CAMPAIGN TREASURER'S REPORT SUMMARY (1) 6 ° B Df},V;£L-S OFFICE USE ONLY

(2) C 1£ t-o Add ess (number and street) o~ TH e r~,e_ e FL 3'f27f-- L z2-:... City, State, Zip Code 0 Check here if address has changed (3) ID Number: ------(4) Check appropriate box(es): V ~andidate Office Sought: 4 I c._ -e. {!,.Ty ------~~------0 Political Committee (PC ) 0 Electioneering Communications Org . (ECO) 0 Check here if PC or ECO has disbanded 0 Party Executive Committee (PTY} 0 Check here if PTY has disbanded 0 Independent Expenditure (IE) (also covers an 0 Check here if no other IE or EC reports will be filed individual making electioneering unications)

( 5) Report Identifiers 2_ 0 ) 4? Cover Period: From () ~ I CJ 4- I I (e. To 0 &' I I .:2. (4> Report : P lo 0 Original 0 Amendment 0 Special Election Report

(6) Contributions This Report (7) Expenditures This Report

Monetary ti ~ Cash & Checks 00 Expenditures $ --1_ , () , ~ · 00 $ --- ' --- ' ---

Loans $_ / , !S_,Q ~ ~ Transfers to Office Account $ 0 , 0 0

Total Monetary $ __)__ ' ()--- ' 0 ------Total Monetary $ ,0 .~ .oo --- -- ~ -- In-Kind $ I ------(8) Other Distributions $ --'-- ' --

(9) TOTAL Monetary Contributions To Date (1 0) TOT A~Monetary Expenditures To Date $ ____le_' _£_ I 0 - $ ' 0 .~. 0 0

( 11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) IJ a-,v (!. y ;.(. D # N I ~ L .s I certify that I have examined this report and it is true, correct, and complete: 0 oC3 D Deputy Treasurer

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OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS y:f AM PAI GJtTREASURER 'S REPORT- ITEMIZED EXPENDITURES {1) Name ~0 [3 Ufti.JI£1...-S {2) I.D. Number ______{3) Cover Period 0 S'f 0~ 1 /(p through Off I /). I /f;:, (4) Page _ _L/__ of _...:.._/ ___

(5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) (Last, Suffix, First, Middle) (add office sought if Street Address & Expenditure Sequence contribution to a City, State, Zip Code Type Amount Number candidate) Amendment

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OS-DE 14 (Rev. 11 /13) SE E REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S REPORT -ITEMIZED CONTRIBUTIONS

(1) Name (2) I.D. Number

(3) Cover Period 0 81Q___h_ I _J_f through d_g I / J I / {p (4) Page / of

(5) (7) (8) (9) (1 0) (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 .DA N' E~ 0~ }/ I j(p ¥ ltJ 14 j() e. 'f /56,- I; o ;z Ctr;Lo Cf- -r R.t?.;:.D LoA I #. (/Q~~~f,~ -

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OS-DE 13 (Rev. 11113) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES