CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code

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1 (1) Christine Hoffman Name CAMPAIGN TREASURERS REPORT SUMMARY REG (2) th St. N. JUL Address (number and street) City, State, Zip Code City Clerk D Check here if address has changed (3) ID Number: NIA (4) Check appropri ate box(es): I 0 Candidate Office Sought: D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Comm ittee (PTY) D Independent Expenditure (I E) (also covers an individual makin g electioneering commun ications) et!)y City of Jacksonville Beach - At Large Seat 1 D Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other IE or EC reports will be filed (5) Report Identifiers Cover Period: From 07 I 09 I 16 To I 16 Report Type: 2016-P Original D Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks 10, Expenditures Loans Transfers to Office Account Total Monetary In-Kind Total Monetary (8) Other Distributions (9) TOTAL Monetary Con.tributions To (10) TOTAL Monetary Expenditures To , ( 11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have exam ined th is report and it is true, co rrect, and complete: (Type name) Matthew C. Bothwell (Type QRme) Christine Hoffman 0 Individual (only for IE 0 Treasurer I 0 Deputy Treasurer 0 Ca id id, ~ Ch"" (ooly Im ~c " PTY) :,,oct,oo[)jf;ll / x \ j Signature S i gnat~ lj OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

2 (3) Cover Period 07 I 09 I 2016 through 07/ 22 / 2016 (4) PaQe 1 of 3 (5) (7) (8) (9) (10) (11) (12) (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount 07/07/2016 Bell & Roper, P.A E. Jefferson St. B Attorney CHE 1, Orlando, FL /08/2016 Brown & Brown of FL Inc. P.O. Box2412 B Insurance CHE 1, Daytona Beach, FL /08/2016 George A. Helm Ill, P.A. P.O. Box B Attorney CHE Lake Mary, FL /08/2016 USIS P.O. Box B Insurance CHE 1, Orlando, FL / Public Risk Underwriters of Florida, Inc. B Insurance CHE 1, P.O. Box Lake Mary, FL Roberts, Reynolds, 07/11/2016 Bedard & Tuzzio, PLLC 470 Columbia Dr B Attorney CHE 1, Building C 6 W. Palm Beach, FL /12/2016 Brown & Brown, Inc. PO Box 2412 B Insurance CHE 1, Daytona Beach, FL /12/2016 Preferred Gov. Claim Solutions, Inc. B Insurance CHE 1, P.O. Box Lake Mary, FL DS-DE 13 (Rev. 08/03)

3 (3) Cover Period 07/ 09 / 2016 through 07/ 22 / 2016 (4) Page 2 of 3 (5) (7) (8) (9) (10) (11) (12) (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zio Code Type Occupation Tvoe Description Amendment Amount 07/1 2/2016 William G. Warner PO Box 1820 I Attorney CHE Panama City, FL /12/2016 Timothy M. Warner 812 Balboa Ave. I Attorney CHE Panama City, FL /12/2016 William J. Carter 1884 Nightfall Dr. I Business CHE Neptune Beach, FL Owner/Arts & Crafts 07/1 4/20 16 John C. Schmidt 55 San Juan Dr. I Retired CHE Ponte Vedra Beach, FL /15/2016 Works of Tab, LLC 333 N. 1st St. N. STE 100 B Restaurant CHE /15/15 Works of B and L LLC 333 1st St. N. STE 150 B Restaurant CHE /18/2016 Lindsey Godfrey th St. N. I CHE /19/2016 Helen Dixon Coppedge Marsh Landing I Retired CHE Parkway 16 Ponte Vedra, FL DS-DE 13 (Rev )

4 (3) Cover Period 07 I 09 I 2016 through 07 I 22 I 2016 (4) Page 3 of 3 (5) (7) (8) (9) (1 0) (11) (12) (6) (Last, Suffix, First, Midd le) Sequence Street Address & Contributor Contri bution In-kind Number Citv, State, Zio Code Tvpe Occupation Type Description Amendment Amount 07/1 9/20 16 Walter Dickinson 5187 Dixie Landing Dr I Retired CHE Jacksonvil le, FL \ OS-DE 13 (Rev. 08/03)

5 CAMPAIGN TREASURERS REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number ---N"""/A~----- (3) Cover Period 07 /~/ 2016 through 07 l_ll l--1ql.q_ (4) Page...,:.1 of 1 (5) (7) (8) (9) (10) (11) Purpose (6) Sequence (Last, Suffix, First, Middle) Street (add office sought if Number Address & contribution to a Expenditure City, State, Zip Code candidate) Type Amendment Amount I I OS-DE 14 (Rev. 08/03)