(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 USE ONLY (4) Check appropriate box(es): Candidate (office sought): County Commissioner, District 4 Political Committee CHECK IF PC HAS DISBANDED Committee of Continuous Existence CHECK IF CCE HAS DISBANDED Party Executive Committee Electioneering Communication CHECK IF NO OTHER ELECTIONEERING COMMUNICATION REPORTS WILL BE FILED REPORT IDENTIFIERS Cover Period: From 4 / 1 / 2010 To 7 / 16 / 2010 Report F1 Original Amendment Special Election Report Independent Expenditure Report CONTRIBUTIONS THIS REPORT (7) EXPENDITURES THIS REPORT Monetary Cash & Checks $ 3,320.00 Expenditures $ 13,918.60 Loans $ 0.00 Transfers to Office Account $ Total Monetary $ 3,320.00 Total Monetary $ In-Kind $ 695.15 (8) Other Distributions $ 0.00 13,918.60 0.00 (9) TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 28,195.00 $ 24,970.91 (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. I certify that I have examined this report and it is true, correct, and complete. ( name) Individual (only for electioneering commun.) X Signature ( name) Treasurer Deputy Treasurer Candidate Chairperson (only for PC, PTY & electioneering commun. organization) X Signature CFID: 5169 DS-DE 12 (Rev. 08/04)
CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS 7 16 2010 (4) Page 1 of 5 4 14 10 1 (7) Wendy A Merriman 1718 Peregrine Point DR Sarasota, FL 34231 (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I CHE $50.00 4 14 10 2 4 23 10 3 4 23 10 4 Broken Eggs Inc of Siesta Key 140 Avenida Messina Anne Weintraub 1111 Ritz Carlton DR #1205 Patrick O'Neil 4581 Higel Ave B Restaurant CHE $200.00 I Attorney CHE $200.00 5 10 10 Neff Rental 109 Bluegrass CT Nokomis, FL 34275 B Equipment rentals INK Auger use (4 days) $107.00 5 5 10 10 Sean O'Brien 2625 Nassau ST Sarasota, FL 34231 I Constructio n INK Lumber for signs $181.25 6 5 14 10 7 5 18 10 8 Gabriele Charity 623 Avenida del Norte W H Bishop III 246 Noble Cir W Jacksonville, FL 32211 I CHE $50.00 DS-DE 13 (2/03)
CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS 7 16 2010 (4) Page 2 of 5 5 18 10 9 (7) Sarasota Life Network 642 N Auburn RD Venice, FL 34275 (8) (9) (10) (11) (12) Contributor B Occupation Non Profit Org Contribution In-kind Description Amendment Amount CHE $200.00 5 28 10 10 Jane L Wooden 2932 Captiva DR Sarasota, FL 34231 I CHE $25.00 6 1 10 Tom Quigley 2424 Tamisola ST Sarasota, FL 34237 I Constructio n INK Metal sign posts $158.90 11 12 13 14 Richard H Storm 707 S Gulfstream Ave Mitchell D McKnight 4066 Losillias DR Sarasota, FL 34238 Samuel C Holladay Jr 604 42nd ST Sarasota, FL 34234 Sarasota Celts Inc 1064 Mallard Marsh DR Osprey, FL 34229 B Sport Rentals CHE $200.00 15 16 Nancy J Brown 1207 Starboard LN I Farmer CHE $200.00 DS-DE 13 (2/03)
CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS 7 16 2010 (4) Page 3 of 5 17 (7) Judith A Hillery 1109 Schere Way Osprey, FL 34229 (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I Retired CHE $200.00 18 19 20 21 22 23 6 17 10 24 Wendall J Jacobsen 2206 Alvarado LN Sarasota, FL 34231 Michael P Fehily 45343 Midnight pass Rd Unit 51 Joseph F Barresi 5503 Azure Way Vern G Johnson 5770 Midnight Pass RD 110-C Massage Experience of Siesta Key Inc 5138-A Ocean Blvd Siesta Key, FL 34242 Ted Parker 7328 Point of Rocks RD Amanda Bagnasco 3321 Mayflower ST Sarasota, FL 34231 I Retail CHE $200.00 I CHE $75.00 I CHE $25.00 I CHE $50.00 B CHE $40.00 I CAS $100.00 I CHE $50.00 DS-DE 13 (2/03)
CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS 7 16 2010 (4) Page 4 of 5 6 21 10 25 (7) Carolina Consultants of Cabarrus Inc 2583 Sunberry LN Concord, NC 28027 (8) (9) (10) (11) (12) Contributor B Occupation Consulting Services Contribution In-kind Description Amendment Amount CHE $200.00 6 21 10 26 6 21 10 27 6 25 10 28 7 8 10 29 James Connell 184 Sandy Hook RD Cathryn Connell 184 Sandy Hook RD Susan C Sobzack 7106 Queen Palm Circle Sarasota, FL 34243 Summer D Matthes 5649 Old Ranch RD Sarasota, FL 34241 I CAS $100.00 I CAS $100.00 7 8 10 Nancy Lee Havens 3839 Tangier Ter Sarasota, FL 34239 I Dentist INK Food/bevera ge for even $78.00 30 7 14 10 Broken Egg of LWR Inc 6115 Exchange Bradenton, FL 34202 B Restaurant INK Food/bevera ge for even $110.00 32 7 14 10 Broken Egg of LWR Inc 6115 Exchange Bradenton, FL 34202 B Restaurant INK Server provided for ev $60.00 33 DS-DE 13 (2/03)
CAMPAIGN TREASURER S REPORT ITEMIZED CONTRIBUTIONS 7 16 2010 (4) Page 5 of 5 7 16 10 34 (7) Kathleen M Bolam 131 Flamingo RD Venice, FL 34293 (8) (9) (10) (11) (12) Contributor Contribution In-kind Occupation Description Amendment Amount I CHE $50.00 7 16 10 35 7 16 10 36 7 16 10 37 7 9 10 38 E L Malone 331 Sea Grape RD Venice, FL 34293 Mary C O'Nesky 4260 Corso Venetia Blvd Venice, FL 34293 Gerardo Ripo 1234 Lime Ave Sarasota, FL 34237 Nancy Lee Havens 3839 Tangier Ter Sarasota, FL 34239 I CHE $5.00 I Dentist CHE $100.00 DS-DE 13 (2/03)
CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES 7 16 2010 (4) Page 1 of 4 4 1 10 (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Reimburse - Lincoln Day Dinner Expenditure Amendment Amount MON $150.00 1 4 1 10 2 Reimburse - Printing MON $24.08 4 1 10 3 Strategic Image Management LLC 511 West Bay ST TAMPA, FL 33606 Consulting Fees MON $500.00 4 1 10 4 Consulting Fees MON $1,500.00 4 1 10 5 Florida Shores Bank 500 US 41 Bypass N Bank Fee MON $10.00 4 22 10 6 SARASOTA, FL 34236 Petition Verification MON $27.00 4 23 10 7 Siesta LLC 221 Beach RD SARASOTA, FL 34242 Copies MON $84.05 4 27 10 Reimburse - Petition Verification MON $3.00 8 DS-DE 14 (7/98)
CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES 7 16 2010 (4) Page 2 of 4 4 27 10 (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Reimburse - Postage Stamps Expenditure Amendment Amount MON $177.00 9 4 27 10 10 Consulting Fees MON $1,500.00 4 28 10 11 Sun Graphic Technologies Inc PO Box 807 Tallevast, FL 34270 Signs MON $1,631.75 4 28 10 Reimburse - Postage Stamps MON $44.00 12 4 28 10 13 Sun Graphic Technologies Inc PO Box 807 Tallevast, FL 34270 Signs MON $1,219.80 5 2 10 14 Petition Verification MON $23.60 5 4 10 Reimburse - Petition Verification MON $24.08 15 5 6 10 16 Petition Verification MON $20.00 DS-DE 14 (7/98)
CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES 7 16 2010 (4) Page 3 of 4 5 14 10 (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Amendment Amount Petition Verification MON $46.50 17 5 17 10 18 Petition Verification MON $64.50 5 20 10 19 Petition Verification MON $45.70 6 4 10 20 Siesta LLC 221 Beach RD Copies MON $42.80 6 14 10 21 Filing Fee MON $4,765.50 Absentee Ballot Information MON $50.00 22 7 8 10 23 Strategic Image Management LLC 511 West Bay ST Tampa, FL 33606 Palm Cards MON $715.00 7 8 10 24 Siesta LLC 221 Beach RD Siesta Key, FL 34242 Copies MON $50.24 DS-DE 14 (7/98)
CAMPAIGN TREASURER S REPORT ITEMIZED EXPENDITURES 7 16 2010 (4) Page 4 of 4 7 16 10 Strategic Image Management LLC 511 West Bay ST Suite 350 Tampa, FL 33606 (7) (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Amendment Amount Absentee post cards MON $1,200.00 25 DS-DE 14 (7/98)