CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PC or ECO has disbanded

Size: px
Start display at page:

Download "CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PC or ECO has disbanded"

Transcription

1 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Christine Hoffman Ritue. "...-u v Name (2) th St. N. NOV Address (number and street) Jacksonville Beach, FL City Clerk City, State, Zip Code - 0 Check here if address has changed (3) ID Number: NIA (4) Check appropriate box(es): 0 Candidate Office Sought: City of Jacksonville Beach - At Large Seat 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D Independent Expenditure (IE) (also covers an individual making electioneering communications) 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 10 I 01 I 15 To 10 I 31 I 15 Report Type: 2015-M10 D Original 0Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $ 02 Expenditures $ ' ' ' ' 2, Transfers to Loans $ ' Total Monetary $ ~ ' 2, In-Kind $ ' ' Office Account $ Total Monetary (8) Other Distributions $ ' ' $ 0 ' ' ' ' (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ 2 ' $ 0 ' (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew c. Bothwell ' (Type name) Christine Hoffman D Individual (only for IE 0 Treasurer D Deputy Treasurer 0 Candidate " D Chairperson (only for PC and PTY) : l ~~m:~ l I (\,...,. ~ Signature DS-DE 12 (Rev. 11/13) x I " Sign~, \) ' SEE REVERSE FOR INSTRUCTIONS

2 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) l.d. Number N/A (3) Cover Period 10 I 01 / 2015 through 10 / 31 / 2015 (4) Page 1 of 1 (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, Zio Code Type Occuoation Tvoe Descriotion Amendment Amount 10/29/2015 Christine Hoffman s Candidate CHE $2, /31/2015 Vystar Credit Union 8 Bank INT $ RE :CEIV ED ~ nv n q c ity Cier~ OS-DE 13 (Rev. 08/03)

3 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number...:.::N~/A.:...- (3) Cover Period 10 /_JJJ / 2015 through 10 /_]J / 2015 (4) Page 1... of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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 ~ECEIV :::n NOV City Clerc OS-DE 14 (Rev. 08/03)

4 Address (number and street) Jacksonville Beach, FL City, State, Zip Code D Check here if address has changed (4) Check appropriate box(es): DEC City Clerk (3) ID Number: N/A - 0 candidate Office sought: City of Jacksonville Beach - At Large Seat 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Check here if PC or ECO has disbanded D Party Executive Committee (PTY) D Check here if PTY has disbanded D Independent Expenditure (IE) (also covers an D Check here if no other IE or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 11 I 01 I 15 To 11 I 30 I 15 Report Type: 2015-M11 0 Original D Amendment D Special Election Report (6) Contributions This Report Cash & Checks $ 100,45 ' ' Loans $ 0 00 ' ' Total Monetary $ In-Kind $ ' ' (9) TOTAL Monetary Contributions To Date $,.~o.~ (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions $_, _ ' (10) TOTAL Monetary Expenditures To Date $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew c. Bothwell (Type name) Christine Hoffman D Deputy Treasurer 0 Candidate 0 Chairperson (only for PC and PTY) x Signature OS-DE 12 (Rev. 11/13) x Signature SEE REVERSE FOR INSTRUCTIONS

5 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) 1.0. Number N/A (3) Cover Period 11 I 01 I 2015 through 11/ 30 I 2015 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zio Code Tvoe Occupation Type Description Amendment Amount - 11/4/2015 Michael Field I CAS $ Palmer Ave 1 Jacksonville, FL /10/15 PayPal 2221 North First Street B Bank CAS $0.20 San Jose, CA /10/15 Pay Pal 2221 North First Street 8 Bank CAS $0.09 San Jose, CA /30/15 Vystar Credit Union 100 3rd St. N. B Bank INT $0.16 Jacksonville Beach, FL OS-DE 13 (Rev. 08/03)

6 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number...N /A... (3) Cover Period 11 /_J}j_/ 2015 through 11 /...]JL_I 2015 (4) Page 1.. of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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 11/ 4 /15 Pay Pal 2221 North First Street Service Fee MON $ San Jose, CA /10/15 PayPal 2221 North First Street Account Verification MON $.29 2 San Jose, CA DS-DE 14 (Rev. 08/03)

7 ~~~~~~~~- (1) Christine Hoffman Name (2) th St. N. Address (number and street) Jacksonville Beach, FL CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address has changed (4) Check appropriate box(es): City Clerk (3) ID Number: N/A 0 candidate Office sought: City of Jacksonville Beach - At Large Seat 1 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 communications) (5) Report Identifiers Cover Period: From 12 I To 12 I 31 I 15 Report Type: 201 s-~ 0 Original 0 Amendment 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report Cash & Checks $ ' '. 17 Monetary Expenditures $ ' Loans $ ' Total Monetary $ In-Kind $ ' ' '.17 Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ $ 3.49 (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew c. Bothwell x Signature OS-DE 12 (Rev. 11/13) l l (Type name) Christine Hoffman D Deputy Treasurer 0 Candidate D Chairperson (only for PC and PTY) SEE REVERSE FOR INSTRUCTIONS

8 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) 1.0. Number _N_/A (3) Cover Period 12 / 01/2015 through 12/ 31/2015 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zio Code Type Occupation Tvoe Descriotion Amendment Amount 12/31/2015 Vystar Credit Union B Bank INT $ rd St. N. 1 Jacksonville Beach, FL ;;...,_ RE CEIVE ~ D " JJ f Ci ~ CIA:J OS-DE 13 Rev. 08/03 SEE REVERSE FOR INSTRUCTIONS Ar ILi -~es

9 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number _...N-./A. _ (3) Cover Period 12 I 01 I 2015 through 12 I 31 I 2015 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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 D S-DE 14 (Rev. 08/03) R -.,,...,. ~I - _,.; J~ ~ 1 ' 201 j - -. SEE REVERSE FOR INSTRUCTIONS AND C ~DE VAL~ y vier"...,...,.jl"l7zi...

10 (1) Christine Hoffman Name (2) th St. N. Address (number and street) Jacksonville Beach, FL CAMPAIGN TREASURER'S REPORT SUMMARY R FEB 09 L City Clerk City, State, Zip Code D Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): 0 candidate Office sought: City of Jacksonville Beach - At Large Seat 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D Independent Expenditure (IE) (also covers an individual making electioneering communications) 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 " CY (5) Report Identifiers Cover Period: From 01 I 01 I 16 To 1 I 31 I 16 Report Type: 2016-M1 0 Original D Amendment D Special Election Report (6) Contributions This Report Cash & Checks $,,. 17 Loans $,, Total Monetary $.17 In-Kind $,, (9) TOTAL Monetary Contributions To Date $,, ~o _a1 (7) Expenditures This Report Monetary Expenditures $ Transfers to Office Account $ Total Monetary $ (8) Other Distributions $, (10) TOTAL Monetary Expenditures To Date $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew C. Bothwell (Type name Christine Hoffman 0 Treasurer 0 Deputy Treasurer 0 Chairperson (only for PC and PTY) x Signature OS-DE 12 (Rev. 11/13) x Signature SEE REVERSE FOR INSTRUCTIONS

11 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) l.d. Number _.:..;,N:;.:../A.;... (3) Cover Period 01 I 01 I 2016 through 01/ 31 I 2016 (4) Page 1 of 1 (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 Tvoe Occuoation Type Description Amendment Amount 1/30/2016 Vystar Credit Union B Bank INT $ rd St. N. 1 Jacksonville Beach, FL r..,,..,;"' C 1! 'CU OS-DE 13 (Rev. 08/03) IFEB o ~ l ~l City CIE rk

12 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) 1.0. Number '-'N:.:..:/A'-'- (3) Cover Period 01 /_J!L./_~!~.Jhrough 01 / ]J / 2016 (4) Page 1.:, of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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 R ECEI" ED i:. 0,,~ 1~n.y ill " OS-DE 14 (Rev. 08/03) SEE REVERSE FOR INSTRUCTIONS AND COD,E VALUES ~. -~

13 ~~~~~~~~- CAMPAIGN TREASURER'S RE;:_PO~::=~==~ (1) Christine Hoffman lv60 Name (2) th St. N. MAR Address (number and street) Jacksonville Beach, FL C ity Clerk City, State, Zip Code 0 Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): 0 candidate Office sought: City of Jacksonville Beach - At Large Seat 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D Independent Expenditure (IE) (also covers an individual making electioneering communications) 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 02 I 01 I 16 To 2 I 29 I 16 Report Type: 2016-M2 0 Original D Amendment D Special Election Report (6) Contributions This Report Cash & Checks $ I I. 17 (7) Expenditures This Report Monetary Expenditures $ ' Loans $ ' ' Total Monetary $ ' In-Kind $ I I Transfers to Office Account $ Total Monetary $ (8) Other Distributions $, (9) TOTAL Monetary Contributions To Date $,.~s.~ (10) TOTAL Monetary Expenditures To Date $ (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.5.) I certify that I have examined this report and it is true, correct, and complete: {Type name) Matthew c. Bothwell hristine Hoffman D Individual (only fo r. 0 Treasurer D Deputy Treasurer D Chairperson (only for PC and PTY) ( ( x : '"''"""" 0 : re' Signature OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

14 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) 1.0. Number N/A (3) Cover Period 02 I 01 I 2016 through 02/ 29 I 2016 (4) Page 1 of 1 (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 2/16/16 1 Christine Hoffman B Candidate LOA /29/2016 2, Christine Hoffman s Candidate LOA 2 2/29/2016 Vystar Credit Union 100 3rd St. N. B Bank INT.17 Jacksonville Beach, FL DS-DE 13 (Rev. 08/03)

15 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number -:.:N~/A~- (3) Cover Period 02 /_QL_/ 2016 through !1_! 2016 (4) Page 1;... of 1 (5) (7) (8) (9) (10) (11) Date Full Name Purpose (6) Sequence (Last, Suffix, First, Middle) Street (add office sought if Expenditure Number Address & contribution to a City, State, Zip Code candidate) Type Amendment Amount 2/16/16 Lunarpages Hosting 1360 N. Hancock St. Website Hosting MON Anaheim, CA OS-DE 14 (Rev. 08/03)

16 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Christine Hoffman ft!1r Name (2) th St. N. Address (number and street) Jacksonville Beach, FL K~ 1..1v1..D APR City Clerk City, State, Zip Code 0 Check here if address has changed (3) ID Number: N/A - (4) Check appropriate box(es): 0 Candidate Office Sought: City of Jacksonville Beach - At Large $eat 1 D Political Committee (PC). D Electioneering Communications Org. (ECO) D Check here if PC or 'ECO has disbanded D Party Executive Committee (PTY) D Check here if PTY has disbanded D Independent Expenditure (IE) (also covers an D Check here if no othfr Lr or EC reports will be filed individual making electioneering communications) (5) Report Identifiers Cover Period: From 03 I 01 I 16 To 3 I 31 I 16 Report Type: 2016-M3 0 Original D Amendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $.. 35 Expenditures $ ' ' ' ' Loans $ ' '.. 35 Total Monetary $ ' ' In-Kind $ ' ' Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ ' ' ' ' ' ' (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ $ ' ' ' ' ( 11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name> Matthew C. Bothwell :;~~~ll~ (Type name) Christine Hoffman 0 Deputy Treasurer 0 Candida! D Chairperson (only for PC and PTY) /), r-, '-l L- Signature Sign M e \ OS-DE 12 (Rev. 11/13) SEE REVERSE FOR INSTRUCTIONS

17 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) 1.0. Number N/A (3) Cover Period 03 I 01 I 2016 through 03/ 31 I 2016 (4) Page 1 of 1 (5) (7) (8) (9) (10) (11) (12) Date Full Name (6) (Last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind Number Citv, State, Zio Code Type Occupation Type Description Amendment Amount 3/31/16 Vystar Credit Union 100 3rd St. N. B Bank INT.35 Jacksonville Beach, FL OS-DE 13 (Rev. 08/03)

18 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) 1.0. Number...:.;N~/A~- (3) Cover Period 03 /_J!.LJ_!Q.!.i_through 03 / ]] / 2016 (4) Page 1... of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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)

19 (1) Christine Hoffman Name (2) th St. N. Address (number and street) Jacksonville Beach, FL CAMPAIGN TREASURER'S REPORT SUMMARY e:::... MAY City Clerk City, State, Zip Code D Check here if address has changed (3) ID Number: N/A (4) Check appropriate box(es): 0 Candidate Office Sought: City of Jacksonville Beach - At Large Seat 1 D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D Independent Expenditure (IE) (also covers an individual making electioneering communications) 0 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 04 I 01 I 16 To I 16 Report Type: 2016-M4 0 Original DAmendment D Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $. 34 Expenditures $ ' ' ' ' Loans $ ' ' Transfers to Office Account $ ' ' Total Monetary $ 34 ' ' Total Monetary $ ' ' In-Kind $ ' ' (8) Other Distributions $ ' ' (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ $ ' ' ' ' (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew c. Bothwell D Individual (only for IE 0 Treasurer D Deputy Treasurer [2J Ca ~ did~ IE I\ : l&tio~ ll - r-. Signature OS-DE 12 (Rev. 11/13) I (Type!1-'lme Christine Hoffman x Signe~ ' ~' 0 Chairperson (only for PC and PTY) - SEE REVER~E FOR INSTRUCTIONS

20 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2) 1.0. Number N/A (3) Cover Period 04 I 01 I 2016 through 04/ 30 / 2016 (4) Page 1 of 1 (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 Tvoe Occupation Tvoe Description Amendment Amount 4/30/16 Vystar Credit Union 100 3rd St. N. B Bank INT.34 Jacksonville Beach, FL OS-DE 13 (Rev. 08/03) j

21 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPENDITURES (1) Name Christine Hoffman (2) l.d. Number :..:N:.:..:IA:...:..., _ (3) Cover Period 04 / QL/~through 04 /_]J}, / 2016 (4) Page 1.. of 1 (5) (7) (8) (9) (10) (11) Date Full Name 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)

22 CAMPAIGN TREASURER'S REPORT SUMMARY (1) Christine Hoffman OFFICE USE ONLY Name (2) th St. N. RECEIVED Address (number and street) Jacksonville Beach, FL JUN City, State, Zip Code D Check here if address has changed (3) 1n N11mber~~A~lerk (4) Check appropriate box(es): 0 Candidate Office Sought: City of Jacksonville Beach - At Large Seat 1 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 communications) (5) Report Identifiers Cover Period: From 05 I 01 I 16 To I 16 Report Type: 2016-MS 0 Original 0 Amendment 0 Special Election Report (6) Contributions This Report (7) Expenditures This Report Monetary Cash & Checks $. 35 Expenditures $ - - ' ' ' ' - - Loans $ ' ' 35 Total Monetary $ ' ' In-Kind $ ' ' Transfers to Office Account $ Total Monetary $ (8) Other Distributions $ ' ' ' ' ' (9) TOTAL Monetary Contributions To Date (10) TOTAL Monetary Expenditures To Date $ $ ' ' ' ' (11) Certification It is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) I certify that I have examined this report and it is true, correct, and complete: (Type name) Matthew C. Bothwell (Type nam1 Christine Hoffman Ol"d;,;d"'I (on~ 1 IE 0 T "'""'" D Deputy Treasurer 0 Candida u :cl ~,7~ ~?)1/?!:_ - ~ Signature DS DE 12 (Rev. 11/13) II ' x( I Si9n-(ture ~ " ' ' 0 Chairperson (only for PC and PTY) - SEE REVERSE FOR INSTRUCTIONS

23 CAMPAIGN TREASURER'S REPORT - ITEMIZED EXPEN t>itu~~~ IVED ( 1) Name Christine Hoffman (2) I. >.Nu 3) Cover Period 05 I 01 I 2016 through 05 I 31 I 2016 (4) p :tge HIN n of?ll'i ~ (5) (7) (8) 9) c ity1'tler' (11) Date Full Name Purpose (Last, Suffix, First, Middle) Street (add office sought if (6) Sequence Expenditure Number Address & contribution to a City, State, Zip Code candidate) Type Amendment Amount I I OS-DE 14 (Rev. 08/03)

24 CAMPAIGN TREASURER'S REPORT - ITEMIZED CONTRIBUTIONS (1) Name Christine Hoffman (2 I 1.0. ~'6FIVrfD (3) Cover Period 05 I 01 I 2016 through 05/ 31/2016 (4) Page 1 of 1 (5) (7) (8) (9) ( 0) Date Full Name (6) (last, Suffix, First, Middle) Sequence Street Address & Contributor Contribution In-kind JUN CifY 1 CIE ~ rk Number City, State, Zip Code Type Occupation Type Description Amendment Amount 5/31/16 Vystar Credit Union 100 3rd St. N. B Bank INT.35 Jacksonville Beach, FL (1 2) OS-DE 13 (Rev. 08/03)

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

CAMPAIGN TREASURER'S REPORT SUMMARY. JUL Address (number and street) Jacksonville Beach, FL City, State, Zip Code (1) Christine Hoffman Name CAMPAIGN TREASURERS REPORT SUMMARY REG (2) 1026 13th St. N. JUL 2 9 2016 Address (number and street) 32250 City, State, Zip Code City Clerk D Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURERS REPORT SUMMARY () Sandra K. Golding r Name () 0 8th Avenue North --. - -... - -- : 7?ECEVED Address (number and street) JAN 08 08 Jacksonville Beach, FL, City, State, Zip Code. ~sty

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) Thomas L. Gaume Jr. Name (2) 1700 Lantana Ct. NW (4) Address (number and street) Palm Bay, FL, 32907 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PTY has disbanded. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if PTY has disbanded. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures (1) Georgette E. Dumont Name (2) 507 16th Avenue South Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers

CAMPAIGN TREASURER'S REPORT SUMMARY. (3) ID Number: D Check here if PTY has disbanded. (5) Report Identifiers (1) Georgette E. Dumont Name () 507 16th Avenue South (4) Address (number and street) CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed Check appropriate box(es):

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY ~~~~~~~~- < 1 > William Charlie Latham Name (2) 2016 Gail Avenue Address (number and street) Jacksonville Beach, FL 32250 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code 0 Check here if address

More information

TREASURER' S REPORT. Council. Check here if no other IE or EC reports will be filed individual making electioneering communications)

TREASURER' S REPORT. Council. Check here if no other IE or EC reports will be filed individual making electioneering communications) CAMPAIGN TREASURER' S REPORT SUMMARY ) Tom Keller ORFfrAMDT Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL 33755 Check here if address has changed 3) ID : NOV 0 9 OFFICIAL RECORDS

More information

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

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 CAMPAGN TREASURER'S REPORT SUMMARY (1) Tres Holton OFFCE USE ONLY Name (2) 1729 La Maderia Dr SW Address (number and street) Palm Bay, FL 32908 City, State, Zip Code D Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURER'S REPORT SUMMARY (1) Sandra K. Golding R&GEtYEQv -. Name () 103 18th Avenue North Address (number and street) Jacksonville Beach, FL, 30 OCT 1 018 City Clerk City, State, Zip Code D Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Monetary. Expenditures $ I. Office Account $ I 1. Total Monetary $

CAMPAIGN TREASURER'S REPORT SUMMARY. Monetary. Expenditures $ I. Office Account $ I 1. Total Monetary $ CAMPAGN TREASURER'S REPORT SUMMARY (1) Gary Resnick OFFCE USE ONLY Name (2) 2800 NW 10 Avenue Address (number and street) City, State, Zip Code 0 -w...- Check here if address has changed (3) 1&1' ~ECEV~

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY CAMPAGN TREASURER'S REPORT SUMMARY (1) Paul John Rolli office use only Name () 016 NE 6th Ter Address (number and street) Wilton Manors, FL 33305 City, State, Zip Code 0 Check here if address has changed

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if no other IE or EC reports will be filed. (5) Report Identifiers

CAMPAIGN TREASURER'S REPORT SUMMARY. D Check here if no other IE or EC reports will be filed. (5) Report Identifiers CAMPAGN TREASURER'S REPORT SUMMARY ( 1 ) Gary Resnick Name (2) 2800 NW 10 Avenue Address (number and street) Wilton Manors, FL 33311 City, State, Zip Code 0 Check here if address has changed (4) Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY, !\hf'c/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL

CAMPAIGN TREASURER'S REPORT SUMMARY, !\hf'c/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL CAMPAIGN TREASURER'S REPORT SUMMARY,!\hf'C/j (1) Alfonso M. Leon Campaign nr..rrr,r^r. USE ONL Name (2) 2368 SW 4th Street Address (number and street) Miami, FL 33135 "'^10 Orf- - ' t OF Y Cliyrur.'^irYri

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY ~~~~~~~~- ~~~~~~~~~~~~~~~~~~~~~~~~- (1) Name (2) 9604 NW 36th Manor Address (number and street) 33065 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code D Check here if address has changed (4) Check

More information

(7) Expenditures This Report Monetary Expenditures $ ' Transfers to Office Account. Total Monetary $ -- (8) Other Distributions $ --'--'~ 76

(7) Expenditures This Report Monetary Expenditures $ ' Transfers to Office Account. Total Monetary $ -- (8) Other Distributions $ --'--'~ 76 D Check here if address has changed (3) (4) Check appropriate box( es): D : ] Candidate Office Sought: City Counsel --=-~--------~------------~ 0 Political Committee (PC) 0 Electioneering Communications

More information

o Check here if address has changed (3) 10 Number:

o Check here if address has changed (3) 10 Number: (1) Lorry Woods Campaign Name (2) PO Box 347921 Address (number and street) Miami, FL 33234 CAMPAGN TREASURER'S REPORT SUMMARY City, State, Zip Code o Check here if address has changed (3) 10 Number: (4)

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Miami. FL ,...~,-- Y1 (4) Check appropriate box(es): -=- X

CAMPAIGN TREASURER'S REPORT SUMMARY. Miami. FL ,...~,-- Y1 (4) Check appropriate box(es): -=- X (1 ) (2) CAMPAIGN TREASURER'S REPORT SUMMARY Wifredo (Willy) Gort Campaign Name OFFICE USE ONLY c " (J1 ~; (/) ~n 2828 Coral Way Suite 500 Address (number and street)...;:. rr1 0,.,,''') 0 ', I Miami.

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Monetary. Transfers to Office Account. Total Monetary. 8) Other Distributions

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Monetary. Transfers to Office Account. Total Monetary. 8) Other Distributions CAMPAIGN TREASURER' S REPORT SUMMARY ) Tom Keller Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL 33755 Check here if address has changed 3) 9 lref', EB 2. I20 Y OFFICIAL RECORDS

More information

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account.

TREASURER' S REPORT. Council, 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Transfers to. Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt HamiltonEEKE Name 2) 8 N Belcher Rd., STE - 2 Address ( number and street) NOV 0 8 207 OFFICIAL RECORDS ` LEGISLATIVE SRVCS ;:-., :. Y Check here if address

More information

D CHECK IF PC HAS DISBANDED

D CHECK IF PC HAS DISBANDED .. FLORDA DEPARTMENT OF STATE DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (1) JAMES R. KENNEDY, JR. Name (2) 856 Second Ave N Address (number and street) St. Petersburg FL 33701 City, State, Zip

More information

City, State, Zip Code n Check here if address has changed (3) l&'fis. (5) Report Identifiers. Monetary Expenditures $

City, State, Zip Code n Check here if address has changed (3) l&'fis. (5) Report Identifiers. Monetary Expenditures $ PAOLO A. WESTON Name (2) 174 Arlington Road Address (number and street) 33405 CAMPAIGN TREASURER'S REPORT SUMMARY City, State, Zip Code n Check here if address has changed (3) l&'fis DEC 12 2018 CITY OF

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. City Council. 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. City Council. 5) Report Identifiers. 7) Expenditures. Monetary Expenditures. Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Name 2) 006 Magnolia Dr. Address (number and street) Check here if address has changed 4) Check appropriate box(es): Candidate Office Sought: Clearwater Political

More information

CAMPAIGN TREASURER s REPORT SUMMARY. (7) Expenditures This Report Monetary Expenditures .00. Transfers to Office Account $ Total Monetary $

CAMPAIGN TREASURER s REPORT SUMMARY. (7) Expenditures This Report Monetary Expenditures .00. Transfers to Office Account $ Total Monetary $ CAMPAGN TREASURER s REPORT SUMMARY (1) offce use only Name (2) 2016 NE 6th Ter Address (number and street) Wilton Manors, FL 33305 City, State, Zip Code D Check here if address has changed (3) D Number:

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY. (3) ID Number: q CHECK IF PC HAS DISBANDED

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY. (3) ID Number: q CHECK IF PC HAS DISBANDED (1) Tin-Adams (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER ' S REPORT SUMMARY 5262'IilleniBlvd. Address (number and street) OrlandoFL32839 City, State, Zip Code q CHECK

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORIDA DEPARTMENT OF STATE 5562 Cape Aqua Dr Address (number and street) Sarasota, 34242 DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY CHECK IF ADDRESS HAS CHANGED (3) ID : OFFICE

More information

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED FLORDA DEPARTMENT OF STATE DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (1) J OE CAROLLO CAMPAGN 4 '\... ( r.... OFFW E U$._;: 9N!.i Name (2) 3126 CORAL WAY Address (number and street) 2017 FEB

More information

D Check here if PTY has disbanded

D Check here if PTY has disbanded CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) KLEIN, MARTIN I. Name 1060 North Ocean Boulevard Address (number and street) Palm Beach, FL 33480 City, State, Zip Code D Check here if address has changed (4)

More information

o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED

o Electioneering Communication 0 CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED (1) Robert A. Cole Name (2) 8651 Riverstone Address (number and street) Milton, FL 32583-2579,..... ' FLORDA DEPARTMENT OF STATE DVSON O~~~f?i~p~,~:'.'.~-;CNS CAMPAGN TREASURER'S REPORT SU,MVlARY;:',T..

More information

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORTS O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORTS O CHECK IF PC HAS DISBANDED O CHECK IF CCE HAS DISBANDED FLORDA DEPARTMENT OF STATE DVSON OF CAMPAGN TREASURER'S REPORTS (1) Lc:s.c.JE Cu~ Name (2) 3,:::;;-10 {.._oc_ vsr Sr N r:: A~ f~bte~nd s~ 33761 City, State, Zip Code O CHECK F ADDRESS HAS CHANGED (4) C)leck

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures $ , I

CAMPAIGN TREASURER'S REPORT SUMMARY. (5) Report Identifiers. (7) Expenditures This Report. Monetary Expenditures $ , I (1) RYAN MATTHEW DONOVAN,-J Name 1487 E 1st Avenue CAMPAGN TREASURER'S REPORT SUMMARY OFFCE USE ONLY Address (number and street) 11-13-15 P0 1 : 0 6 N City, State, Zip Code D Check here if address has

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORDA DEPARTMENT OF STATE Post Office Box 8212 Address (number and street) DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY CHECK F ADDRESS HAS CHANGED (3) D : OFFCE USE ONLY (4) Check

More information

CAMPAIGN TREASURER'S REPORT SUMMARY. Pofiticat Committee (PC) Q Check here if PC or ECO has disbanded [ Electioneering Communications Org.

CAMPAIGN TREASURER'S REPORT SUMMARY. Pofiticat Committee (PC) Q Check here if PC or ECO has disbanded [ Electioneering Communications Org. CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Zoraida A. Barreiro Campaign. Name 210] SW 4 Avenue Address {number and street) Miami, FL 33129 City, State, Zip Code r~] Check here if address has changed (4)

More information

mended Report Special Election Report UIndependent Expenditure Report (7) EXPENDITURES FOR THIS REPORTING PERIOD I Monetary Expenditures $137Ch.

mended Report Special Election Report UIndependent Expenditure Report (7) EXPENDITURES FOR THIS REPORTING PERIOD I Monetary Expenditures $137Ch. FLORDA DEPARTMENT OF STATE, DVSON OF ELECTONS CAMPAGN TREASURER'S REPORT SUMMARY (cover sheet) Modified For Lee County Only (09-2001) SEE REVERSE SDE FOR NSTRUCTONS ON COMPLETNG TEMS TROUG 1 n NOTE: Check

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name 2) 8 N Belcher Rd., STE - 2 Address (number and street) Check here if address has changed 3) R 4qY JAN j,,08 OFFICIAL '= CORDS AND LEGISLATIVE:

More information

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORT SUM~:~Y, o CHECK IF PC HAS DISBANDED

FLORIDA DEPARTMENT OF STATE CAMPAIGN TREASURER'S REPORT SUM~:~Y, o CHECK IF PC HAS DISBANDED FLORDA DEPARTMENT OF STATE DVSON OF ~frtons CAMPAGN TREASURER'S REPORT SUM~:~Y, d~flbtju E ONf.Y. -, '"_. (1 ) Clifton Wheeler -

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to. Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to. Office Account. NumiP56Y8tPl' CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name 2) 8 N Belcher Rd., STE I- 2 OFFICE USE ONLY RECEIVED Address (number and street) JAN 2C) 200 OFFICIAL RECORDS AND Check here if

More information

REPORT OF CONTRIBUTIONS AND EXPENDITURES w. 4th ave lakewood co 80226

REPORT OF CONTRIBUTIONS AND EXPENDITURES w. 4th ave lakewood co 80226 SAVE FORM Once you have saved the form, please submit the form as an email attachment to the City Clerk at margre@lakewood.org City Clerk's Office Lakewood Civic Center 480 S Allison Parkway Lakewood,

More information

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY - StiwD(73~MeM.~ell-A"is-/-e.,,-+- 'J

DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY - StiwD(73~MeM.~ell-Ais-/-e.,,-+- 'J f FLORIDA DEPARTMENT OF STATE (1) ~k \An N k.\-e Name (2) ~o4 NI(.k.\C~.u( L6lc.~e Addess (numbe and steet) ~'\ l-\1;n I EL 30.5"70 City, State, Zip Code -- -- -- -- -- DIVISION OF ELECTIONS CAMPAIGN TREASURER'S

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing

More information

FOR CANDIDATES AND COMMITTEES (Please Print or Type)

FOR CANDIDATES AND COMMITTEES (Please Print or Type) C-1 APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 11/17 FOR CANDIDATES AND COMMITTEES (Please Print or Type) Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or

More information

5) Report Identifiers. Monetary. Transfers to. Office Account $ Total Monetary $ ) Other Distributions.

5) Report Identifiers. Monetary. Transfers to. Office Account $ Total Monetary $ ) Other Distributions. CAMPAIGN TREASURER' S N 1) Richard Walker OFF S NLY Name 2018 OCT 12 d N 2) 10590 NW 62nd Ct Address ( number and street) Parkland, FL 33076 City, State, Zip Code W til, y ;;% FLORIDA E n,, I~tiLf id Check

More information

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT FORM C/OH COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 7 3

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to Office Account.

CAMPAIGN TREASURER' S REPORT SUMMARY. Council, 5) Report Identifiers. Election Report. Monetary. Transfers to Office Account. CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name ) 8 N Belcher Rd., STE - Address ( number and street) Check here if address has changed 3) ofreecceiwd FEE - 08 OFFICIAL RECORDS AND LEGISLATIVE

More information

t:f Political Committee

t:f Political Committee FLORDA DEPARTMENT OF STATE DVSON OF CAMPAGN TREASURERS REPORT () --,/,,..4...,.,,,,...,~"""c,,...h--~!2~v~ ~u_t_o_r-- Naml (2),l(-2,.,."--J----- c!,_-c._7

More information

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE Is this report an Amendment? YES NO NO COMMITTEE IDENTIFICATION Name of Committee Amos Roe for School Board Address PO Box City, State, ZIP Madison WI

More information

APPENDIX A BLANK DISCLOSURE REPORTS

APPENDIX A BLANK DISCLOSURE REPORTS APPENDIX A BLANK DISCLOSURE REPORTS C-1 Appointment and Certification of Political Treasurer C-2 Campaign Disclosure Forms Detailed Summary Page C-4 Independent Expenditures C-5 48 Hour Notice of Contributions/Loans

More information

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES C-2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 11/17 SUMMARY PAGE (Please Print or Type) Section I Name of candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any)

More information

LI Primary 1:1 Runoff LI Other

LI Primary 1:1 Runoff LI Other CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE! MS/MRS/MR FIRST MI FICEHOLDER NAME 1 Filer ID (Ethics

More information

REPORT OF RECEIPTS AND DISBURSEMENTS

REPORT OF RECEIPTS AND DISBURSEMENTS 09/20/ 17 : 42 Image# 12972252920 FE FORM 3X REPORT OF REEIPTS AND DISBURSEMENTS For Other Than An Authorized ommittee Office Use Only PAGE 1 / 13 1. NAME OF OMMITTEE (in full) TYPE OR PRINT Example: If

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. CHECK IF PC HAS DISBANDED O Committee of Continuous Existence

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY. CHECK IF PC HAS DISBANDED O Committee of Continuous Existence C) JOE CAROLLO CAMPAIGN (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 3126 CORAL WAY Address (number and street) MIAMI, FL 33145-3210 CHECK IF ADDRESS HAS

More information

Campaign Contribution Disclosure Report

Campaign Contribution Disclosure Report REV 1/15 FILER ID: C000185 1. Report Type 2. Filing is being made on behalf of: Candidate or Public Official Filing Office Use Only E-Filed on 4/3/17 4:08 pm Original Report 3. Identifying and Contact

More information

SOUTHWEST. The Fleet and Family Support Center. Transition GPS (Goals, Plans, Success) Schedule

SOUTHWEST. The Fleet and Family Support Center. Transition GPS (Goals, Plans, Success) Schedule The SOUTHWEST Transition GPS (Goals, Plans, Success) Schedule The Transition Assistance Program (TAP) provides information and training to ensure Service Members leaving active duty are prepared for their

More information

2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4

2. Filing is being made on behalf of (Select One): Candidate or Public Official Atlanta City Council Member District 4 Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov 1. Report Type

More information

State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year

State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year State of West Virginia Campaign Financial Statement (Long Form) in Relation to the 2012 Election Year Candidate or Committee Name Candidate or Committee's Treasurer Political Party (for candidates) Treasurer's

More information

o Check here if address has changed (3) ID Number:

o Check here if address has changed (3) ID Number: CAMPAGN TREASURER'S REPORT SUMMARY (1) MGUEL ANGEL GABELA OFFCE USE ~Y Name () 1701 NW SOUTH RVER DR Address (number and street) MAM FL 3315 Cty, State, Zp Code (, ::::'1.,,' :0 rn ':) o Check here f address

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard etad CANDIDATE/OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form.

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed:

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE!

More information

3. COMMITTEE MAILING ADDRESS 4. COMMITTEE TELEPHONE NUMBER 1204 South Bridgewood Drive

3. COMMITTEE MAILING ADDRESS 4. COMMITTEE TELEPHONE NUMBER 1204 South Bridgewood Drive Missouri Ethics Commission COMMITTEE DISCLOSURE REPORT COVER PAGE C180543 M.E.C. ID NO. INSTRUCTIONS ON REVERSE SIDE 2. FULL NAME OF COMMITTEE 1. DATE OF REPORT OFFICE USE ONLY 3. COMMITTEE MAILING ADDRESS

More information

CAMPAIGN TREASURER' S REPORT SUMMARY

CAMPAIGN TREASURER' S REPORT SUMMARY CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt Hamilton Name ) 8 N Belcher Rd., STE I- Address (number and street) Check here if address has changed 3) ` AI LfiIEDLY fia? r_? Ojfl OFFICIAL RECORDS AND LEGISLATIVE

More information

Big Walnut Local School District

Big Walnut Local School District Big Walnut Local School District Monthly Financial Report for the month ended September 30, 2013 Prepared By: Felicia Drummey Treasurer BIG WALNUT LOCAL SCHOOL DISTRICT SUMMARY OF YEAR TO DATE FINANCIAL

More information

Filer ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name:

Filer ID (Filer ID that begins with the letter C ) Organization or Person Other than Candidate s Campaign Committee Committee Name: Page 1 of 10 1. Report Type (Select One) Original Amendment Amendment # Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334

More information

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY

FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Name FLORIDA DEPARTMENT OF STATE DIVISION OF ELECTIONS CAMPAIGN TREASURER'S REPORT SUMMARY 3126 CORAL WAY Address (number and street) MIAMI, FL 33145-3210 OFFICE USE ONLY 10 32 < r; CD CHECK IF

More information

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures. Transfers to Office Account

CAMPAIGN TREASURER' S REPORT SUMMARY. 5) Report Identifiers. Election Report. 7) Expenditures. Monetary Expenditures. Transfers to Office Account CAMPAIGN TREASURER' S REPORT SUMMARY ) Hoyt HamiltonIf-,, Name ) 8 N Belcher Rd., STE - Address (number and street) Check here if address has changed 3) 4) Check appropriate box(es): Candidate Office Sought:

More information

NH Department of Revenue Administration Municipal & Property Division P.O. Box 487, Concord, NH (603)

NH Department of Revenue Administration Municipal & Property Division P.O. Box 487, Concord, NH (603) NH Department of Revenue Administration Municipal & Property Division P.O. Box 487, Concord, NH 03302-0487 (603) 230-5090 REPORT OF LOCALLY ELECTED AUDITOR(S) RSA 41:31-d Municipality: C) Audit Fiscal

More information

I x Signature'" fl *- c+ 0 I C'. / rl 6- .;b G,% CoverPeriod: From --- Original 0 Amendment Special Election Report Independent Expenditure Report

I x Signature' fl *- c+ 0 I C'. / rl 6- .;b G,% CoverPeriod: From --- Original 0 Amendment Special Election Report Independent Expenditure Report (1) Republican Executive Comm of Lee Cou% Name (2) PO ox 61465 Address (number and street) Ft Myers FL 33906 r OFFCE USE ONLY o + G,% T,.;b fl * c+ 0 C'. / rl 6 (5) REPORT DENTFERS CoverPeriod: From 04

More information

Case No. FINANCIAL AFFIDAVIT

Case No. FINANCIAL AFFIDAVIT IN THE DISTRICT COURT OF COUNTY STATE OF OKLAHOMA Plaintiff, Case No. v. Defendant, FINANCIAL AFFIDAVIT This document is filed by father/mother (Circle one) FATHER: ADDRESS: CITY, STATE, ZIP SOC SEC NO:

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas Ethics Commission P.O.Box Austin, Texas (512) Texas Ethics Commission P.O.Box 12070 Austin, Texas 78711-2070 (512) 463-5800 1-800-325-8506 SPECIFIC- COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how

More information

Covering Calendar Year: Mailing Address: Street or P.O. Box City County State Zip code. ( )

Covering Calendar Year: Mailing Address: Street or P.O. Box City County State Zip code. ( ) CFC PFD Rev. 1/14 STATE OF GEORGIA PERSONAL FINANCIAL DISCLOSURE STATEMENT 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, GA 30334 404-463-1980 www.ethics.ga.gov Local Location Code: Original

More information

FILED: NEW YORK COUNTY CLERK 11/03/ :05 PM INDEX NO /2014 NYSCEF DOC. NO. 166 RECEIVED NYSCEF: 11/03/2014 EXHIBIT N

FILED: NEW YORK COUNTY CLERK 11/03/ :05 PM INDEX NO /2014 NYSCEF DOC. NO. 166 RECEIVED NYSCEF: 11/03/2014 EXHIBIT N FILED: NEW YORK COUNTY CLERK 11/03/2014 09:05 PM INDEX NO. 652382/2014 NYSCEF DOC. NO. 166 RECEIVED NYSCEF: 11/03/2014 EXHIBIT N Exhibit N: Loan Modification Examples - Conflict of Interests Example 1

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 1827 Gentilly Blvd 2. Office Sought (Include title of office as well as parish,

More information

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S.

1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/ MS/ MRS MR FIRST MI OFFICE USE ONLY OFFICEHOLDER 7 S. CANDIDATE / FICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/

More information

4-H Financial Forms. These forms match those in the 4-H Treasurer's Manual (4H1035, rev 5/2003)

4-H Financial Forms. These forms match those in the 4-H Treasurer's Manual (4H1035, rev 5/2003) 4-H Financial Forms These forms match those in the 4-H Treasurer's Manual (4H1035, rev 5/2003) Form 6.1-4-H YDP Monthly Report Form Form 6.2 - Annual Inventory Report Form 6.3 - Annual Financial Report

More information

CAMPAIGN TREASURER' S REPORT SUMMARY

CAMPAIGN TREASURER' S REPORT SUMMARY CAMPAIGN TREASURER' S REPORT SUMMARY ) RCELY Name 2) 27 PALM ISLAND NW Address (number and street) FEL. ' Ole OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT. Check here if address has changed ( 3) ID : 4)

More information

i Other * Ontario, Rancho Cucamonga, Fontana

i Other * Ontario, Rancho Cucamonga, Fontana b OF THE CITY CLERK OF THE CITY FORM 700 STATEMENT OF ECONOMIC OF C, itial Filing Recei, ec INTERESTS MARffi2 ge2018 A PUBLIC DOCUMENT COVER PAGE City Clerk, CALIFORNIA FAIR POLITICAL PRACTICES COMMISSION

More information

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM Pam Childers Clerk of the Circuit Court and Comptroller, Escambia County Clerk of Courts County Comptroller Clerk of the Board of County Commissioners Recorder Auditor MEMORANDUM TO: Honorable Board of

More information

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election)

CANDIDATE S REPORT. (to be filed by a candidate or his principal campaign committee) 40th day after general. Annual (future election) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 2. Office Sought (Include title of office as well LA House Union/Lincoln 12

More information

2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission

2. Filing is being made on behalf of (Select One): Candidate or Public Official Chairman of Cobb County Commission Page 1 of 8 CFC-CCDR 1/14 Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue S.E. Suite 1402 West Tower Atlanta, 30334 404-463-1980 www.ethics.ga.gov 1. Report Type 2.

More information

0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand. Name of Chairperson and/or Treasurer of Committee

0 Report of Organization or Person Other than Candidate's Campaign Committee Mark or Hand. Name of Chairperson and/or Treasurer of Committee 1. Save to File 2. Attach to Email REV 0312008 1. Report Type 2. Filing is being made on behalf of (Select One): Filing office use only (Select One) o Candidate or Public Official Office Sought or Held:

More information

CAMPAIGN TREASURER'S REPORT SUMMARY

CAMPAIGN TREASURER'S REPORT SUMMARY (1) (2) Caragiulo, Paul Name FLORDA DPARTMNT OF STAT 3708 Flores Ave Address (number and street) Sarasota, FL 34239 DVSON OF LCTONS CAMPAGN TRASURR'S RPORT SUMMARY CHCK F ADDRSS HAS CHANGD (3) D : OFFC

More information

Campaign Contribution Disclosure Report

Campaign Contribution Disclosure Report SEC FORM CCDR REV 01/2014 1. Report Type (Select One) * Original Report Amended Report Amendment # 2. Filing is being made on behalf of (Select One): * Candidate or Public Official Office Sought or Held:

More information

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE

More information

Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission

Campaign Contribution Disclosure Report Georgia Government Transparency and Campaign Finance Commission Cr CCDR 14 Page 1 of 10 r Georgia Government Transparency and Campaign Finance Commission 200 Piedmont Avenue SE 1 Suite 1402 West Tower 1 Atlanta GA 30334 1404 463 19801 Www ethic Ta o 1 Report Type 2

More information

Generated for 4RN5 ( ) on 26/09/2017 at 22:35 Page 1 of 6

Generated for 4RN5 ( ) on 26/09/2017 at 22:35 Page 1 of 6 Company Name Safe Number US5664784 Rating 76 76 A DBT Credit Limit $2K Derogatory Legal ($) Possible OFAC No Payment Trend Inquiries Trend Company Name Address 41 BALL RD BLDG 324, SUGAR GROVE, WV 26815

More information

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM Pam Childers Clerk of the Circuit Court and Comptroller, Escambia County Clerk of Courts Count y Com MEMORANDUM TO: Honorable Board of County Commissioners DATE: August 9, 2018 SUBJECT: Tourist Development

More information

Common stock prices 1. New York Stock Exchange indexes (Dec. 31,1965=50)2. Transportation. Utility 3. Finance

Common stock prices 1. New York Stock Exchange indexes (Dec. 31,1965=50)2. Transportation. Utility 3. Finance Digitized for FRASER http://fraser.stlouisfed.org/ Federal Reserve Bank of St. Louis 000 97 98 99 I90 9 9 9 9 9 9 97 98 99 970 97 97 ""..".'..'.."... 97 97 97 97 977 978 979 980 98 98 98 98 98 98 987 988

More information

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2

More information

Spheria Australian Smaller Companies Fund

Spheria Australian Smaller Companies Fund 29-Jun-18 $ 2.7686 $ 2.7603 $ 2.7520 28-Jun-18 $ 2.7764 $ 2.7681 $ 2.7598 27-Jun-18 $ 2.7804 $ 2.7721 $ 2.7638 26-Jun-18 $ 2.7857 $ 2.7774 $ 2.7690 25-Jun-18 $ 2.7931 $ 2.7848 $ 2.7764 22-Jun-18 $ 2.7771

More information

Candidate (office sought): Political Committee. D Check if PC has DISBANDED. D Check if no other electioneering communicaticniep~ ~t1~ filed

Candidate (office sought): Political Committee. D Check if PC has DISBANDED. D Check if no other electioneering communicaticniep~ ~t1~ filed FLORDA DEPARTMENT OF STATE Cash & Checks $2,525.40 Loans $0.00 DVSON OF ELECTONS CAMPAGN TREASURER'S Rfij~~UMM~~s 49 CAROLNE S(bFF~E~ ONLY (1) Santa Rosa County Democratic Executive Committee MilTON. Fl,

More information

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM

Clerk of the Circuit Court and Comptroller, Escambia County MEMORANDUM Pam Childers Clerk of the Circuit Court and Comptroller, Escambia County Clerk of Courts Count y Com MEMORANDUM TO: Honorable Board of County Commissioners DATE: October 11, 2018 SUBJECT: Tourist Development

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total

More information

CLIENT INFORMATION SHEET ROSSMAN TAX SERVICE TAX YEAR 2018

CLIENT INFORMATION SHEET ROSSMAN TAX SERVICE TAX YEAR 2018 CLIENT INFORMATION SHEET ROSSMAN TAX SERVICE TAX YEAR 2018 PLEASE COMPLETE ALL PAGES OF THIS FORM RETURNS WILL T BE PREPARED WITHOUT A COMPLETED INFO SHEET PERSONAL INFORMATION- YOUR LAST NAME MUST BE

More information

Solution to Problem 31 Adjusting entries. Solution to Problem 32 Closing entries.

Solution to Problem 31 Adjusting entries. Solution to Problem 32 Closing entries. Solution to Problem 31 Adjusting entries. 1. Utilities expense 27,000 Accounts payable 27,000 2. Rent revenue 4,000 Unearned revenue 4,000 3. Supplies 2,000 Supplies expense 2,000 4. Interest receivable

More information

Texas Ethics Commission P.O.Box Austin, Texas (512)

Texas Ethics Commission P.O.Box Austin, Texas (512) SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 ACCOUNT # (Ethics Commission filers) 2 Total

More information

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee)

CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) CANDIDATE S REPORT (to be filed by a candidate or his principal campaign committee) 1.Qualifying Name and Address of Candidate 4000 Dumaine St. New Orleans, LA 70119 2. Office Sought (Include title of

More information

Post-Payout --- Good Faith Estimate For Crown Agreements CA GFE-1

Post-Payout --- Good Faith Estimate For Crown Agreements CA GFE-1 Post-Payout --- Good Faith Estimate For Crown Agreements CA GFE-1 Project Name: Name of Project Report Month (1) : yyyy/mm Template For Period 2009 to Current CSR#: CSR### Form Id: CA_GFE_2009 Operator

More information

1 Filer ID (Ethics Commission Filers) 2 Total paqss,.. -d: ~5f;>( Vl,,-0 ) v'- . fts

1 Filer ID (Ethics Commission Filers) 2 Total paqss,.. -d: ~5f;>( Vl,,-0 ) v'- . fts CANIATE/ FICEHOLER CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANIATE/ FICEHOLER NAME 4 CANIATE/ FICEHOLER MAILING ARESS Change of Address

More information

CHECK IF PC HAS DISBANDED 0 CHECK IF CCE HAS DISBANDED 0 CHECK IF NO OTHER ELECTIONEERING (7) EXPENDITURES FOR THIS REPORTING PERIOD

CHECK IF PC HAS DISBANDED 0 CHECK IF CCE HAS DISBANDED 0 CHECK IF NO OTHER ELECTIONEERING (7) EXPENDITURES FOR THIS REPORTING PERIOD 1 Modified For Lee County Only (092001) SEE REVERSE SDE FOR NSTRUCTONS ON COMPLETNG TEMS 1 THROUGH 11 /K$ GhGL Candidate, Committee or Political Party o & 9 Wrncub c,wccg Address (Number and Street) (2)

More information

City... State... ZIP Code... Home phone... Fax number... Name Address ID Number Amount Paid. Enter total 2018 qualified student loan interest...

City... State... ZIP Code... Home phone... Fax number... Name Address ID Number Amount Paid. Enter total 2018 qualified student loan interest... CRAWFORD MERRITT AND COMPANY PC 3100 FIVE FORKS TRICKUM RD SW STE 401 LILBURN, GA 30047 Telephone: (770)972-6393 Fax: (770)972-4463 E-mail: dcrawford@cmccpas.com Last name... First name... Taxpayer Information

More information

HUD NSP-1 Reporting Apr 2010 Grantee Report - New Mexico State Program

HUD NSP-1 Reporting Apr 2010 Grantee Report - New Mexico State Program HUD NSP-1 Reporting Apr 2010 Grantee Report - State Program State Program NSP-1 Grant Amount is $19,600,000 $9,355,381 (47.7%) has been committed $4,010,874 (20.5%) has been expended Grant Number HUD Region

More information

Subject: Treasurer s Report for the Month Ended April 30, 2014

Subject: Treasurer s Report for the Month Ended April 30, 2014 AGENDA ITEM NO: 4.D.1 MEETING DATE: 5/19/2014 ADMINISTRATIVE REPORT NO.: 2014-62 To: Honorable Public Utilities Board Submitted by: /s/ Robert J. Orbeta AGM - Administration From: Ina Soo-Hoo Financial

More information