(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 appropriate box(es): Candidate (office sought): School Board, Dist. 7 Political Committee CHECK F PC HAS DSBANDED Committee of Continuous Existence CHECK F CCE HAS DSBANDED Party Executive Committee Electioneering Communication CHECK F NO OTHER ELECTONEERNG COMMUNCATON REPORTS WLL BE FLED REPORT DENTFERS Cover Period: From 6 / 1 / 2017 To 6 / 30 / 2017 Report Type M6 Original Amendment Special Election Report ndependent Expenditure Report CONTRBUTONS THS REPORT EXPENDTURES THS REPORT Monetary Cash & Checks $ 3,826.00 Expenditures $ Loans $ 5,00 Transfers to Office Account $ Total Monetary $ 8,826.00 Total Monetary $ n-kind $ (8) Other Distributions $ (9) TOTAL Monetary Contributions To (10) TOTAL Monetary Expenditures To $ 8,826.00 $ (11) CERTFCATON t is a first degree misdemeanor for any person to falsify a public record (ss. 839.13, F.S.) certify that have examined this report and it is true, correct, and complete. certify that have examined this report and it is true, correct, and complete. (Type name) ndividual (only for electioneering commun.) X Signature (Type name) Treasurer Deputy Treasurer Candidate Chairperson (only for PC, PTY & electioneering commun. organization) X Signature CFD: 7585 DS-DE 12 (Rev. 08/04)
CAMPAGN TREASURER S REPORT TEMZED CONTRBUTONS (2).D. 6 30 2017 (4) Page 1 of 3 6 8 17 1 P.O. Box 8212 Contribution n-kind S LOA $5,00 2 3 Tequisha Myles 423 Fern St Suite 200 Melva Rozier 801 Northpoint Parkway Suite 6 Attorney CHE $5 Attorney CHE $5 Heather Pattok P.O. Box 211053 Royal Palm Beach, FL 33421 B Pattok & Navarro Law CHE $15 4 Joseph Taylor 5127 Woodstone Cir E Lake Worth, FL 33463 Chiropracto r CHE $15 5 QVC 10 Corporate Dr Boston, MA 01803 B Webhostin g CHE $1.00 6 7 Adam Langino 7679 Maywood Crest Drive West Palm Beach, FL 33412 Attorney CHE $25 6 17 17 Veronica Fulton 1120 Augusta Road Fort Worth, TX 76126 Aircraft nspector CHE $10 8 SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER S REPORT TEMZED CONTRBUTONS (2).D. 6 30 2017 (4) Page 2 of 3 6 19 17 9 Samuel Gonite 251 Valencia Ave #144764 Coral Gables, FL 33114 Contribution n-kind Accountant CHE $50 6 19 17 10 6 20 17 11 6 26 17 12 6 26 17 13 6 27 17 14 6 27 17 15 6 28 17 16 Monica Williams 11743 Albatross Lane Riverview, FL 33569 Ronald Campbell 229 Quenshuckney Road Linden, PA 17744 Olen McLean 1109 Belmont Place Boynton Beach, FL 33436 Nia Johnson 4867 Palm Brooke Cir West Palm Beach, FL 33410 Scott Berry 515 N Flagler Dr P-300 Mosnar Group LLC 500 S Australian Ave Ste 618 Traci Lowe 807 8th Court Palm Beach Gardens, FL 33410 Attorney CHE $75.00 Physician CHE $10 Attorney CHE $15 Attorney CHE $20 Attorney CHE $25.00 B Consulting CHE $25 Teacher CHE $5 SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER S REPORT TEMZED CONTRBUTONS (2).D. 6 30 2017 (4) Page 3 of 3 6 28 17 17 Reno L Wells P.O. Box 220962 West Palm Beach, FL 33422 Contribution n-kind Retired CHE $25 18 19 Ralph T White 1001 N Dixie Highway Kelly White 741 Flamingo Way Attorney CHE $10 Professor CHE $10 Chris Thompson P.O. Box 223152 West Palm Beach, FL 33422 Chiropracto r CHE $1,00 20 21 Danielle Smith 6611 Fable Court Glen Burnie, MD 21060 Pharmacist CHE $10 Dennis Smith 18002 SW 18 Street Miramar, FL 33029 County Employee CHE $15 22 Ainka Gonzalez 14610 Creek Watch Pl Charlotte, NC 28277 Public Health CHE $25.00 23 SEE REVERSE FOR NSTRUCTONS AND CODE VALUES
CAMPAGN TREASURER S REPORT TEMZED EXPENDTURES (2).D. 6 30 2017 (4) Page 1 of 1 6 8 17 1 Labels & Lists nc 2500 116th Ave NE Ste 3 Bellevue, WA 98004 (8) (9) (10) (11) Purpose (add office sought if contribution to a candidate) Expenditure Type Amendment Amount Consulting MON $2,864.50 6 12 17 2 Kvlmedia Photoshoot 1 South Orange Ave Orlando, FL 32801 Advertising & Marketing MON $175.00 6 13 17 3 ipage 10 Corporate Dr Boston, MA 01803 Advertising & Marketing MON $104.98 6 14 17 4 Charisma K Adams 3024 Laurel Ridge Circle Riviera Beach, FL 33404 Consulting MON $35 5 Singleton Consulting 12291 78th Place North West Palm Beach, FL 33412 Consulting MON $75 6 Williams Accounting Services 405 N Rosemary Ave Accounting services MON $10 7 BB&T 9600 Alternative A1A Palm Beach Gardens, FL 33410 Bank Fee MON $15.00 Marcelle Burke 7204 Copperfield Cir Lake Worth, FL 33467 Campaign management MON $50 8 DS-DE 14 (7/98) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES