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HomeMy WebLinkAbout_M12 Report (Johnson)Ted Johnson OFFICE USE ONLY Name UBM I I ON I (2) 1107 Pheasant Circle [1197356] Address (number and street) Submitted on: Winter Springs, FL 32708 1/8/2020 13:15:22 (eastern) L City, State, Zip Code n Check here if address has changed (3) ID Number: 502 (4) Check appropriate box(es): ® Candidate Office Sought: City Commissioner, District 3 © Political Committee (PC) F1 Electioneering Communications Org. (ECO) ® Check here if PC or ECO has disbanded F] Party Executive Committee (PTY) F] Check here if PTY has disbanded F1 Independent Expenditure (IE) (also covers an El Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 12 1 2019 To 12 / 31 /2019 report Type M12 ® Original F] Amendment Special Election Report O Contributions This Report Expenditures This Report Monetary Cash & Checks $ 0. 00 Expenditures $ 0 00 Loans $ 3 568 - 80 Transfers to Office Account $ 0 00 Total Monetary $ 3 568 . 80 Total Monetary $ 0 00 I n-Kind 0 . 00 (8) Other Distributions $ 0 00 (9) TOTAL Monetary Contributions To Date (1) TOTAL Monetary Expenditures To Date $ 3 568 80 $ 0 00 (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) (Type name) 171 Individual (only for IE ❑ Treasurer 171 Deputy Treasurer El Candidate El Chairperson (only for PC and PTY) or electioneering comm.) X X Signature Signature DS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS CAMPAIGN TREASURER'S REPORT — ITEMIZED CONTRIBUTIONS (1) Name Te-,d Jobe step (2) I.D. Number 502 12/1/2019 12/31/2019 (3) Cover Period 1 through 1 Page 1 of 1 (5) Date (7) Full Name (Last, Suffix, First, Middle) Street Address & City, State, Zip Code (8) Contributor Type Occupation (9) Contribution Type (10) In -kind Description (11) Amendment (12) Amount (6) Sequence Number 12/20/2019 Johnson, Ted 1107 Pheasant Circle Winter Springs, FL 32708 S city Commission er LO $3f568.8C DS-DE 13 (Rev. 11/13 ) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES CAMPAIGN TREASURER'S SUF EF ' REPORT F T — ITEMIZED EXPENDITURES ES (1) Name Ted Johnson I.D. Number 12/1/2019 12/31/2019 (3) Cover Period l through l (4)Page 1 502 of 0 O Date O Full Name (Last, Suffix, First, Middle) Street Address City, State, Zip Dude O Purpose (add office sought if contribution t arndida�te) (9) Expenditure Type (1 ) Amendment (11) Amountz O Sequence Number z z z z z z z z z z z z z DS-DE 1 (Rev. 11/1) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES