campaign treasurer's report summary election/m2__report_gerard.pdf · (11) certification it is...
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CAMPAIGN TREASURER'S REPORT SUMMARY
{1) Eric Gerard OFFICE USE ONLY Name
(2) 2308 Seton Ln Address (number and street) 0- ~~~~t!EDq:~r~Largo, FL 33774 City, State , Zip Code c~ D Check here if address has changed (3) ID Number: -- -·• ·-········-·--- ~
(4} Check appropriate box( es):
0 Candidate Office Sought: Largo City Commission, Seat 3 0 Political Committee (PC) D 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 communications)
(5) Report Identifiers
Cover Period: From 02 I 03 02 ,.._____ 12020 To I 29 I 2020 Report Type: M2-·- --- ....... -~ . - -·· -- -
0 Original □ Amendment 0 Special Election Report
(6) Contributions This Report
Cash & Checks $ 21 . 935.00 -- ' - - -- --
Loans $ , ,
Total Monetary $ 21 , 935.00 '
In-Kind $ -- I -- ' -- - -
(9) TOT AL Monetary Contributions To Date
$ , ~ , 935 . 00
(7) Expenditures
Moneta ry Expenditures $
Transfer s to Office Ac count $
Total Monetary $
This Report
,688. 80'
-- ' -- ' -- --
--, ,688. 80
(8) Other Distributions
$ l J
(10) TOTAL Monetary Expenditures To Date
$ , 688 . 80' -- --
(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) Pat Gerard D Individual {only for IE ElTreasurer D Deputy Treasurer or e lectioneering comm.}
G{J .. ~) ~ -4 ~_/ Signature I
DS-DE 12 (Rev. 11/13)
(Type name} Eric Gerard ElCandid ate D Chairperson (only for PC and PTY)
x~~ Signature
SEE REVERSE FOR INSTRUCTIONS
X
CAMPAIGN TREASURER'S REPORT-ITEMIZED CONTRIBUTIONS
Eric Gerard (1) Name 2) 1.0. Number
(3) Cover Period 2 / 3 I 20 through _2_ / _2_9_ / 20 (4) Page 2 of lb (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Ame ndment
(12)
Amount
(6)
Sequence Number
02/03/ 2020 Beim Bihansky, Regina 8210 24th Avenue North St. Peter sburg , FL 33710
I Salon Owner CHE 500.00
1
02 /03 /2020
Acken, Alan
21 Winston Drive
Belleair, FL 33756
I Retired CHE 500.00
2
02 I 03 / 2020
Diamond , Benjamin
165 7th Ave NE
St. Petersburg, FL 33701
r Attorney CHE 250 .00
3
02 I 03 I 2020
Gerard , Sarah
409 Palisade Ave
Union City, NJ 07087
I Writer CHE 250 .00
4
02/03/ 2020
Kashner, Heather
1800 M Street NW
Washington , DC 20036
I CHE 25.00
5
02 I 04 I 2020
Hendon, James
10222 Golden Eagle Dr
Seminole, FL 33778
I Used Car Manager CHE 500.00
6
02 I 04 I 2020
Tarr, George
4619 Sunrise Dr S
St. Petersb urg , FL 33705
I Automotive Sales President
CHE 500 .00
7
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard (1) Name 2} I.D. Number
(3} Cover Period 2 / 3 I 20 through _2_ / _2_9_ / _2_0 _ (4) Page _]_of / I:,
(5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6) Sequence Number
02 / 04 12020 Nurse , Karl 176 21st Avenue SE St. Peters burg, FL 33705
I Printing Executive CHE 250.00
8
02/04 / 2020
O'Gara, Cathy
11554 Imperial Grove Dr E
Largo, FL 3377 4
I CHE 50.00
9
02/ 04/2020
10
Burke , Pat
472 5th Ave SE
Largo , FL 33771
I CHE 50.00
02/05/2020
Reed.Dawn
105 Mt. Vernon Circle
Dunwoody, GA 30338
I CHE 100.00
11
02/ 05 /2 020
Massey, Gale
6057 Burlington Ave N St. Petersburg, FL 33710
I CHE 100.00
12
02/05 /2020
Franklin, William
9105 Valley Drive
Clarks Summit, PA 18411
I CHE 100.00
13
02/05/2020
Thornsbrough, Eric
4628 34th Avenue North
St. Petersburg , FL 337 13
I CHE 100.00
14
DS-DE 13 (Rev . 11/13) SEE REVERSE FOR INSTRUCTIONS ANO CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
LI 1'(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page ( of t::> -
(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 CHE 50.00
02/05/ 2020 Hoffman , Mike
15 12172 145th St Largo , FL 33774
I Attorney CHE 500 .00
02 / 06 12020
Messa, Zachary
16 10266 95th St. N
Largo , FL 33777
B Design Company CHE 250. 00
02 I 061 2020
Haneke Design,
17 306 East Tyler Street
Tampa , FL 33602
I Government CHE 250.00
02 I 0612020 Affairs Consultant
Pressman, Todd
18 334 East Lake Rd
Palm Harbor, FL 34685
I CHE 100.00
02/06 /2020
Esposito, Gigi
19 1781 Pebble Beach Drive
Fort Myers, FL 33907
I CHE 100.00
02 / 061 2020
Rollins, Susan
20 28069 N 112th Place
Scottsdale, AZ 85262
I CHE 100.00
02 I 0612020 Bracewell, Michael
463 Harbor Driv e North 21 Indian Rocks Beach , FL
33785
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard (1) Name 2} I.D. Number
(3) Cover Period 2 / 3 I 20 through _2_ / _2_9_ / _2_0_ (4) Page ot I 6 (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6)
Sequence Number
02 / 06 12020 Rollins, Mike 26401 Bernwo od Rd Beachwood , OH 44122
I CHE 50.00
22
02/07/2020
Walker Ford ,
17556 Us Highway 19 North
Clearwater , FL 33764
B Automobile Dealer CHE 1000.00
23
02 / 07 12020
Long , Janet
11783 Ashley Court
Seminole, FL 33772
I County Commissioner
CHE 150.00
24
02 110 I 2020
Towler , Bob
2901 34th St N
St. Petersburg , FL 33713
I Automotive Sales Manager
CHE 300 .00
25
02 / 10/2020
Bokor , Bruce
2137 Laurence Dr
Clearwater, FL 33764
I Attorney CHE 250.00
26
02/10 / 2020
Bonn ell , James
117 Wall Street
Redington Shores, FL 33708
I Commercial Fisherman
CHE 200.00
27
02 I 10 / 2020
Whitney, Ruth
700 14th Ave N
St. Petersburg, FL 33701
I CHE 50.00
28
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 I 3 I 20 through 2 I 29 I 20 (4) Page t ot / -b
(5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amend ment
(12)
Amount
(6)
Sequence Number
02 I 10 / 2020 Wells , Karen 1511 Campbell Ave Orlando, FL 32806
I CHE 25.00
29
02 I 11 / 2020
Marsh , Jef f
2317 Northeast 49th Avenue
Portland, OR 97213
I Data Acquisition CEO
CHE 250.00
30
02 / 11 / 2020
Scatzka, Christin a
6344 Woodland Boulevard
Pinellas Park, FL 33781
I Marketing Consultant
CHE 250.00
31
02 I 11 / 2020
Lachance , Barry
1005 Connecticut Rd
Tarpon Springs, FL 34689
I CHE 100.00
32
02 / 11 / 2020
Martin , Susan
2101 S Indian Rocks Rd
Largo, FL 33774
I CHE 100.00
33
02 / 11 / 2020
Jenkins, Wesley
11153 70th Ave
Seminole, FL 33772
I CHE 100.00
34
02 / 11 / 2020
Morrison , Karri
525 26th Ave N
St. Petersburg , FL 33704
I CHE 50.00
35
OS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRU CTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through 2 / 29 / 20 (4) Page _7_ of~
(5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
( 11)
Amendment
(12)
Amount
(6)
Sequence Number
02 / 11 / 2020 Moravec , Shirley 502 Orangeview Ave Clearwater , FL 33755
I CHE 35.00
36
02/13/ 2020
Kaiafas, Demetrios
1202 Palm View Ave
Belleair, FL 33756
I Doctor CHE 250.00
37
02/13/2020
Taylor, Kathleen
2013 MacArthur Ct
Dunedin, FL 34698
I Life Coaching Firm Founder
CHE 250.00
38
02/ 13/ 2020
Rollins MD, Aaron
503 East Dilido Drive
Miami Beach, FL 33139
I Doctor CHE 200.00
39
02 / 13 I 2020
Rubin, Scott
3026 North Kenmore Avenue
Chicago, IL 60657
I CHE 50.00
40
02/13/2020
41
Santos, Eris
9201 Sun Isle Drive Northeast
St. Petersburg, FL 33702
I CHE 25.00
02 / 14 I 2020
Moore, Eric
1925 Cardamon Dr
Trinity, FL 34655
I Assisted Living Company Owner
CHE 1000.00
42
DS-DE 13 (Rev . 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page ~ ot_}_6_ (5)
Date
(7)
FullName (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
( 11)
Amendment
(12)
Amount
(6)
Sequence Number
02/14/2020 Crowley , Tess 4 70 3rd Street South St. Petersbu rg, FL 33701
I Digital Specialist CHE 250.00
43
02 / 14 /2 020
Katchuk, Robin
55 Freshwater Dr
Palm Harbor, FL 34683
I Care Facility Executive Director
CHE 250.00
44
02 / 14 / 2020
Reed, Susan Gay
609 E Second St
Blue Ridge, GA 30513
I Retired CHE 200.00
45
02 /14/202 0
Flowers, Rene
240 39th Street South
St. Petersburg , FL 33711
I CHE 100.00
46
02 / 14/2020
Rabinowitz Consulting,
8661 East Dahlia Drive
Scottsdale, AZ 85260
B CHE 100.00
47
02 / 17 / 2020
48
Wostbrock, Glenn
Po Box 8429
Seminole, FL 33775
I Restaurant Owner CHE 1000.00
02117 I 2020
Trautwein, Kathleen
1949 Los Lomas Dr
Clearwater, FL 33763
I CHE 100.00
49
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through _2_ / _2_9_ / _2_0 _ (4) Page J_of I " (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendm ent
(12)
Amount
(6)
Sequence Number
02/17/2020 Beatty, Laurel 8437 Tallahassee Dr Ne St. Peters burg, FL 33702
I CHE 100.00
50
02 / 18 / 2020
Gerard, Wendy
1147 Westridge Dr
Ventura , CA 93003
I Attorney CHE 300.00
51
02/ 18/2020
Blessing, Joan
8990 Bay Colony Dr
Naples, FL 34108
I Retired CHE 250.00
52
02 /18/ 2020
Boylan , Richard
100 1st Ave N
St Peters burg , FL 33701
I CHE 100.00
53
02 /18/2020
Bowman, Cheyrl
12990 Sophia Cir
Largo , FL 3377 4
I CHE 100.00
54
02/18/2020
Allyn, Jan
9629 105th Avenue
Largo , FL 33773
I CHE 100.00
55
02/1 8 /2 020
Alte, Tom
4430 14th Ave N
St. Petersburg, FL 337 13
I CHE 25.00
56
DS-DE 13 (Rev.11 /13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page / 0 of }_Q__ (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6)
Sequence Number
Helinger, James 9037 Baywood Park Dr Seminole, FL 33777
I Eminent Domain Attorney
CHE 500.00
02/19/2020
57
02 119 I 2020
Tekalova, Martina
1035 17th Ave N
Saint Petersburg , FL 33704
I Digital Marketing Consultant
CHE 400.00
58
02/ 19 /202 0
R S Sales Inc,
1449 Court Street
Clearwater , FL 33756
B Equipment Sales CHE 250.00
59
02119 I 2020
Colbert, Theresa
2352 Shade Tree Lane
Clearwater, FL 33759
I RN CHE 200.00
60
02/19/2020
Havener, Gary
56 154th Ave
Madeira Beach, FL 33708
I Realtor CHE 200.00
61
02 / 19 / 2020
Dunn , Victoria
7963 Garden Dr N
St. Petersburg, FL 33710
I CHE 100.00
62
02/19 /2020
Brown, Paul
904 Druid Road E
Clearwater, FL 33756
I CHE 100.00
63
OS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCT IONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page lJ_ of _Liz_ (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
( 11)
Amendment
(12)
Amount
(6)
Sequence Number
Kamowitz , Rebecca 227 Ocean Parkway Brookl yn, NY 11218
I Nonprofit Communications
CHE 200.00
0212 0 12020
64
02 / 21 / 2020
Havila nd, JB
1852 Welland Drive
Clearwater, FL 33756
I Electronics Products Manager
CHE 250.00
65
02 / 21 / 2020
Craig, Mac
603 Citrus Court
Largo , FL 33770
I Retired CHE 250.00
66
02 / 21 / 2020
Davis , Lisa
7522 Camden Harbour Dr
Bradenton , FL 342 12
I Non-profit Executive
CHE 250.00
67
02 / 21 / 2020
Dawkins, Bonnie
2466 Ecuadorian Way, Apt 56
Clearwater, FL 33763
I CHE 25.00
68
0212412020
Northside Engineering Inc.,
300 South Belcher Road
Clearwater, FL 33765
B Engineering Firm CHE 300.00
69
021 24 12020
Sunrise PAC,
4430 14th Ave N
St Petersbu rg, FL 33713
F Political Committee CHE 250.00
70
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard (1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page __f_1_of /6 (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6)
Sequence Number
02/2 4 /20 20 Glov er, Georg e 104 Harbor View Ln Belle air Bl uffs , FL 33770
I CHE 100.00
71
02/24/2 020
Mclauchlan , Ramsay
218 148th Avenue
Madeira Beach, FL 33708
I CHE 50.00
72
02/ 25 /2 020
Lancaster , Donna
2950 Heather Tra il
Clearwater , FL 33761
I Food Services Manager
CHE 500.00
73
02 / 25 / 2020
The Leytham Group,
518 North Tampa Street
Tampa, FL 3360 2
B Government Affairs Consultant
CHE 500. 00
74
02 / 25 I 2020
Hammock , Russ
1683 Robin Hood Lane
Clearwater, FL 33764
I Faith Group Operations Manager
CHE 250.00
75
02 I 25 I 2020
Rice , Darden
316 21st Ave NE
Saint Petersburg, FL 33704
I City Councilwoman
CHE 250.00
76
02/2 5 /202 0
!<wall, Louis
930 Palm Hill Rd
Palm Harbor, FL 34683
I Attorney CHE 250.00
77
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND COD E VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) 1.0. Number
/3 //, (3) Cover Period 2 / 3 I 20 through _2_ / _29_ / _2_0_ (4) Page ~ of •
(5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address &
City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6)
Sequence Number
02 /2 5/ 2020 May, Alfred 175 1st St S St. Petersbur g, FL 33701
I CHE 100.00
78
02 12512020
Lebedeff, Diane
101 S. Bayshore Blvd . #31
Safety Harbor, FL 34695
I CHE 50.00
79
02 /2 6/2020
The Shasteen-Sizemore Co.,
3225 South Macdill Avenue
Tam pa, FL 33629
B Real Estate Company
CHE 1000.00
80
02/2 6/2020
Olson, Alan
1087 Tartan Dr
Palm Harbor, FL 34684
I Retired CHE 500.00
81
021 2612020
Belskey, Michael
12631 Lone Palm Court
Largo, FL 33773
I UPS Preloader CHE 250.00
82
02 /2 6/2020 Bourdow , Joseph
450 Bath Club Blvd S
North Redington Beach, FL 33708
I CHE 100.00
83
02126 12020
Epstein, Barbara
1458 Twin Villas Way
Dunedin, FL 34698
I CHE 100.00
84
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard(1) Name 2) 1.0. Number
(3) Cover Period 2 / 3 I 20 through 2 I 29 I 20 (4) Page It/ of Jl_ (5)
Date
(7)
Full Name (Last, Suffix, First, Middle)
Street Address & City, State, Zip Code Type
(8)
Contributor Occupation
(9)
Contribution Type
(10)
In-kind Description
(11)
Amendment
(12)
Amount
(6)
Sequence Number
0212 7 12020 Pippenger , Lynn 1150 8th Avenue Southwest Largo , FL 33770
I Retired CHE 1000.00
85
0212 7 12020
Kumin, Michael
'1985 South Taylor Road
Cleveland Heights, OH 44118
I Funeral Director CHE 500.00
86
02 127 / 2020
Cruz, Ana
4836 W Flamingo Rd
Tampa, FL 33611
I Government Affairs Consultant
CHE 250.00
87
02 /2 7 /2020
Corr, Kathleen
2940 West Bay Dr
Belleair Bluffs, FL 33770
I CHE 100.00
88
02127 / 2020
Fox , Mike
719 52nd St. N
St. Petersburg, FL 33710
I CHE 100.00
89
02 /2 7/ 2020
Childs , Joe
760 Westfield Court
Dunedin, FL 34698
I CHE 100.00
90
02 12912020
deChant, Dell
6119 Illinois Ave
New Port Richey, FL 34653
I Educator CHE 250.00
91
DS-DE 13 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS
Eric Gerard (1) Name 2) I.D. Number
(3) Cover Period 2 / 3 I 20 through _2_ / _ 2_9_ / _2_0_ (4) Page 15 of i.k_ (5)
Date
(7)
Full Name
(Last , Suffix , First, Middle)
Str eet Address &
City, Stat e, Zip Code Type
(8)
Contributo r
Oc cupation
(9)
Contribution
Type
(10)
In-kind
Desc ription
(11)
Amendment
( 12)
A mou nt
(6)
Sequence
Number
02 I 29 / 2020 Butler, Jerry Beall 3088 Englewood Drive Largo, FL 33771
I CHE 50.00
92
02 I 29 / 2020
Briley, Arlin 219 4th Ave N
St. Petersburg , FL 33701
I CHE 25.00
93
I I
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I I
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OS-DE 13 (Rev.11/13) SEE REVERSE FOR INSTRUCTION S AND CODE VALUES
CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Er ic Gera rd (2) 1.0. Number _ _ _ _ ___ _
2020 2 82 0 (3) Cover Period ~!_.'.:..:._; through _'.'.:__,~ (4) Page ~(~6__ of l {,
(5) Date
(7)
Full Name (Last, Suffix , First , Middle)
Street Address & City, State , Zip Code
(8)
Purpose {add offic e sought if
contribution to a candidate)
(9)
Expenditu re Type
(10)
Amendment
(11)
Amount
(6) Sequence Number
02 / 29;2c 2r Anedo t 19 2 0 McKi nney Ave Da l las, TX 75201
C:::e di t: Ca:cd fee s
MON $68 8 .80
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OS-DE 14 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS AND CODE VALU ES