee of Continuous Existence ? CHECK IF CCE HAS DISBANDED ? Party Executive Committee ? Electioneering Communication ? CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From o1 / 16 / 1o To o1 / 29 / 10 Report Type G2 ? Original Amendment ? Special Election Report ? Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 100.00 Expenditures $ 251.72 Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ 100.00 Total Monetary $ 251.72 In-Kind $ 25.00 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 11100.00 $ 605.13 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Joyce B. Carothers (Type name) Wayne C. Carothers ?Individual (only for ? Treasurer ? Deputy Treasurer Q Candidate iwmon (only for PC, PTY & electioneers un.) T ng commun. organization) X v X ,14k Signat a Signatu DS-DE 12 (Rev. 08104) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Wayne Carothers (2) I.D. Number /'A1 ['.near Prarind 01 / 16 / 10 throuah 01 / 29 / 10 (41 Pane 1 of 1 (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State Zip Code Contributor Type Occupation Contribution Type In-kind Description Amendmerrt Amount 01 / 2g /10 Jim Burns 2500 Harn Blvd. I Retired CHE 100.00 1 Clearwater, FL 33764 O1 / 29 ?0 Carr A/C & Htg. 1619 S. Missouri B INK Letterhead and 25.00 2 Ave. Clearater,FL 33756 postage DS-DE 13 (Rev. 08103) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Wayne Carothers (2) I.D. Number (3) Cover Period 01 / 16 / 10 through 01 / 29 / 10 (4) Page 1 of (5) Date (7) FuH Name (8) Purpose (9) (10) (??) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount 01 19 10 Flyers jsGrafx Creative Services Advertising CHL $243.72 1 2016 Oakadia Dr. Clearwater, FL 33764 01 9 10 Supervisor of Elections 315 Court Street, Rm. 117 FL 33756 Clearwater CD CHE $8.00 2 , DS-DE 14 (Rev. 08!03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SU Y (1) Wayne Carothers Name FEB 0 4 2010 (2) 161g s Missouri Ave Address (number and street) OFFICIAL RECORDS AND Clearwater, FL 33756 LEGISLATIVE SRVCS DEPT City, State, Zip Code ? CHECK IF ADDRESS HAS CHANGED (3) ID Number: (4) Check appropriate box(es): © Candidate (office sought): council member Seat 4 ? Political Committee ? CHECK IF PC HAS DISBANDED ? Committee of Continuous Existence ? CHECK IF CCE HAS DISBANDED ? Party Executive Committee ? Electioneering Communication ? CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS G*? v,G Cover Period: From of / 16 / 10 To o1 / 29 / 10 Report Type 40 [;a Original ? Amendment ? Special Election Report ? Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 100.00 Expenditures $ 251.72 Loans $ 0.00 Transfers to Office Account $ 0.00 Total Monetary $ 0.00 Total Monetary $ 0.00 In-Kind $ 2 5 . 0 0 (8) Other Distributions (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 1,125.00 $ 605.13 (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, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) Joyce B. Carothers (Type name) Wayne C. Carothers ?Individ aI (only w OTreasurer ? Deputy Treasurer ?? Candidate ? Ch ' n (ony for PC, PTY 8 election r commun_) X a eering mmun anizabw) X 14 /, Sig ure Signatur DS-Del 2 (Rev. 08104) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Wayne Carothers (2) I.D. Number i-? e+...,... 0...*---A 01 1 16 / 10 thrnnnh 01 / 29 / 10 Idl Pane 1 of 1 (5) Date (7) Full Name (8) (9) (10) (11) (12) (6) Sequence Number (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Contributor Type Occupation Contribution Typq In-kind Description Amendment Amount 01 / 29 /10 Jim Burns 2500 Harn Blvd I ?j] WC CHE 100.00 Clearwater, FL 33764 01 / 29 ?0 Carr A/C & Htg. 1619 S. Missouri L W INK Letterhead and 25.00. Ave. Clearwater, FL 33756 Postage DS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Wayne Carothers (2) I.D. Number (3) Cover Period 01 / 16 10 through 01 29 10 (4) page 1 of 1 (5) Date (y) Full Name (8) Purpose (9) (10) (11) (6) Sequence Number (Last, Suffix, First, Ylddle) Street Address & City, State, Mp Code (add office sought if contribution to a candidate) Expenditure Type Amendment Amount 01 19 10 Flyers jsGrafx Creative Services Advertising CHE $243.72 / 2016 Oakadia Drive Clearwater, FL 33764 01 29 10 Supervisor of Elections 315 Court Street, Room 117 FL 33756 Clearwater CD Registered Voters CHE $8.00 t? , DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY C IVED ld3 U~~l ONV 'WI'~I3~o JAN 2 2010 OWZ G G NVr ORDS AND 031 A I SRVCS DEPT '1u3~3~ Clearwater, FL 33756 City, State, Zip Code o CHECK IF ADDRESS HAS CHANGED (4) Check appropriate box(es): IZl Candidate (office sought): Council Member Seat 4 o Political Committee 0 CHECK IF PC HAS DISBANDED o Committee of Continuous Existence 0 CHECK IF CCE HAS DISBANDED o Party Executive Committee o Electioneering Communication (1) Wayne Carothers Name (2) 1619 S Missouri Ave Address (number and street) (3) 10 Number: o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED Cover Period: [iI Original (5) REPORT IDENTIFIERS From 1 / 1 / 10 To 1 / 15 / 10 Report Type bi o Amendment o Special Election Report o Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT Cash & Checks $ 0.00 Loans $ 0.00 Total Monetary $ 0.00 In-Kind $ 0.00 (9) TOTAL Monetary Contributions To Date $ 1,000.00 (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 29.50 Transfers to Office Account $ Total Monetary 0.00 $ 0.00 (8) Other Distributions $ 0.00 (10) TOTAL Monetary Expenditures To Date $ 353.41 (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Type name) D'ndividual (only for electio .n9 commun.) Joyce B. Carothers [{]Treasurer 0 Deputy Treasurer os- (Type name) [{] Candidate Signat (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES Wayne Carothers (2) 1.0. Number (3) Cover Period ~~~ through ~~/~ (4) Page l of l (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & contribution to a Expenditure Sequence City, State, Zip Code candidate) Type Amendment Amount Number Ol 104 IlO Petition Card Verification Petition Card CRE $29.50 City of Clearwater Verification l2l2 S. Osceola Ave. l Clearwater, FL 33756 1 1 1 1 1 1 1 1 / / 1 1 1 1 DS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) r Nam (2) ILf75 Exca/;/1ef Dr- Address (number and street) c"LeaYWCLiPf) R- 337 htf City, State, Zip Code D CHECK IF ADDRESS HAS CHANGED O~lVEb JAN 13 2010 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT (3) 10 Number: (4) Check appropriate box(es): /1 0'Candidate (office sought): C IN D Political Committee I D Committee of Continuous Existence D Party Executive Committee D Electioneering Communication f()urX~17mt1r1 Se.af t/ D CHECK IF PC HAS DISBANDED D CHECK IF CCE HAS DISBANDED D CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS Cover Period: From 10 I 0' I (j 'i To /2 1.3 J I 6 q Report Type & L/ D Original ~ Amendment 0 Special Election Report - D Independent Expenditure Report Loans $ I) 000 t () C> $ (7) EXPENDITURES THIS REPORT Monetary Expenditures $ 3d3, 1/ (6) CONTRIBUTIONS THIS REPORT Cash & Checks Total Monetary $ Transfers to Office Account $ Total Monetary $ In-Kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ j) ()OO I 6 () (10) TOTAL Monetary Expenditures To Date $ 3~3"ql (11 ) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F.S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and com~lete. /l /. . correct, and comPlet~. (Typename)JbJ/,t!, f3 .L/lf1Jfber:s (Type name) W4<j l7e C ~&r~I'.4/S D Individual (only ~/ Ii2ITreasurer D Deputy Treasurer 0Candidate U D Chairperson fcj PC. PTY & ~ctione 9 commun.) X ~rin mmun. rganizati ) Sig OS-DE 12 (Rev. 08/04) (1) Name CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS ~ay fie {J. {b,vtJf)e/S (2) 1.0. Number (3) Cover Period 10 , 01 ,69 through IJ... ,3/ , or (4) Page I of I (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, Zio Code Tvee Occuoation Tvee Descriotion Amendment Amount 10 1 Or 101 ~ 1IL0uib5 Self tJ I~ ''j-.bYtii Ilk/a r Clfe etrJ(icytd 3DD. {() I (J{ iL1y-1l .H7bY I~ ~ loq fJ7r rh1kS S 8 n# f)J~ 1 ~ 10;)-j lJll.5c:1-f'fte)) ~~( Ii t) . {!,I/& d- eI4/1" Pi 3J'lbS 1: I? ~f,r<tl SlJo - DO 1 1 1 1 1 1 1 1 1 1 1 1 OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGNJREM)URER'SLREPORT - ITEMIZED EXPENDITURES (1) Name tutJ<-1 n(..:C- L' tlt0l--n-er:;. , (2) 1.0. Number (3)COVerPeriod~~/~through /Z I~/~ (4) Page / of I (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Street Address & contribution to a Sequence City, State, Zip Code candidate) Type Amendment Amount Number /11tJ9 IlJq JDn'kD'5 ;r-€~dLd ,ii /71Clh h J fh t.?J1 ii!M50 t/J!lzcy /yl1 p~ ~/1 q 5'. b.J.. / C1Lulf 8J7bS C ai/tis I;J- 1011 1/1 fi i/ n1 F<--<:.. Filil19 ~ f)10n fj~1jf )/1 C-; tJs tJ~ uwr. $ /06~ 00 Ve. eft ~IJ ih5651. 'tJ1T .9- / I Z -, 65c~6ifit9I..~. c.. '-LvI' ,R ~ 3]5" b Fee lJ/tj5:~9 1 / 1 / 1 1 / / 1 / / / DS-DE 14 (Rev, 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) h{4y/V~ CV. c.1lct>~E:jl.S (2) /N~m;~ e:..)< C!~ be:: ];:>~ Address (number and street) c-'~4et/V'4--~~ / /=2 337fd/ City, State, Zip Code 0FiifCE.. ' . ,USE ON~ . k" ~' .. I JAN 11 2010 OFFICfN. lEGISLP.T!\tf DEPl (4) o CHECK IF ADDRESS HAS CHANGED Check appropriate box(es): /JJ rn'Candidate (office sought): L-/ ;11' o Political Committee o Committee of Continuous Existence o Party Executive Committee o Electioneering Communication (3) ID Number: aJJ~~-4A./ Sc;.;,cr-{- 4 o CHECK IF PC HAS DISBANDED o CHECK IF CCE HAS DISBANDED Cover Period: ~riginal o CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (5) REPORT IDENTIFIERS From & I ~ I 09 TO!.L I 3 i I.!!.!i. Report Type o Amendment 0 Special Election Report 0 Independent Expenditure Report (6) CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT $ ~ 0001 00 Cash & Checks Loans $ Total Monetary $ In-Kind $ Monetary Expenditures $ 3;;7,,3 ~ 91 Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date $ /, ooo~ 00 , (10) TOTAL Monetary Expenditures To Date $ ~~3.,7/ (11) CERTIFICATION It is a first degree misdemeanor for any person to falsify a public record (55. 839.13, F .S.) I certify that I have examined this report and it is true, I certify that I have examined this report and it is true, correct, and complete. correct, and complete. (Typename)~I/C(,_ t8 '{a,ftJf!tt:/..5 (Typename) my,~G e d,tc . D Individual (only ~ D Treasurer D Deputy Treasurer ~ndidate D Chairperson (only for PC, PTY & election 'ng commun,) electioneering co organization) X ~c? Si OS-DE 12 (Rev. 08/04) CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name f14 tJ~?- . ~4G C. C~~/~ J f) / 09 (4) Page (10) of (11) (12) (2) 1.0. Number (3) Cover Period (5) Date through I;;" / '3( / ~ q (8) (9) (6) Sequence Contribution In-kind Number T e Descri tion Amendment Amount Clt eel<. C~ ~ 5't)() , - ~P-~ flfilA:V a~ CJk - OS-DE 13 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES , CAMPAIGN JEEA~R'S fSijPORT - ITEMIZED EXPENDITURES (1) Name i"V~-te C~ ~a>/~ (2) I.D. Number (3) Cover Period /0 I~I cJ 9through I}... I~I 0 c; (4) Page of (5) (7) (8) (9) (10) (11 ) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Expenditure Sequence Street Address & contribution to a Number City, State, Zip Code candidate) Type Amendment Amount I / off I C)<TR,4 p~f;;'-v dt ;;Z 5." '(; ~-'11iD~ tI.-.q -67" - 7"' I /pF/ I FiL/~ r~ :if aCJ Z .. ~ C!.)/.~ oj) ~<GU~k. Ie-- r / / / / / / / / / / / / 7' OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES