CAMPAIGN TREASURER'S REPORT SUMMARY

Transcription

1 CAMPAGN TREASURER'S REPORT SUMMARY " s~!!~m ) fifce USE ONLy Name (2) 9052 Laurel Ridge Dr Address (number and street) City, State, Zip Code D Check here if address has changed (3) D Number: (4) Check appropriate box(es) : 0 Candidate Office Sought: Mount Dora City Council At-Large D Political Committee (PC) D Electioneering Communications Org. (ECO) D Party Executive Committee (PTY) D ndependent Expenditure (E) (also covers an individual making electioneering communications) BY: _ll:..llla~ /. D Check here if PC or ECO has disbanded D Check here if PTY has disbanded D Check here if no other E or EC reports will be filed (5) Report dentifiers Cover Period: From s Z,. + e, To b ' 81:, 0'original D Amendment D Special Election Report Report Type: G1 (6) Contributions This Report Cash & Checks $, Z~ 8. r.~ -- ' Loans $ ', ~ J ' 1'!, &. z.~ Total Monetary $ -- ' n-kind $ -- ' ' ~S" O (9) TOTAL Monetary Contributions To $ -- ' i,, 3,e. z. ~ (7) Expenditures This Report Monetary Expenditures $ ', Transfers to - Office Account $ -- '-- ' Total Monetary $ (8) Other Distributions ', 18~ $ ' - - '-- -- (10) TOTAL Monetary Expenditures To $ -- ' z. ' 7C,/, q'f - (11) Certification t is a first degree misdemeanor for any person to falsify a public record (ss , F.S.) certify that have exam ined th is report and it is true, correct, and complete: (Type name) (Type name) D ndividual (only for E 0 Treasurer D Deputy Treasurer 0 Candidate D Chairperson (only for PC and PTY) or electi oneering comm.) X Signature DS-DE 12 (Rev.11/13) /t;) ~1-~/ X ~~ Signature SEE REVERSE FOR NSTRUCTONS

2 CAMPAGN TREASURER'S REPORT - TEMZED EXPENDTURES (1) Name (2).D. Number (3) Cover Period J_1 P... i 1 il_ through _l,_1~1!_l (4) Page / ot --~--- (5) (6) Sequence Number 8 / 27/ 20 ~ Gl (7) (Last, Suffix, First, Middle) Street Address & City, State, Zip Code Charles Townsend Co. 811 West North Blvd Leesburg,Fl (8) Purpose (add office sought if contribution to a candidate) Sign s (9) Expenditure Type (10) Amendment (11) Amount CAN $ / 27 / 29 ~ Dollar Tree Stores, nc 2704 E Burle igh Blvd Eustis, FL Envelopes, streamers CAN $6. 42 Gl / 2/ 20 ~ Office Depot OfficeMax US-441 Stamp Can $42.79 Gl ! m Gl-4 Walmart us Highway 441 Tabl e o±nttttent s O~rJAVl'le...Ni CAN $ / 29/ 20 ~! Walmart us Highway 441 Mount Dora, FL Table ;tjf~r~sr-1 1 CAN $4.28 Gl-5 8 / 29/ 018 ntegrity Ma i l Service 3425 Lake Center Drive, Suite 5 Mount Dora, FL Handbills CAN $ Gl-6 8 / 29/ 20 ~ (;,_, Dollar Tree Stores, nc US Hwy 441, Unit C Mount Dora, FL Balloons CAN $ / 30/ 20 ~ Country Club of Mount Dora Golf Club 1900 Country Club Blvd Food & Drink for Meet & Greet CAN $ G\-8 OS-DE 14 (Rev. 11/13) SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

3 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1) Name (2).D. Number (3) Cover Period B_ 2. 4 / 1B through 8 / :3\ / 18 (4) Page of 4- Sequence Street Address & Contributor Contribution n-kind Number City, State, Zip Code Type Occupation Type Description Amendment Am ount Hurley, Richard Pine Hollow Dr Consultant CHE $75.00 {; \- \ Carkhuff, Stacy G P.O. Box 1788 Mount Dora, FL RET CHE $ G.l 'Z Braun, Hal Spring Oak Dr Eustis, FL G,.. 3 Hays, Janice Overlook Dr Mount Dora, FL ~ CAS $ SA- e..!> yy\/\ij~i RET CHE $ ~,.. 4 Hinkl ey, Harold Pine Hollow Dr G,~s- Boyd, Theresa Royce Dr RET CHE $75.00 RET CHE $ \.. ~ Busko, James Crosswinds Way RET CHE - PayPal ~ 4~.1. C',,. hja. C. SEE REVERSE FOR NSTRUCTONS AND CODE VALUES 6 \-7 F

4 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1) Name (2).D. Number (3) Cover Period 8 ~ 't / \ i through 9!, / 8 (4) Page Z of 4- Sequence Street Address & Contributor Contribution n-kind Number Citv, State, Zip Code Type Occupation Type Description Amendment Amount Fitzgerald, Richard E 9th Ave 61.. t, RET CHE $ William O'Farrell West Old Hwy 441 Cl03 RET CAS $50.00 G-"\ Oliver, James & Kathy N Grandview St Unit 104 RET CHE $ G.i D Lofrumento, Randy&Dale J.-0 Chestnut et! ReDsseJ e1sr,!pf 3:2H4 2-i G. ~"''1 C-1' RET CHE $ ,c.s-r,!> 1 r1.. '!,Z12./tp G- Mi ller, Pame l a Laurel Ridge Dr RET CHE $50.00 Gt-11.. Smith, Brian & Barbara Aberdeen Cir Leesburg, FL b \ - 13 Briggs, Jean St ves Court Mount Dora, FL (;\-\4 RET CHE $60.00 RET CAS $10.00 SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

5 CAMPAGN TREASURER'S REPORT - TEMZED CONTRBUTONS (1) Name (2).D. Number (3) Cover Period B through B ~ / f> (4) Page :, of 4- Sequence Street Address & Contributor Contribution n-kind Number Citv, State, Zip Code Type Occupation Type Description Amendment Amount Roberts, Susan Bar Harbor Bay RET CHE $25.00 G.t-lS- Ettori, Bartley Laurel Ridge Dr (;\-1" Rooney, Ed & Mary ndian Trl Eustis, FL t; 1-q Pfeiffer, Tony Magnolia Ending Forbes, William S Tremain St, #E3 bl""lq Price, Steve McDonald St, #103 RET CHE $25.00 RET CHE $25.00 RET CAS $50.00 RET CHE $50.00 RET CAS $50.00 (; \ -2 (;.' Price, Judy 601 McDonald St, #103 RET CAS $50.00 b 1-2, SEE REVERSE FOR NSTRUCTONS AND CODE VALUES

6 CAMPAGN TREASURER'S REPORT-TEMZED CONTRBUTONS (1) Name (2).D. Number (3) Cover Period _g_ / 2. 4 / _l_!_ through 9 3t J8 (4) Page of Sequence Street Address & Contributor Contribution n-kind Number City, State, Zip Code Type Occupation Type Description Amendment Amount Strassheim, Agnes West Crooked Lk Pl Eustis, FL RET CHE $25.00 G,\ 2.2. Milcheck, Kevin Pine Hollow Dr Home Repair CAS $20.00 Gl-Z..3 Country Club of Mount Dora Gold Club 1900 Country Club Blvd B NK Room Use $ G,-24- Stroud, Donnie Laurel Ridge Dr ~ (.. zs- s RET LOA $ SEE REVERSE FOR NSTRUCTONS AND CODE VALUES