Stern 2021-M6 Report CITY F "76-,/26--,�,
WAIVER OF REPORT Office f the
(Section 106. 7(7),F.S.) C E II E
(PLEASE TYPE)
OFFICE USE ONLY
I 1
Name Office Sought
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Al C-
Address city State Zip Cade
Candidate 0 Political Committee El Party Executive Committee
NOTE: This form does not apply to an electioneering communications organization(ECO). An ECO must file a report(not a
waiver)that no reportable contributions or expenditures were made during the reporting period(s. 106 0703(6), F.S.).
Check here if address has changed since last report. Check here if PC has DISBANDED and will no longer file
reports,
PE OF REPORT (Check Appropriate Box and Complete.Applicable Litre beneathBox)
MONTHLY REPORT ❑ PRIMARY ELECTION FI GENERAL ELECTION a OTHER REPORT TYPE
Indicate report# Indicate report# Indicate report# Indicate report type and#
` P G as applicable:
❑ TERMINATION REPORT M SPECIAL ELECTION
NOTIFICATION OF NO ACTIVITY IN CAMPAIGN ACCOUNT T FOR THE REPORTING PERIOD OF
THROUGH
- `
Date
ignature Date
REQUIRED SIGNATURES FOR: Candidates,
Candidate and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Political Committees:
Chairman and Campaign Treasurer or Deputy Treasurer(s. 106.07(5), F.S.)
Party Executive Committees:
Treasurer and Chairman(s. 106.29(2),F,&)
Except as noted above for an EGO, in any reporting period when there has been no activity in the account(no funds expended or
received)the filing of the required report is waived. However,the ding officer must be notified in writing on the prescribed
reporting date that no report is being filed.
IDS-DE 87(Rev,06116)