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

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Logan Strickland
5 years ago
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1 CAMPAIGN TREASURER' S REPORT SUMMARY ) Tom Keller ORFfrAMDT Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL Check here if address has changed 3) ID : NOV 0 9 OFFICIAL RECORDS AND LEGISLATIVE SRVCS DEPT, 4) Check appropriate box( es): Candidate Office Sought: Clearwater City Political Committee ( PC) Council Seat 4 Electioneering Communications Org. ( ECO) Check here if PC or ECO has disbanded Party Executive Committee ( PTY) Check here if PTY has disbanded Independent Expenditure ( IE) ( also covers an Check here if no other IE or EC reports will be filed individual making electioneering communications) 5) Report Identifiers Cover Period: From 0/ 0/ 207/ To 0/ 3/ 207/ Report : M 0 Original d Special Election Report Contributions This Report Expenditures This Report Cash & Checks $, 2, Monetary Expenditures Loans $, 0, Transfers to Office Account Total Monetary $, 2, Total Monetary In -Kind $ Other Distributions r TOTAL Monetary Contributions To 2, 050, 00 0) TOTAL Monetary Expenditures To 5, 94 ) 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, name) Kathy Watson and complete: name) Tom Keller Individual ( only for IE Treasurer Deputy Treasurer E Candidate or electio X i ering comm.) at 7._ - X Chairperson ( only for PC and PTY) Signature Si ature DE 2 ( Rev. / 3) SEE REVERSE FOR INSTRUCTIONS

2 CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS ) Name Tom Keller 2) I. D. 3) Cover Period 0/ 0/ 207 through 9 0/ 3/ 207 4) Page of 5) 0) ) 2) Contributor Contribution In -Kind Occupation Description Metropolitan Media Co 0/ 0/ W. Horatio St. Tampa, FL B Outdoor Adv. CHE, / Tom Keller 0/ Algonquin Drive Clearwater, FL LOA 0, / James W. Shaw 23/ Clearwater, Burning Tree FL 3376 Ln 003 I Claims Adj. CHE / 30/ 207 Jay Keller Jr 502 Manatee Drive Ruskin, FL 004 I Sales Rep. CHE / 3/ Walter Burnside P. A. Attorney at Law 304 S. Westland Ave. Tampa, FL B Law office CHE DS -DE 3 ( Rev. / 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

3 ) Name Tom Keller CAMPAIGN TREASURER' S REPORT - ITEMIZED EXPENDITURES 2) I. D. 3) Cover Period to/ 0l/ 07 / through 0/ 3// 207 / 4) Page of 5) 0) ) Purpose add office sought if contribution to a candidate) Expenditure 0/ 23/ 20/ Custom Graphics of Tampa th St., Ste. A Riverview, FL Badges CAN DS - DE 4 ( Rev. / 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

4 y CAMPAIGN ) Tom Keller Campaign Name 2) 707 Algonquin Dr. Address ( number and street) Clearwater, FL TREASURER' S REPORT SUMMARY O NOV 27 OFFICIAL RECORDS AND LEGISLATIVF SRV) EPT Check here if address has changed 3) ID : 4) Check appropriate box(es): Candidate Office Sought: Commissioner Political Committee ( PC) Seat Electioneering Communications Org. ( ECO) Check here if PC or ECO has disbanded Party Executive Committee ( PTY) Check here if PTY has disbanded Independent Expenditure ( IE) ( also covers an Check here if no other IE or EC reports will be filed individual making electioneering communications) 4 5) Report Identifiers Cover Period: From 0/ 0A/ 207/ To 0/ 3/ / 207/ Report : M 0 Original Special Election Report Contributions This Report Expenditures This Report Cash & Checks $ 2, Monetary Expenditures Loans $, 0, Transfers to Office Account Total Monetary $ In -Kind $, Total Monetary Other Distributions TOTAL Monetary Contributions To 2, 050, 00 0) TOTAL Monetary Expenditures To 5 94 ) 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: name) Kathy Watson name) Tom Keller Individual ( only for IE Treasurer 0 Deputy Treasurer El Candidate D Chairperson ( only for PC and P Y ) or electioneering comm.) Signature / gnature DS - DE 2 ( Rev. / 3) 5 7E REVERSE FOR INSTRUCTIONS

5 f CAMPAIGN TREASURER' S REPORT - ITEMIZED EXPENDITURES ) Name Tom Keller Campaign ( 2) I. D. 3) Cover Period 0/ 0/ 07 / through o/ 3// 207 / 4) Page g) 0) ) Purpose add office sought if contribution to a candidate) Expenditure 0/ 2320/ Custom Graphics of Tampa th St., Ste. A Badges Riverview, FL CAN DS - DE 4 ( Rev. / 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

6 s ', CAMPAIGN TREASURER' S REPORT ITEMIZED CONTRIBUTIONS ) Name Tom Keller Campaign 2) I. D. 3) Cover Period 0/ 0/ 207 0/ 3/ 207 through / 4) Page of 5) 0) ) 2) Contributor Contribution In- kind Occupation Description Metropolitan Media Co. 0/ 0/ W. Horatio Street Tampa, F B CHE, Tom Keller 0/ 0/ Algonquin Drive Clearwater, F S LOA 0, James W. Shaw 0/ 23/ Burning Tree Ln Clearwater, FL 3376 I CHE / 30/ 207 Jay Keller Jr 502 Manatee Drive Ruskin, FL I CHE / 3/ 207 Walter Burnside P. A. Attorney at Law 304 S. Wstland Ave. Tampa, FL B CHE DS -DE 3 ( Rev. / 3) SEE REVERSE FOR INSTRUCTIONS AND CODE VALUES

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